Hi Denise,

We run a nuclear stress lab and many times we have had to eat the cost of the isotope due to no shows.  I know that CMS has a modifier you can use when you don't use all of a particular drug and it goes to waste, but that did not fit this issue.  We began to notify all of our patient by phone and posted it in writing on the wall that if they were a no show, they would end up owing the cost of the isotope and a fee for the appointment that we wasted and we stuck to it.  We found that we rarely have anyone no show now.

DebM