Did you know, on average patient no shows can cost the healthcare industry up to $150 billion annually? That is an immense waste of money that could contribute to more beneficial areas for the healthcare industry. Each missed appointment for a practice is lost money, which means there needs to be a solution for missing income. Some practices find it beneficial to have a fee charged to those who miss appointments to recoup some of the lost income. However, if there is a way to minimize the amount of missed appointments, then there is a better chance for increasing income. Starting with the beginning of the process, if scheduling is done well and pre-registration is completed, and the staff follow up with appointment reminders there is a higher probability that somewhere in those parts of the process the patient will cancel is needed. One of the top reasons for no shows is due to fear of payment. If prior to the appointment the patient knows exactly what they will owe after insurance, then they will more likely be willing to attend the appointment or reschedule for another time. Unfortunately, the number one reason for no shows is forgetfulness. Therefore, the appointment reminder phone call is important. The patient is more likely to cancel or remember to arrive for the appointment. Lastly, your practice should allow for cancellations, but there needs to be a cancellation policy in place. Patients should have ease of access to cancel through a patient portal, or the ability to call to cancel and know their call will be answered. Patients should be given a certain time frame in which they can cancel without penalty or reschedule. Take the time to review how your practice handles no shows, and from there find the areas for improvement, your cash-flow may depend on it.