General Category > General Questions

Billing Missed Appointment

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PMRNC:

--- Quote ---We bill for the amount we are out due to the missed appointment.
So if the patient's copay is $20, and insurance pays $74, then the patient owes $94.
However, we offer to waive the penalty if the patient can make up the appointment within 10 days after they missed.
Makes for some very long work days, but it is a good compromise.
--- End quote ---

You still NEED to look at every contract because there are contracts that will prohibit you from billing a missed appt PERIOD. Violating this can result in a carrier removing you from their panel. Also many states strictly prohibit this with Medicaid patients as well.   When I do credentialing and am in the contract phase, this is one of the things on my check list I try to negotiate OUT of the contract before it goes to the attorney for approval.

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