Make self pay patients wait for surgery?

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neuroride

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  1. Attending Physician
We have been starting to have more self pay patients coming through that have paid for their elective surgery to the surgeon and hospital but not us. Usually we only have a couple of days notice, even to the day of surgery, and usually we just eat the cost but when you are paying for a CRNA to sit in the room, it adds up. We are contracted to the hospital and bill separate.

In the times of obamacare now, any thoughts on cancelling elective cases and allow them to get insurance (which they are supposed to have already) and come back when that has gone through? Going to make more enemies this way?

The hospital has already shot down our request for a stipend to cover these patients.
 
We have been starting to have more self pay patients coming through that have paid for their elective surgery to the surgeon and hospital but not us.

Just make sure they understand that the surgery will be performed without anesthesia unless paid for ahead of time.
 
I imagine that the surgeons and the facility makes them pre pay. I would do the same for the anesthesia bill.
 
I imagine that the surgeons and the facility makes them pre pay. I would do the same for the anesthesia bill.
Exactly

There's the "self payers" who are actually "no payers" where nobody gets paid. But I would not play a game where everybody but me got prepaid.
 
We had a surgeon who started doing this a few years ago. When we found out, we had a talk with the surgeon and told him that this can't go on. We left the phone number of our billing company with the surgeons office and ever since, the patients have prepaid for anesthesia services and then we send them a residual bill or put them on a payment plan. This takes care of the elective stuff but the ones that come through the ER never pay. The trick is to be the first one to send your bill out.
 
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