This is always a tough one. If a patient shows or doesn't show, the expenses for that time slot have been allocated already....Both fixed and variable expenses. If the patient does not show, unfortunately the physician's practice eats the expense. A no-show to the doctor is like a shoplifter in retail.
However, if a patient fails to follow up with abnormal labs or diagnostic studies, or fails to come in after repeated phone calls from a provider's office, the provider should prepare a letter to the patient, outline the reason the visit is needed, or why the follow up was important, clearly spell out the potential consequences for the patient's health/longivitity, advise the patient to contact the office to schedule/reschedule an appointment (specify the urgency needed), and that failure to do so will result in dismissal from the provider's practice. Send the letter by certified mail, return receipt requested (even though US mail is presumed delivered if not returned). File a copy of the letter and certified mail receipt in the patients record. This will show the provider and staff took appropriate measures to inform the patient of the concern and consequences. If the patient still fails to follow up, dismissal at that point would be appropriate as the patient would then be a liability/significant risk for the provider. Send a dismissal letter to the patient (certified, as indicated above), offering to provide urgent care for the next 30 days (for continuity purposes), and offer to send the patient's medical record to a provider of his/her choosing (include release of information request along with the letter), and provide the effective dismissal date (after the 30 day offer to provide urgent care). Should a law suit ever result becsuse of claim of delayed diagnosis, etc. the above actions will clearly favor the provider.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join