We also use collections judiciously... the MD has to approve each one, and there are lots of extenuating circumstances that cause us to just keep on truckin', payment or not. Also, we are not sending $30 balances for collection. But, by the time someone has been seeing us for several months and owes a couple of thousand dollars, and has taken the insurance check and used it for a trip to Hawaii, I tend to get a bit testy. This happens more than I like.
