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Should I complain?
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<blockquote data-quote="OTE" data-source="post: 5905"><p>Were you handed a fee schedule when you went in? I'd check that. If it says that there's a flat rate for an evaluation, a first appointment, then that's what it is. Any part of that time counts as the flat fee. It's not an hourly rate for the intial evaluation. They often set up a fee schedule that way because they book a couple of hours for an initial evaluation... depending on the dr. So if they don't take any patients for those two hours they don't want to lose 2 hours of billing time. I can tell you that the psychiatrist I work for..the receptionist calls any new appointment 2 days before the appointment to confirm that they're going to show. Not much more than 60% confirm. Of that 60%, probably 10% doesn't show 2 days later. In fairness, the waiting list to get an evaluation is about 3 mo. So often people make the appointment and then in the 3 mo find another psychiatrist. But in an 8 hour day if you lose 2 hours it affects the budget! Particularly if it happens a couple of times a week. So we have a fixed fee of which 50% will be billed if they don't show up without 24 hours notice. Patients are told this when they make the appointment. It's also in the packet that is sent to them to bring with them for the appointment.</p><p></p><p>It's not insurance fraud. It's a verbal contract between you and the dr if you were told in advance. Written if/when you sign the contract.</p><p></p><p>There's no excuse for a psychiatrist to be rude. Also no excuse for a psychiatrist to assume that you are trying to push medication into difficult child's throat. But also illegal for a doctor to prescribe medication against the patient's wishes or without informed consent. A psychiatrist should foster open communicastion. But you weren't the patient and your difficult child is an adult. I still would have told difficult child to wait in the hall and had a word with the psychiatrist about his/her attitude. But the line can be blurry when the patient is an adult and the family member is perceived by the doctor to be overly controlling. Not that you are, just that it would seem that that was what the psychiatrist was thinking. psychiatrist should have been more tactful.</p></blockquote><p></p>
[QUOTE="OTE, post: 5905"] Were you handed a fee schedule when you went in? I'd check that. If it says that there's a flat rate for an evaluation, a first appointment, then that's what it is. Any part of that time counts as the flat fee. It's not an hourly rate for the intial evaluation. They often set up a fee schedule that way because they book a couple of hours for an initial evaluation... depending on the dr. So if they don't take any patients for those two hours they don't want to lose 2 hours of billing time. I can tell you that the psychiatrist I work for..the receptionist calls any new appointment 2 days before the appointment to confirm that they're going to show. Not much more than 60% confirm. Of that 60%, probably 10% doesn't show 2 days later. In fairness, the waiting list to get an evaluation is about 3 mo. So often people make the appointment and then in the 3 mo find another psychiatrist. But in an 8 hour day if you lose 2 hours it affects the budget! Particularly if it happens a couple of times a week. So we have a fixed fee of which 50% will be billed if they don't show up without 24 hours notice. Patients are told this when they make the appointment. It's also in the packet that is sent to them to bring with them for the appointment. It's not insurance fraud. It's a verbal contract between you and the dr if you were told in advance. Written if/when you sign the contract. There's no excuse for a psychiatrist to be rude. Also no excuse for a psychiatrist to assume that you are trying to push medication into difficult child's throat. But also illegal for a doctor to prescribe medication against the patient's wishes or without informed consent. A psychiatrist should foster open communicastion. But you weren't the patient and your difficult child is an adult. I still would have told difficult child to wait in the hall and had a word with the psychiatrist about his/her attitude. But the line can be blurry when the patient is an adult and the family member is perceived by the doctor to be overly controlling. Not that you are, just that it would seem that that was what the psychiatrist was thinking. psychiatrist should have been more tactful. [/QUOTE]
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