We're excited to welcome Zach Zavoral from Solutionreach today to share some of his thoughts on no-shows and how to prevent them.
One of my favorite Seinfeld scenes is from Season 6 entitled “The Kiss Hello”. After George Costanza's first visit to a physical therapist’s office, he's at the front desk scheduling a follow-up appointment for the next day while writing the check to pay for his visit.
When George hands the office manager his check, the OM lady (very cliché mid-90s style and perky front desk personality) informs George that he actually owes a no-show fee for not arriving for his originally scheduled appointment earlier that week.
George: “I couldn’t come! I had to drive my mother to the chiropodist!”
Responding to the commotion at the front desk, the physical therapist emerges from her office and asks, “What’s the problem?”
George: “Are you aware I’m being charged for Tuesday’s appointment? I had to take my mother to the chiropodist!”
PT: “Oh, I’m sorry. But that’s our policy.”
George, now furious: “Oh you have a policy!? The delicate genius has a policy!”
As he throws his arms in the air and begins walking out the door, the ever-perky OM asks, “So will you be here tomorrow?”
George: “Well it’s less than 24 hours away, so I guess I HAVE to!”
Of course, the next day, when George comes in for his now-mandatory appointment, the physical therapist isn’t there. George's response to the OM: “Oh, I’m sorry. I require 24-notice for a cancellation. Now as I see it, you owe me $75.”
The Upsides of Charging a No-Show Fee
1. Your patients arrive for their appointments.
2. If a patient doesn’t arrive, your office theoretically gets a little cash for your trouble.
3. That's it.
The Downsides of Charging a No-Show Fee
1. Your office emits a lack of compassion and understanding.
2. Patients who are charged the no-show fee probably won't return.
3. Every charged patient will probably share the experience with their friends and family, potentially ruining your reputation.
4. If you need to take a sick day, you must also provide 24-hour notice if you expect the same of your patients.
5. You’re unlikely to receive the no-show charges that you’ve billed.
6. Charged patients may ruin your online reputation by posting a negative online patient review of your practice.
7. You utilize one of society’s least effective strategies: scare tactics. Nobody likes a company that threatens customers into following orders.
Clearly, charging patients for no-shows is a bad idea. Sure, your office time is worth money to you. But your patients, especially the new ones, never signed any agreement to this pretentious policy. The goal is to eliminate no-shows. So why not just do that?
How to Eliminate No-Shows
The best way to eliminate no-shows without producing a negative feeling is an automated appointment reminder system that utilizes text messages, emails, and phone call reminders.
I work for Solutionreach, the original healthcare automated appointment reminders. Obviously, I’m biased when it comes to deciding which appointment reminders to use. But my bias does not interrupt common sense and logic: the appointment reminder system that reaches 100 percent of your patients right out of the box without alienating any patients is the supreme choice (cough, cough, Solutionreach). Regardless, every appointment reminder system, including Solutionreach, Demandforce, and Websystems 3, will eliminate no-shows by at least 50 percent without an elitist policy that threatens patients.
Even George Costanza would agree that he'd rather get automated appointment reminders than a bill.