Hi everyone,

I would love to get everyone's opinion here. We have always had basic policies on whether or not to take someone back. If someone leaves the practice due to moving, I'm OK. About the only other reason is the patient that has the guts to look me in the eye and tell me I suck. Most just leave and we find out by a release.

Another policy we have always had is when someone leaves due to another practice's (usually a hospital or FQHC) insurance deal is better. Basically, the thought is, hey, we are fine with your leaving, but if you think we are the best practice, then we are worth the cost. We don't have a big hospital or the Federal Government behind us.

So, if these find out the $20.00 copay was worth the better service and want to come back, do you let them? We generally don't.

What about the patient who leaves because the other practice can bypass the deductible for signifcant savings but want to come back? I am in the boat right now. I am leaning toward saying no. Obviously, they are willing to pay it now. Or maybe there is something we don't know, e.g. the insurance benefit changed.

Any help?


Bert
Pediatrics
Brewer, Maine