Ketan is correct.
I just finished my morning review for my ACOI recert.
I'll be doing that everyday to prep and I don't get paid for that time.
Our time is valuable.
I started this thread and I want you to know that I don't feel bad about disengaging the patient (nor does my landlord, mortgage company car loan holder, med school loan holders). After the fiasco I watched last week in congress and last night with the "vote", I realized that I work hard for my patients and they will have to pay for my services. That's the deal we made when they came in the door. Deductible, co-pay, 20% co-insurance.
Don't tell me that you just got back from an Alaskan cruise and how great it was, but you can't pay. I used to eat a lot of the patient responsibilities until my CPA "Gibbsed" (NCIS) me.
Every time I have offered and started "monthly" programs for payment, I have gotten screwed. "You make enough off of insurance" will no longer be tolerated.