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Posted: 10/20/2014 1:09:32 PM EDT
No pics of wife.
Signs all over the place at check in. As of 1/1/2015 new self pay price is $160.00 visit. If you lose your appointment card and call for your appointment time $25.00. If you are 10 minutes or more late for your appt. $25.00 and you move to the last appt. of the day to be seen. If you do not call to cancel an appt. within 24 hours $25.00. Damn! 
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Posted: 10/20/2014 1:10:46 PM EDT
[#1]
What do they pay you if they are more than 10 mins late?
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Posted: 10/20/2014 1:11:35 PM EDT
[#2]
Quote HistoryQuoted:
What do they pay you if they are more than 10 mins late? This ^^^^^^^^^^^^^^^ |
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Posted: 10/20/2014 1:12:03 PM EDT
[#3]
Absolutely zero. That the first thing I thought of when I saw it. Pretty hard core compared to any others we've seen.
I will say our co pay with insurance is $40.00 for the visit once every 3 months so not bad. |
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Posted: 10/20/2014 1:12:18 PM EDT
[#4]
They've probably had enough of people's bullshit.
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Posted: 10/20/2014 1:13:38 PM EDT
[#5]
Quote HistoryQuoted:
What do they pay you if they are more than 10 mins late? FPNI. Bastards always over schedule and make you wait. |
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Posted: 10/20/2014 1:14:05 PM EDT
[#6]
Quote HistoryQuoted:
They've probably had enough of people's bullshit. This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you |
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Posted: 10/20/2014 1:14:23 PM EDT
[#7]
What was the old self pay price?
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Posted: 10/20/2014 1:15:22 PM EDT
[#8]
Quote HistoryQuoted:
FPNI. Bastards always over schedule and make you wait. Quote HistoryQuoted:
Quoted:
What do they pay you if they are more than 10 mins late? FPNI. Bastards always over schedule and make you wait. I'll have to say this one doesn't. You usually get in within max 20 minutes of scheduled time. Closer to 10 minutes after you arrive. |
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Posted: 10/20/2014 1:18:25 PM EDT
[#9]
Quoted:
No pics of wife. Signs all over the place at check in. As of 1/1/2015 new self pay price is $160.00 visit. If you lose your appointment card and call for your appointment time $25.00. If you are 10 minutes or more late for your appt. $25.00 and you move to the last appt. of the day to be seen. If you do not call to cancel an appt. within 24 hours $25.00. Damn! Pain Management is a specialty because of drug seeking FSA. Some of the people they deal with simply blow my mind. As I continue to recover from spinal fusion, I called to have a vic refill. It took several tries to communicate to the nurse that I wanted a scrip about 15% the dosage of what I had been taking. Like it was a new concept; she said nobody ever voluntarily reduces their scrip. Ever. They started doing piss tests @ each appointment and the office has cleaned up considerably. |
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Posted: 10/20/2014 1:21:49 PM EDT
[#10]
Could it be because pain management centrers are magnets for drug seekers - people not know for being punctual?
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Posted: 10/20/2014 1:22:38 PM EDT
[#11]
Yes this one does drug tests as well. You do not know when you get one. Each visit they spring it on you. You better NOT have any pain meds THEY did not prescribe to you AND you better have the meds they DO prescribe or you're out! If you do not have it in your blood they know you are out or you are selling them. They make it VERY clear. No exceptions...you violate the drug contract once, you gone!
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Posted: 10/20/2014 1:27:39 PM EDT
[#12]
If you arrive on time and they make you wait more than 10 minutes do they refund you $25? I'm fine with doctor's offices who want to charge/cancel appointments when people don't show up, but it really pisses me off when I walk in the door 15 minutes early, fill out my paperwork updates, and then sit around in the waiting room for 45 minutes until they call me back.
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Posted: 10/20/2014 1:32:35 PM EDT
[#13]
OP, I had a fusion done on my neck back in july of this year..my doc and his staff have been cool as hell leading up to it..anyway part of the pre surgery checkup was his assistant taking my BP, pulse, checking all meds I am on and allergies. she ask if I smoke(I do less then 6 cigs a day which the doc and I already had talked about earlier )..anyway she says well, we can't do the surgery because you are smoking, my reply was..well I will take my surgery elsewhere then so you better go ask the doc what he wants to do..5 minutes later she is back and surgery is a go..I have run into her a few times since on checkups and stuff..she keeps her head down and avoids me..oh well......
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Posted: 10/20/2014 1:33:20 PM EDT
[#14]
Quote HistoryQuoted:
What do they pay you if they are more than 10 mins late? In before: "The doctor's time is more important than yours peon. Now pay up." |
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Posted: 10/20/2014 1:34:06 PM EDT
[#15]
Quote HistoryQuoted:
I'll have to say this one doesn't. You usually get in within max 20 minutes of scheduled time. Closer to 10 minutes after you arrive. Quote HistoryQuoted:
Quoted:
Quoted:
What do they pay you if they are more than 10 mins late? FPNI. Bastards always over schedule and make you wait. I'll have to say this one doesn't. You usually get in within max 20 minutes of scheduled time. Closer to 10 minutes after you arrive. Umm. That sounds like they're over scheduling and making you wait... |
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Posted: 10/20/2014 1:37:25 PM EDT
[#16]
I didn't know what a pain management center even did until I joined Arfcom. I thought it was like a holistic medicine thing. Then about a year into joining Arfcom, there was a thread about them by one of the medical professionals. Some scandal at the time.
Much cool stories, bro. 
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Posted: 10/20/2014 1:45:29 PM EDT
[#17]
Quote HistoryQuoted:
Umm. That sounds like they're over scheduling and making you wait... Quote HistoryQuoted:
Quoted:
Quoted:
Quoted:
What do they pay you if they are more than 10 mins late? FPNI. Bastards always over schedule and make you wait. I'll have to say this one doesn't. You usually get in within max 20 minutes of scheduled time. Closer to 10 minutes after you arrive. Umm. That sounds like they're over scheduling and making you wait... How about this: They are taking as much time as necessary with each patient. Would you want YOUR appointment artificially cut short if you needed extra attention? Did you want the doc taking enough time to deal with your issue correctly? Also, busy practices, especially those that take public assistance insurance, get a significant number of no-shows no matter how draconian their missed appointment policy is. They have to over schedule to make up the difference. Of course, some days everyone shows up. Boutique service cost a lot more. |
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Posted: 10/20/2014 1:48:16 PM EDT
[#18]
Quote HistoryQuoted: This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you Quote HistoryQuoted: Quoted: They've probably had enough of people's bullshit. This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you damn shame good people that really need help probably get caught in that shit sandwich |
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Posted: 10/20/2014 1:50:57 PM EDT
[#19]
Can you imagine the average clientele of a pain specialist? I'm sure your wife doesn't fit the typical profile, but I can see that policy being completely reasonable.
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Posted: 10/20/2014 1:52:27 PM EDT
[#20]
Usually if the pts are on time I am as well. Wish I had enough I could do that.
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Posted: 10/20/2014 1:52:28 PM EDT
[#21]
Last time I took my wife to the PS it took me 2 fucking hours.
Maybe I should have billed them for my time? |
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Posted: 10/20/2014 1:55:32 PM EDT
[#22]
Quote HistoryQuoted:
I didn't know what a pain management center even did until I joined Arfcom. I thought it was like a holistic medicine thing. Then about a year into joining Arfcom, there was a thread about them by one of the medical professionals. Some scandal at the time. Much cool stories, bro. I only knew about them from the somewhat frequent prosecutions of doctors for being script mills. |
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Posted: 10/20/2014 1:59:29 PM EDT
[#23]
I do believe it is going this way that to get ANY pain meds you must see a pain specialist. Regular MD's will quit giving them out and alleviate that whole mess and then they can better track pain meds dispensed thru specialists. In AR and TX once you get mes filled you cannot go anywhere else in the state to get them. They show up on a state monitoring website when/where/how many you got filled! You lose them or get stolen...tough luck bro!
At our local ER if you need/get pain meds they give you only one. You do not get any to take home with you or refills! |
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Posted: 10/20/2014 2:00:04 PM EDT
[#24]
People actually pay missed appointment fees?
I had one once due to an emergency. Called the doc's office and they gave me the line about $20 late notice fee... I said "I wont be paying that. Let me know if I need to find a new doctor." She said, "ok, no problem. See you tomorrow." edit: sorry about your wife. 
The whole thing seems tarded to me. Why cant her regular physician treat her? Oh yeah, more nanny state bullshit. |
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Posted: 10/20/2014 2:01:45 PM EDT
[#25]
Quote HistoryQuoted:
People actually pay missed appointment fees? I had one once due to an emergency. Called the doc's office and they gave me the line about $20 late notice fee... I said "I wont be paying that. Let me know if I need to find a new doctor." She said, "ok, no problem. See you tomorrow." I can assure you this one doesn't "let it slide" You pay or you do not get seen again. She is hard core. I've heard the receptionist taking on the phone and to others at the window. You pay or you don't play!!!! |
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Posted: 10/20/2014 2:03:02 PM EDT
[#26]
Quote HistoryQuoted:
This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you Quote HistoryQuoted:
Quoted:
They've probably had enough of people's bullshit. This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you +1 The most strict of Federal oversight and meddling, combined with the most needy, self-absorbed and addiction-riddled patient base. Obviously not everyone in a pain clinic is a leeching social parasite who's primary source of income is disability fraud and pathological lying... but it's certainly a trend.
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Posted: 10/20/2014 2:03:03 PM EDT
[#27]
Quote HistoryQuoted:
People actually pay missed appointment fees? I had one once due to an emergency. Called the doc's office and they gave me the line about $20 late notice fee... I said "I wont be paying that. Let me know if I need to find a new doctor." She said, "ok, no problem. See you tomorrow." edit: sorry about your wife.
The whole thing seems tarded to me. Why cant her regular physician treat her? Oh yeah, more nanny state bullshit. They can but she doen't get any pain meds unless got from PS. Thats the way its headed everywhere soon. With chronic pain you get only a certain amount of meds per month. When they're gone, they're gone till next months fill. No exceptions. |
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Posted: 10/20/2014 2:04:34 PM EDT
[#28]
Quote HistoryQuoted:
This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you Quote HistoryQuoted:
Quoted:
They've probably had enough of people's bullshit. This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you If it's anything like psychiatry, they double book due to a 50% no-show rate. |
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Posted: 10/20/2014 2:08:35 PM EDT
[#29]
Quote HistoryQuoted:
How about this: They are taking as much time as necessary with each patient. Would you want YOUR appointment artificially cut short if you needed extra attention? Did you want the doc taking enough time to deal with your issue correctly? Also, busy practices, especially those that take public assistance insurance, get a significant number of no-shows no matter how draconian their missed appointment policy is. They have to over schedule to make up the difference. Of course, some days everyone shows up. Boutique service cost a lot more. Quote HistoryQuoted:
Quoted:
Quoted:
Quoted:
Quoted:
What do they pay you if they are more than 10 mins late? FPNI. Bastards always over schedule and make you wait. I'll have to say this one doesn't. You usually get in within max 20 minutes of scheduled time. Closer to 10 minutes after you arrive. Umm. That sounds like they're over scheduling and making you wait... How about this: They are taking as much time as necessary with each patient. Would you want YOUR appointment artificially cut short if you needed extra attention? Did you want the doc taking enough time to deal with your issue correctly? Also, busy practices, especially those that take public assistance insurance, get a significant number of no-shows no matter how draconian their missed appointment policy is. They have to over schedule to make up the difference. Of course, some days everyone shows up. Boutique service cost a lot more. What Bones said. Doctors should not be a one time period fits all, although for sake of scheduling we often assign a standard block of time. When I had my outpatient clinic, we had a significant amount of no shows - the university medical center we were at did have fees and penalties but has only started enforcing them lately, and still it is doc's discretion. As far as waiting, if I had a patient that needed more time, I would spend it with them, then apologize to the next patient. Usually my patients were very understanding as they knew that I would do the same for them. It would sometimes throw off the schedule, but hey, that happens. |
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Posted: 10/20/2014 2:12:50 PM EDT
[#30]
Quote HistoryQuoted:
Could it be because pain management centrers are magnets for drug seekers - people not know for being punctual? I'm in the business and I can tell you this is exactly the case |
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Posted: 10/20/2014 2:24:32 PM EDT
[#31]
These rules are the result of the AVERAGE pain clinic patient's behavior.
For me, these rules wouldn't matter because nothing I do violates them. I work in acute care and wouldn't work at one of these clinics because of the average clientele. OP: I hope your wife gets some relief. |
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Posted: 10/20/2014 2:25:59 PM EDT
[#32]
Quote HistoryQuoted:
Could it be because pain management centrers are magnets for drug seekers - people not know for being punctual? Ya think? Posted Via AR15.Com Mobile |
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Posted: 10/20/2014 2:32:09 PM EDT
[#33]
Quote HistoryQuoted:
Can you imagine the average clientele of a pain specialist? I'm sure your wife doesn't fit the typical profile, but I can see that policy being completely reasonable. This. Not all patients but I am sure a large percentage are not upstanding citizens. |
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Posted: 10/20/2014 2:40:49 PM EDT
[#34]
"This will be my last visit due to the new fees. I'll have my new doctor get my records"
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Posted: 10/20/2014 2:42:38 PM EDT
[#35]
With those signs, it sounds like a pill factory.
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Posted: 10/20/2014 2:48:28 PM EDT
[#36]
Quote HistoryQuoted:
This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you Quote HistoryQuoted:
Quoted:
They've probably had enough of people's bullshit. This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you Just had a patient in with chronic (as in 5+ years old) arthritic pain. Went over some possible treatment courses then he starts telling me how well 'Percocet 5/325' (that's exactly how he said it) works for it...I told him I don't do narcotics for chronic issues. I'll do it for acute pain issues or post op, but anyone that needs chronic pain meds goes to the local pain management guy....oh, the patient can't go there anymore as he 'doesn't get along with his secretary'.....since I didn't give him pain meds (offered prescription NSAIDs...but turns out he's already on two of them that he didn't mention in his intake history sheet), he decided he wanted his x ray discs back so he could go elsewhere.....
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Posted: 10/20/2014 2:57:05 PM EDT
[#37]
Quote HistoryQuoted: What do they pay you if they are more than 10 mins late? Every time I go to the damn doctor they don't even call me until 15 minutes past my appointment time. Then I sit on a table for 15 more minutes until the damn doctor comes in. He spends maybe 10 minutes with me and out the door. |
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Posted: 10/20/2014 2:57:13 PM EDT
[#38]
Wow.
I had no idea shit like this went down so much. Sorry about your wife and the Doctor and his employees. |
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Posted: 10/20/2014 3:04:54 PM EDT
[#39]
Quote HistoryQuoted:
With those signs, it sounds like a pill factory. Another wonderful side effect of our war on some drugs. But at least we almost have it won so a few broken eggs are worth it. |
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Posted: 10/20/2014 3:05:39 PM EDT
[#40]
Drug seekers.
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Posted: 10/20/2014 3:10:06 PM EDT
[#41]
When all your patients are stoned, you've got to expect some disorganization and forgetfulness.
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Posted: 10/20/2014 3:13:54 PM EDT
[#42]
Quote HistoryQuoted:
Just had a patient in with chronic (as in 5+ years old) arthritic pain. Went over some possible treatment courses then he starts telling me how well 'Percocet 5/325' (that's exactly how he said it) works for it...I told him I don't do narcotics for chronic issues. I'll do it for acute pain issues or post op, but anyone that needs chronic pain meds goes to the local pain management guy....oh, the patient can't go there anymore as he 'doesn't get along with his secretary'.....since I didn't give him pain meds (offered prescription NSAIDs...but turns out he's already on two of them that he didn't mention in his intake history sheet), he decided he wanted his x ray discs back so he could go elsewhere..... Quote HistoryQuoted:
Quoted:
Quoted:
They've probably had enough of people's bullshit. This. Pain management is a rather unique specialty in that you have patients and the government alike trying to screw you Just had a patient in with chronic (as in 5+ years old) arthritic pain. Went over some possible treatment courses then he starts telling me how well 'Percocet 5/325' (that's exactly how he said it) works for it...I told him I don't do narcotics for chronic issues. I'll do it for acute pain issues or post op, but anyone that needs chronic pain meds goes to the local pain management guy....oh, the patient can't go there anymore as he 'doesn't get along with his secretary'.....since I didn't give him pain meds (offered prescription NSAIDs...but turns out he's already on two of them that he didn't mention in his intake history sheet), he decided he wanted his x ray discs back so he could go elsewhere..... Their little faces get so sad when you tell them no.... 
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Posted: 10/20/2014 3:14:14 PM EDT
[#43]
I am one of the lucky ones who sees a pain specialist monthly.
dear g-d, judging by the waiting room, I don't know why he does it. I'm sure the money is great, but the money could never be good enough for me to deal with what my doc deals with. |
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Posted: 10/20/2014 3:14:40 PM EDT
[#44]
The doc's time is his money, if you don't make the appt, you should pay because there could've been a paying patient.
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Posted: 10/20/2014 3:22:23 PM EDT
[#45]
Right now my co-pay is $25.00. Vaccinations are free. I don't need to make an appointment, walkins are acceptable if the doctor is in. Also a nurse practitioner and a PA. I fill out a questionnaire online and my insurance company sent me a credit card with funds on it to pay co-pays that saved me out of pocket expense.
Doctor sure does seem to want to feel my prostate a bit too frequently but what the hell, the rest of the services are convenient. |
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Posted: 10/20/2014 3:27:25 PM EDT
[#46]
Quote HistoryQuoted:
They've probably had enough of people's bullshit. This, the general public, as a whole, are flakes..... 
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Posted: 10/20/2014 3:33:20 PM EDT
[#47]
Quote HistoryQuoted:
OP, I had a fusion done on my neck back in july of this year..my doc and his staff have been cool as hell leading up to it..anyway part of the pre surgery checkup was his assistant taking my BP, pulse, checking all meds I am on and allergies. she ask if I smoke(I do less then 6 cigs a day which the doc and I already had talked about earlier )..anyway she says well, we can't do the surgery because you are smoking, my reply was..well I will take my surgery elsewhere then so you better go ask the doc what he wants to do..5 minutes later she is back and surgery is a go..I have run into her a few times since on checkups and stuff..she keeps her head down and avoids me..oh well...... I know several surgeons who will not do a spinal fusion if you are smoking. They will make a smoke quit and pass two nicotine tests before scheduling surgery. |
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Posted: 10/20/2014 6:54:56 PM EDT
[#48]
pill mill controlling it's junkies,,been there done that...
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Posted: 10/20/2014 7:05:18 PM EDT
[#49]
I was a client of pain management clinic for years. I was getting three spinal injections a year AND taking oral pain meds to manage the lower back pain. Ended up having a microdisectomy and that made it possible for me to once again walk for more than ten minutes. This went on for three years.
I still take oral meds (vicodin) for pain. Sometimes one, sometimes three a day depending upon my workload that day. I just heard the other day that ALL of the docs are gone from the place. Not sure why but the place was recently bought by a big hospital type company. Now I gotta' track down my doc, I trust his work. |
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Posted: 10/20/2014 7:12:46 PM EDT
[#50]
Quote HistoryQuoted:
Snip..... Also, busy practices, especially those that take public assistance insurance, get a significant number of no-shows no matter how draconian their missed appointment policy is. They have to over schedule to make up the difference. Of course, some days everyone shows up. Boutique service cost a lot more. I take Medicaid. Told our practice manager that if we get a new patient no show, or an existing patient no show two times in a row (30 minutes set aside for a new patient, 15 minutes for existing...so I'll lose a half an hour of 'work time' when they don't show) that we would not schedule them in the computer unless they paid a $50 no show fee...the manager said 'our old contract with Access said we couldn't do that (she wasn't sure of the new 'private' Medicaid insurances)...I told her it didn't matter...put the $50 fee as due from the patient anyway, and if the insurance calls to complain...tell them 'That's fine....drop us from your plan, and tell the patients that the nearest Doc that takes that plan is close to an hour away....' |
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