Guest guest Posted August 3, 2006 Report Share Posted August 3, 2006 Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie@...> Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambaultshorelinesurg __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2006 Report Share Posted August 3, 2006 I experienced the same problem and corrected it with a no show fee. Patients are informed of the fee when making the appointment. If they do not call within 24 hours to cancel they are charged at their next appointment. I think I only had 1 or 2 no shows in the past year and it was happening weekly before. Another practice I work with charges the full session fee for no shows. When people complain we explain that if we are a no show without calling to reschedule within 24 hours they will receive the next session for free. Hope this helps, K. Re: No Shows Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie > Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambaultshorelinesurg __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2006 Report Share Posted August 3, 2006 Kay, Can you explain our last sentence again? I don’t think it was written the way you were trying to explain. Thanks! Beth Whelan, MS,RD,LD Outpatient Dietitian Harbin Clinic office: (706) 378-8163 fax: (706) 238-8037 Re: No Shows I experienced the same problem and corrected it with a no show fee. Patients are informed of the fee when making the appointment. If they do not call within 24 hours to cancel they are charged at their next appointment. I think I only had 1 or 2 no shows in the past year and it was happening weekly before. Another practice I work with charges the full session fee for no shows. When people complain we explain that if we are a no show without calling to reschedule within 24 hours they will receive the next session for free. Hope this helps, K. Re: No Shows Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie > Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambaultshorelinesurg __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2006 Report Share Posted August 3, 2006 Sure. If I was unable to make a session I would call the patient to reschedule at least 24 hours prior to the appointment. If they came to the appointment and I was not there they would receive their next session free. This however has never happened. Hope this is clear...K. Re: No Shows Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie > Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambaultshorelinesurg __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2006 Report Share Posted August 3, 2006 Sure. If I was unable to make a session I would call the patient to reschedule at least 24 hours prior to the appointment. If they came to the appointment and I was not there they would receive their next session free. This however has never happened. Hope this is clear...K. Re: No Shows Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie > Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambaultshorelinesurg __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2006 Report Share Posted August 3, 2006 Thanks Kay. Beth Whelan, MS,RD,LD Outpatient Dietitian Harbin Clinic office: (706) 378-8163 fax: (706) 238-8037 Re: No Shows Sure. If I was unable to make a session I would call the patient to reschedule at least 24 hours prior to the appointment. If they came to the appointment and I was not there they would receive their next session free. This however has never happened. Hope this is clear...K. Re: No Shows Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie > Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambaultshorelinesurg __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2006 Report Share Posted August 4, 2006 Our pts incur a fee up front for the entire package of my services, pre- and post-op. That helps them recognize how important the nutrition piece is ! Strathdee, RD, LD, LMHC >>> kgleon@... 8/3/2006 10:30 AM >>> Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie@...> Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambault@... __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2006 Report Share Posted August 4, 2006 Is the fee is billed to insurance? how many visits does the fee cover? How do you code it? Thanks, , RD, CD Re: No Shows Our pts incur a fee up front for the entire package of my services, pre- and post-op. That helps them recognize how important the nutrition piece is ! Strathdee, RD, LD, LMHC >>> kgleon@... 8/3/2006 10:30 AM >>> Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie@...> Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambault@... __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2006 Report Share Posted August 4, 2006 Pts pay out-of-pocket, as most insurance companies do not pay. Our financial counselor checks this out prior to initial visits and sits down with pt @ initial visit to explain all. Strathdee >>> jlewis@... 8/4/2006 10:08 AM >>> Is the fee is billed to insurance? how many visits does the fee cover? How do you code it? Thanks, , RD, CD Re: No Shows Our pts incur a fee up front for the entire package of my services, pre- and post-op. That helps them recognize how important the nutrition piece is ! Strathdee, RD, LD, LMHC >>> kgleon@... 8/3/2006 10:30 AM >>> Please know you are not alone. I am in the same situation and usually have 2-3 patients a day not show or reschedule. Any advice is welcome! Leon Salartash Surgical Associates, PA -------------- Original message -------------- From: Liz Archambault <chester1aggie@...> Hi All, I work for a bariatric surgeon in an out-patient setting. We seem to have a high rate of post-op patients who don't show and pre-op patients who resechedule appointments, usually at the last minute. Do any of you have suggestions on how to improve this situation? Thank you, in advance - your help is much appreciated. Liz Archambault, MS, RD, CD-N Shoreline Surgical Associates, P.C. earchambault@... __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2006 Report Share Posted August 4, 2006 When I was doing practice full time, I explained to clients that they were paying for me to reserve the appointment time for them—however they used that time was up to them. Of course, the most productive use of that time is to be there for an appointment. But if they choose not to be there, they must still pay for the courtesy I have afforded them of setting that time aside and not being able to earn money doing anything else. I also do better with reminders 48 hours in advance, just like my own physician and dentist do with me. Reminds them of the cancellation policy and gives them a chance to opt out. Monika M. Woolsey, MS, RD http://www.afterthediet.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2006 Report Share Posted August 4, 2006 Monika: Was this in your private practice? Bev Re: No Shows When I was doing practice full time, I explained to clients that they were paying for me to reserve the appointment time for them—however they used that time was up to them. Of course, the most productive use of that time is to be there for an appointment. But if they choose not to be there, they must still pay for the courtesy I have afforded them of setting that time aside and not being able to earn money doing anything else. I also do better with reminders 48 hours in advance, just like my own physician and dentist do with me. Reminds them of the cancellation policy and gives them a chance to opt out. Monika M. Woolsey, MS, RD http://www.afterthediet.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2006 Report Share Posted August 5, 2006 Bev, Yes, it was in my private practice. I also experimented with prepaid appointments at a cheaper hourly rate for multiple appointments purchased in advance. The no show policy was exactly the same. That worked well, too. Monika Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2006 Report Share Posted August 5, 2006 That's an interesting idea. I don't have a big problem with no shows in my private practice but we sure do at the hospital. I don't know if they will let us charge them but I'm about ready to ask. However, the prepayment for multiple appts sounds like an interesting idea for my private practice. Thanks, Bev From: Monika Woolsey Sent: Saturday, August 05, 2006 3:15 PM Subject: Re: No Shows Bev, Yes, it was in my private practice. I also experimented with prepaid appointments at a cheaper hourly rate for multiple appointments purchased in advance. The no show policy was exactly the same. That worked well, too. Monika Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 Bev, My philosophy is that the no-show issue is entwined with the eating issue. Lack of structure isn’t usually just about food—it’s about life in general. If you don’t address both…the eating problem won’t get better. Sometimes as dietitians I think we focus so much on food we forget to take a step back and see what eating patterns are telling us about the bigger picture. Monika Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 That's a GREAT point, Monika! I am in full agree with the "big picture" concept! AngieAngie , MEd, RD Nutritionist SIUH Center for the Surgical Treatment of Obesity 256 Mason Avenue Staten Island, NY 10305 718-226-1300 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2006 Report Share Posted August 6, 2006 Very profound. Never thought of it that way but I agree. Re: No Shows Bev, My philosophy is that the no-show issue is entwined with the eating issue. Lack of structure isn’t usually just about food—it’s about life in general. If you don’t address both…the eating problem won’t get better. Sometimes as dietitians I think we focus so much on food we forget to take a step back and see what eating patterns are telling us about the bigger picture. Monika Quote Link to comment Share on other sites More sharing options...
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