Bert
We are saying the same thing. Also I want to high light the jest of what you are saying that I believe to be very important. That is one should practice medicine based on his/hers individual set of circumstances. Since one knows the ins and outs of the legal requirements in their neck of the woods and the inherent risks associated with their specialty and the risk burden in ones overall environment. And yes I believe pediatrics to be a special situation, since its not the patient's fault that the parent is not paying the bill.
Also just because we have reduced the work and pain in the #ss chasing money does not mean that we are making more, believe me when I say this. That being said I believe my pearls that I would high light would include have a policy that is not rigid and allow for some loss, especially with the patients who are your foundation, those who have been coming to your clinic for years, they have put money in the piggy bank. They will come across hard times and cutting them slack when they need it most, will in most cases not be forgotten. When this happens you truly become their doctor and should be proud of that fact. Another point is don't turn away patients but help them find a solution if you can't be their solution for what ever reason.
That being said I believe a very good idea that you have mentioned is when you call the patient for their reminder, at the same time remind them of their financial obligations prior to the visit, This may actually become law in many states. I would add contacting the insurance prior to the visit so you know what the patients financial obligations are and letting them know before hand. I understand you may be uncomfortable with this but its really not that big of a deal and may be worth a try. Also try to give the patient an incentive to pay something. In our business, meaning yours and mines getting paid something is better than getting nothing.
Sincerely
Dru
