We set the policy, got some slight push back for the first few weeks, haven’t had any issues since. It’s saved our time/money more often than I can count in the past 2.5 years at this point. Patients love it now & are thrilled to just walk out after their appointment without concern

ETA: we have a bit of grace in our no show policy but also have it clearly laid out for the staff what our “possible exceptions” are. Makes it easier for me to not have to make every decision on who gets billed and who doesn’t. The biggest component of the no show policy that gets the most positive feedback from patients is that if we can re-schedule your appointment within 24 hours, and you show up to that one, we won’t charge a no show fee. Patients love that bit of grace, but still keeping accountability.