No Show Fee By Provider: HSA Eligibility

What are no show fees by the provider?

No show fees are charged by providers against patients who do not show up to their appointment at the hospital or doctor's office. No show fees are charged to discourage No shows. No show fees are similar to cancelled appointment fees, which may be charged when an individual cancels or changes an appointment beyond a certain point in time close to the appointment.

A no show fee is typically charged by a doctor's office in order to encourage patients to keep their appointments. No show fees are commonly waived by doctor's offices when there are extenuating or emergency circumstances surrounding a missed doctor's appoint or a late-cancelled doctor's appointment. This is handled on a case-by-case basis, but is still common. There is also usually a late-cancellation policy at a hospital or doctor's office that levies a similar or the same fee for patients who cancel or change appointments within a certain time frame, usually 24 or fewer hours prior to the appointment (AAPC).

No show fees are not eligible for reimbursement with any consumer-directed healthcare account. No show fees can be discussed between the patient and the provider, hospital or doctor's office. No show fees should be clearly briefed by the institution before the patient schedules services with them. If this is not the case, or there is no clearly written policy on the application of a no show fee, then a patient should contest the no show fee or ask for a negotiated fee.

Patients should review the paperwork they signed with their doctor's office. It is usually legally enforceable to charge and/or attempt to collect a lost appointment fee if the patient has signed an agreement which clearly states that no show fees are part of the institution's policies for patients.

No show fees are also charged, in part, to help doctor's offices recoup lost revenue from patients that cancel appointments and never reschedule them. Some estimates suggest that doctor's offices nationally suffer a 5-7% no-show rate, and that these no-shows can cost tens of thousands of dollars over the course of a year. The effect of these no-shows is a lower profitability of the doctor's office, resulting in higher medical charges for all patients.