We have patients that come in right when we are about to close and demand to be seen for their "emergency". Rarely do we see those patients. If it's a true emergency we refer them to the ER.
We offer to schedule them appointments for the following day. If they insist on being seen, we tell them to go to the urgent care or ER. The usual response is "I have to sit and wait for 4 hours at the ER" and then they accept the appointment (must not really be an emergency)
We do our best to accomdate our patients but not to the point where we are having our staff stay late and pay overtime when the reimbursement from medi-caid or their insurance is so low. There are always exceptions but those are rare.
