No-Show, Late Cancellation & Billing Policies

Written By Delainne Bond

We understand that emergencies and disruptions happen. However, no-shows and cancellations with less than 24 hours’ notice present both clinical and billing challenges.

To ensure compliance with Workers’ Compensation billing protocols:

  • Only one no-show or late cancellation per patient per week can be reimbursed.
    If the provider chooses to reschedule the session within the same week and the patient no-shows again, only the first missed appointment will be eligible for reimbursement.

  • Our recommendation is to proceed with the next regularly scheduled session rather than attempting same-week rescheduling.
    If today is chaotic for the patient, tomorrow likely will be as well. Sticking to the original cadence minimizes disruptions to your schedule and sets a clear, consistent boundary for the patient.

This approach reduces the provider burden for last-minute scheduling shifts—although we sincerely appreciate your flexibility—and helps set healthy expectations for patients around attendance and accountability.

Important Note:
In the Workers’ Compensation system, three no-shows is often viewed as a red flag for noncompliance, which can place an injured worker’s benefits and ongoing care at risk. Two missed appointments in the same week may appear disproportionately concerning and misrepresent the patient’s intent to engage. Maintaining structure and documenting missed sessions clearly is critical for the patient’s protection and the integrity of the claim.

If you have questions about this policy or would like support in managing a case with frequent cancellations or no-shows, please don’t hesitate to reach out to your ProMedView Liasson. We are here to support you and ensure that care continues effectively and compliantly.

Delainne Bond

Delainne Bond, BSN, RN, holds dual degrees in Nursing and Neuropsychology. She is the Principal Consultant with ProMedView, Founder of the covidCAREgroup, and a PRIMA Board Member with the Tampa, Florida chapter.

Recognized as a leader in clinical solutions for complex injuries and illnesses, Delainne has a broad spectrum of clinical experience including Workers’ Compensation, acute and critical care in the hospital setting, occupational medicine, and community health.

In the national Workers’ Compensation arena, Delainne is a CEU Educator, and her experience includes leadership, risk management, catastrophic case management, mass casualty incident response, critical incident management, and provider network development.

Since the event of the pandemic, Delainne has devoted her clinical expertise to researching Long COVID, offering education and resources on a global scale through the covidCAREgroup.

In addition to educating providers, clinicians, attorneys, case managers, and nurses, Delainne has published many articles about Long COVID with ~6 million views in 2022. She runs the largest clinical social media support groups in the world with followers and collaborators including physicians, clinicians, and business leaders from 110 countries.

https://www.promedview.com
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