MCN’s customizable template, Appointment Failure Notification, is taken from our Medical Office Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

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Here is some sample content from Appointment Failure Notification:

	POLICY: When the first appointment is missed, with or without cancellation, a Reschedule Notification Exhibit A is sent to the patient. If the missed appointment was for a follow-up on a medical condition and the patient has not rescheduled within one week, a certified letter should be sent requesting that the patient contact the office Exhibit B. After the second certified letter is sent to the patient Exhibit C and there is no response, form letter D is sent to the patient along with a copy that is sent to the patient's HMO. If the patient does not show for an appointment three times...
Second excerpt:
	...D is sent to the patient along with a copy that is sent to the patient's HMO. If the patient does not show for an appointment three times within a three month period, form letter E is sent to the patient with a copy to the patient's HMO. Copies of all correspondence are to be placed in the patient's medical record. SUBJECT: APPOINTMENT FAILURE NOTIFICATION REFERENCE #1005 PAGE: 1 DEPARTMENT: MEDICAL OFFICE OF: 1 EFFECTIVE: APPROVED BY: REVISED: ...