Jump to content




Photo
- - - - -

No-show fees - are they enforceable? Do you pay them?


  • Please log in to reply
20 replies to this topic

#1 Catnapper

Catnapper

    Living in the South under Baptist Sharia law.

  • Member
  • Pip
  • 1744 posts

Posted 20 November 2011 - 02:11 PM

I had a first and last visit with a really crappy doctor (not a pdoc), and they just sent me a bill for a no-show fee for what would have been my second appointment. Since during my first appointment I had to wait over an hour for the doctor, and I am not billing her for my time that day, I am not planning on paying this fee, especially since I won't be returning to see her. If I was planning to go back, I would pay it, but I was on the verge of reporting her for her non-professional conduct, and never did it as I lost interest. But suddenly I'm interested in reporting her again.

On the other hand, I'm not interested in any more damage to my credit score. Have you been charged a no-show fee, and did you pay it? If you didn't pay it, did the doctor send it to a collection agency?
New Improved Diagnosis: Probably BP II (instead of MDD recurrent), or as the pdoc said, "There's clearly some sort of cycle going on." The more I think about it, the more I think he's right. I've started a mood stabilizer and feel better, so I have my fingers crossed I'll stay far away from the abyss.

RX: Generic versions of Lamictal 200 mg, Wellbutrin SR 300 mg, Ambien 10 mg, Gabapentin 900 mg (for hot flashes), lots of vitamins and fish oil tablets.
RX Graveyard: Prozac, Topomax, Zoloft, Vivactil, Adderall, Provigil
DX: Previously DXed with Major Depressive Disorder, Recurrent, Without Psychotic Symptoms; still enjoying Dysthymia and Binge Eating Disorder

"All persons, living and dead, are purely coincidental." Kurt Vonnegut, Timequake


#2 kitthekitten128

kitthekitten128

    Member

  • Member
  • Pip
  • 86 posts

Posted 20 November 2011 - 02:15 PM

I have been charged one. I will be paying it. It sucked, I was at an interview and I even called a little while before my appointment tot cancel.
-Kit the Kitten-

#3 HaloGirl66

HaloGirl66

    Wannabe Timelord

  • Inmate Emeritus
  • Pip
  • 967 posts

Posted 20 November 2011 - 03:14 PM

I've had doctors threaten collections over a $20 no show fee. douchebag doctor.
I am *not* any kind of medical professional. I can't spell either. I do the best I can.

My brain cooties: ADD, Wicked Insomnia, SI, Nonverbal Learning Disorder, Generalized Anxiety Disorder, Periodic Depression and various neurological issues.

Current Meds: 10mg Ambien & 2 mg Xanax at bedtime, 1mg Xanax XR in the morning, 10mg Flexril as needed, 40mg Adderal
Not gonna list previous meds because this signature ain't long enough!


And when I squinted the world seemed rose-tinted
And angels appeared to descend
To my surprise with half-closed eyes
Things looked even better than when they were opened...

M. Gore

#4 Anna

Anna

    Member

  • Inmate
  • 4003 posts

Posted 20 November 2011 - 03:18 PM

I think no show fees are legally collectable, provided you signed paperwork that you agree to them. I'm not sure if different states have different laws, but I believe that if you signed paperwork agreeing to a no show fee and did not cancel your appointment, it is legally binding.

Anna
BP I, Most Recent Episode Depressed, like suicidally depressed.

Currently on: neurontin,. seroquel, tienaptine, NAC, lithium, temazepam, latuda, provigil, a bunch of health meds/supps to deal w/ s.e. of crazy meds. (metformin, armour thyroid, Vit B 12 shots, magnesium, the list goes on, sigh, I feel like an OLD person, heh). Yeah, i am on a lot of crazy meds.

Revenge Strategist Extraordinare since 2011... Yes, you may contact me for services/ideas.

#5 gizmo

gizmo

    Tomorrow is always fresh, with no mistakes in it.

  • Member
  • Pip
  • 3826 posts

Posted 29 November 2011 - 12:43 PM

It is likely that they will send a bill collector after you if you don't pay it. My advice is to call the doc's office and see if you can work something out.
Diagnosis: BP I with Psychotic Features, GAD, ADHD, Chronic Migraines, various physical stuff.
Meds Currently On: Depakote 2000 mg, Risperdal 8 mg, Latuda 80 mg, Prozac 60 mg, Vyvanse 70 mg, Propranolol 40 mg BID, Klonopin 2 mg BID PRN
Meds Sort-Of Mental Related: Lipitor 40 mg, Zofran 4 mg PRN, Fioricet PRN, Stadol PRN, Botox received on 8/16/13

I post on an iPhone, so please forgive grammatical errors or strange word inclusions. It's the auto correct!

#6 maristrider

maristrider

    Human. Mostly.

  • Member
  • Pip
  • 86 posts

Posted 29 November 2011 - 01:20 PM

Every time I've had to sign agreements with no-show fee clauses, I've altered/annotated them. Charging me for having a seizure (or even a "drop everything now" emergency in our shop) - not exactly fair.

I think no show fees are legally collectable, provided you signed paperwork that you agree to them. I'm not sure if different states have different laws, but I believe that if you signed paperwork agreeing to a no show fee and did not cancel your appointment, it is legally binding.

Anna


Dx: Bipolar II, autistic, epilepsy, ABI/TBI, ED-NOS. C-PTSD much improved.
Rx: Lamictal, Topamax, Keppra, Perampanel (my profile pic).
Life: Disability advocate. Mature-age college student (attempt 3 at my degree). Newbie paratriathlete. There's a bookshop/cafe in there somewhere too.

#7 Phoenix_Rising

Phoenix_Rising

    Medicated for your safety

  • Inmate
  • 3757 posts

Posted 29 November 2011 - 03:18 PM

I think no show fees are legally collectable, provided you signed paperwork that you agree to them. I'm not sure if different states have different laws, but I believe that if you signed paperwork agreeing to a no show fee and did not cancel your appointment, it is legally binding.


I love my doc, but she charges $100 for a missed appt regardless of reason. I signed an agreement like Anna mentioned so I've had to pay them. Sucks, but, like you said, you don't want a credit agency coming after you.

Current Dx: BPII, GAD, OCD and PTSD

Other crap: sleep apnea and diabetes type II

Rx: Prozac 20 mg; Zyprexa 15 mg; Gabapentin 1200 mg; Vyvanse 100 mg;  Klonopin 2 mg and prn; Lithium 900 mg; Meformin 2000 mg; Metropolol 200 mg; Premarin .625 mg  Insulin 19 mg

>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Me? Crazy?  I should get down off this unicorn and slap you.

_________________________________________________________________________________

I am not a mental health care professional, please seek out a professional's advice.


#8 notfred

notfred

    Member

  • Member
  • Pip
  • 2426 posts

Posted 29 November 2011 - 03:57 PM

Charging me for having a seizure (or even a "drop everything now" emergency in our shop) - not exactly fair.



Why not ? It is not about fault, it is about you holding up a professionals time when they could be seeing other patients. Seems fair to me, regardless of the reason. I suspect, though, that some docs will give you a break for true unexpected emergencies.

nf

#9 luxroark

luxroark

    Member

  • Member
  • Pip
  • 48 posts

Posted 30 November 2011 - 06:53 PM

I've always had to wait an hour+ just to see my pdoc. He schedules two people at one time. I've also had to pay no-show fees for my psychologist or she wouldn't see me again.
Current DX-schizoaffective depressive type, PTSD and GAD
Current meds-Latuda 80mgs, Effexor 300mgs, Remeron 30mgs, Wellbutrin 150mgs, Vistaril 50mgs, Xanax 0.25mgs and Cogentin

#10 Hooker

Hooker

    Member

  • Member
  • Pip
  • 119 posts

Posted 30 November 2011 - 08:50 PM

You guys need to move countries. There are a lot of abuse situations (and I think charging someone who is unstable a no-show fee for what may amount as an emergency to that person as abuse) that I read on the boards and keep quiet about but 100 USD for missing an appointment (assuming you have a valid reason) seems criminal to me.

I understand the argument about tying up a professionals time, but these are highly specialized professionals that deal with highly troubled individuals. If you can't make allowances for patient conditions and your solution is to have a high school type absolute policy where you don't consider people's reasons and on top of that you ruin their credit by sending them to bill collection, well you should switch professions.

I read on one of the boards a few week back about a guy/girl (don't remember which) who got sent to collections because she couldn't make an appointment because her agoraphobia got the better of her because her meds stopped working. I doubt this person could even make a phone call, let alone go to an office! And they had to deal with the oh so helpful office staff (broiled in sarcasm). Lets not consider the fact this person may/likely was broke to top it off.

I love America, but there are plenty of times when I'm glad I'm not american, you guys take a lot of abuse and look at it as normal.

Best.

Edited by Hooker, 30 November 2011 - 08:52 PM.


#11 SashaSue

SashaSue

    Vulpes Bipolaris

  • Member
  • Pip
  • 4565 posts

Posted 01 December 2011 - 03:49 AM

Calling missed appointment fees abusive seems a bit excessive. I'd guess that the reason they're so prevalent among tdoc's and pdoc's is the propensity of the population they serve to miss appointments with no notice, for no particular reason. I've certainly done it. And I paid the fee.

Pdocs and tdocs are basically running businesses. It doesn't really matter why people don't show up, if they don't cancel and don't show up. That behavior actually seems more like abuse of the provider, than their charging a fee does of patients.
Dx: Bipolar I, ADHD<br />
Rx: Seroquel, 800mg, Lamictal, 150mg, Effexor, 325mg, Wellbutrin, 450, Dexedrine ER, 60mg

#12 lysergia

lysergia

    ripping off the bootstraps

  • Inmate Emeritus
  • Pip
  • 3485 posts

Posted 01 December 2011 - 08:25 AM

i suppose i can see how charging fees for no-shows makes sense. however, i do believe if fairness were a consideration, the circumstances around cancelling an appointment should be considered. you might not know 24 hours before the appointment that you're going to wake up the next day with a fever of 103 and have to stay in bed, or that your kid would fall out of a tree at school that morning, or that your car would die just as you embark on a half-hour drive to get to the doctor's office. life happens like that sometimes. i wouldn't like my pdoc very much if she charged me $100 under those circumstances. unless the "life happens" is chronic or something, i don't see why it would hurt to waive the fee sometimes.

(but i like assuming p/tdocs are considerate people. yeah i know, stop laughing at me.)

current dx:

BPII, DDNOS, major anxiety issues, PTSD issues (now subclinical), ED issues (recovered anorexic), auditory/visual/tactile hallucinations

current rx:

bupropion XL 300 mg, clonazepam 3 mg, zopiclone 7.5 mg, synthroid 0.15 mg (supplements: D3, B12, Omega 3)

download.jpg

 


#13 Thomas

Thomas

    Member

  • Member
  • Pip
  • 2051 posts

Posted 01 December 2011 - 08:33 AM

My pdoc charges $105 for a no-show. I think that's what she gets when she combines the copay with the fee portion that is usually paid by the insurer.
Dx:BP1, OCD, Diabetetes Type 2, Hypertension, Gastroparesis & kidney stones
Rx: Abilify 20 mg., Klonopin 6.0 mg., Restoril 30 mg. Cymbalta 120 mg. , Lamictal 400 mg., Cogentin 1.5 mg. Crestor 10 mg. hydrochlorothiazide 25 mg., Hyzaar 100/25 mg., domperidone 20 mg. and Levemir Insulin 40 units, Actos 45 mg.,Proprananol ER 80 mg., Hydrocodone/APAP 40 mg./4000 mg., tizanidine 1 mg., Fiorocet 3 mg.

#14 notfred

notfred

    Member

  • Member
  • Pip
  • 2426 posts

Posted 01 December 2011 - 12:03 PM

Calling missed appointment fees abusive seems a bit excessive. I'd guess that the reason they're so prevalent among tdoc's and pdoc's is the propensity of the population they serve to miss appointments with no notice, for no particular reason. I've certainly done it. And I paid the fee.

Pdocs and tdocs are basically running businesses. It doesn't really matter why people don't show up, if they don't cancel and don't show up. That behavior actually seems more like abuse of the provider, than their charging a fee does of patients.


It's our responsibility as patients to not use our illnesses as excuses. You know you had this appointment for some time and if you can't leave your house it is reasonable that you call early enough to give 24 ours notice. I have seen docs be reasonable about this, when the whole city was flooded and phone service was spotty they did not charge me even though I did not call. I think it is ridiculous to suddenly start billing for your time when 1) your time is not billable, 2) You have never billed for your time in the past. You can just turn it on to suit you.

nf

#15 AnneMarie

AnneMarie

    Member

  • Member
  • Pip
  • 4644 posts

Posted 01 December 2011 - 12:34 PM

If you call 24 hrs or more in advance, the doc has time to schedule someone else in or make plans to do something with their time. If you don't call in advance, that is their lost income due to YOU not them. Why should they be penalized for your lack of consideration?

I've paid no show fees. I've also had them waived when circumstances were not really in my control. I also had a doc who did a one time freebe. My reg doc does not charge no show fees, which I like, but she is in a clinic and is paid regardless of my appearance.

OP, some docs will go to collections. Others won't. Some collection agencies give you a chance to pay without a ding on your credit score. Some don't. I'm not sure the gamble is worth it. If you scheduled the appt and didn't cancel, it is your obligation to pay unless you have a contract or state law that says it is not. Not scheduling takes no time. Canceling is a phone call. You dropped the ball. I'd own up.

Bipolar I and ADD


#16 Hooker

Hooker

    Member

  • Member
  • Pip
  • 119 posts

Posted 01 December 2011 - 12:58 PM

On a different (so please don't accuse me of mixing subjects) but not entirely unrelated subject:

http://gma.yahoo.com...-131752629.html

This is what you get when you start looking at this stuff as acceptable, I'm sure the forms mentioned in this article didn't start out as what they ended up.

I don't think it matters that you are loosing money because someone doesn't show up to their appointment in the highly specialized field of psychiatry (if you are a dentist, by all means, charge a 200 USD no show fee, people should not waste your time), people don't use their diseases as excuses but they are valid excuses none the same for not showing up to an appointment when you take a turn for the worse. It's the absolute notion of these fees that gets to me. If you can't deal with the fact that psych patients will sometimes not make their appointments because of their disease (and you are a psychiatrist/psychologist), then you need to switch fields. Sending a mentally ill person who is more likely than not without means to collection and ruining their credit is unconscionable. Let's not even discuss ruining their trust and relationship with you over 100 bucks.

#17 nothingness

nothingness

    Member

  • Banned
  • Pip
  • 31 posts

Posted 01 December 2011 - 01:20 PM

If you can't deal with the fact that psych patients will sometimes not make their appointments because of their disease (and you are a psychiatrist/psychologist), then you need to switch fields. Sending a mentally ill person who is more likely than not without means to collection and ruining their credit is unconscionable. Let's not even discuss ruining their trust and relationship with you over 100 bucks.

Amen!
Waiting for the ban hammer to fall

#18 notfred

notfred

    Member

  • Member
  • Pip
  • 2426 posts

Posted 01 December 2011 - 01:29 PM

people don't use their diseases as excuses but they are valid excuses none the same for not showing up to an appointment when you take a turn for the worse.


They need to learn coping skills to keep things like being charged late fees from happening.

nf

Edited by notfred, 01 December 2011 - 01:30 PM.


#19 AnneMarie

AnneMarie

    Member

  • Member
  • Pip
  • 4644 posts

Posted 01 December 2011 - 02:01 PM

I think if you are too manic to have a decent concept of time, you should be cut slack by psych professionals. Mine have. But that's different than being too tired to go in or preferring to do something else or too depressed or whatever where you are mentally capable of knowing you have made an appt and reasonably knowing when it is.

Bipolar I and ADD


#20 crtclms

crtclms

    Queen of Ergots

  • Inmate
  • 9132 posts

Posted 01 December 2011 - 10:00 PM

My neuro will let it slide if I have a migraine these days, because he knows it is so frequent; he is at a PPO, and can usually find a use for the time anyway. My husband's neurosurgeon doesn't charge no-show fees, either. BUT, my husband's MD is at a teaching hospital, and is salaried. My dad was at a teaching hospital, and salaried, and he didn't charge no show fees.

Dx: Bipolar 1; GAD; Migraine w/ Aura; Migraine w/o Aura; Renal Tubular Acidosis (caused by Zonegran); Status Migrainosus
Rx: Alprazolam; Botox; Buproprion; Dihydroergotomine via IV Infusion; Flexeril; Lamotrigine; Latuda; Lithium; Metoclopramide; Midrin; Migranal; Potassium Citrate; Prilosec; Promethazine; Riboflavin; Tizanidine; Verapamil; Vitamin D3
Currently Shelved: Abilify; Amerge; Anaprox; Atenolol; Buspar; Cafergot; Cymbalta; Depakote; Di-Hydro-ergotamine, injected; Gabapentin; Geodon; Imitrex Tablets; Klonopin; Maxalt; Namenda; Nortriptyline; Norvasc; Propranolol; Prozac; Risperidone; Relpax; Sansert; Sumatriptan injectables; Tegretol; Trazadone; Zoloft; Zolpidem; Zomig; Zonegran


Affectations can be dangerous. -Gertrude Stein

 

I moderate Bipolar, Panic/Anxiety, Dissociative Disorders, Migraine, Seizures, Not Otherwise Specified, Anticonvulsants, Side Effects, Family Feud, and I Still Have Issues. Remember, I am not a medical professional. PM me if you have any questions






The content of individual posts on this site are the sole work of their authors and do not necessarily reflect the opinions and/or policies of the Administrators, Moderators, or other Members of the Crazyboards community. Health related topics should not be used for the purpose of diagnosis or substituted for medical advice. It is your responsibility to research the accuracy, completeness, and usefulness of all opinions, services, and other information found on the site, and to consult with your professional health care provider as to whether the information can benefit you.