At Thunder Pain Management, our goal is to provide quality care for all of our patients. We know you value your time, and we’ll do our best to stay on schedule. That said, we expect you’ll show us and your fellow patients the same courtesy by following our appointment policy.
Schedule or Cancel an Appointment
Please call: 775.336.1256
Cancellation, No-Show, and Late Fees
Our Cancellation/No-Show fees are $100 for a new patient visit, $60 for follow-up visits and therapy visits, and $200 for infusions. We’re happy to waive these fees if you call and cancel your appointments at least 48 hours in advance for office and therapy visits, and 72 hours in advance for infusions. Arriving more than 10 minutes late for a visit with Dr. Thunder or Pearla McDonald, APRN, will also be considered a no-show, in which case you will need to reschedule your appointment, and you will be charged a cancellation fee. If you’re unable to pay your required co-pay at the time of your appointment, you’ll need to be rescheduled, and that will count as a no-show as well.
Because physical therapy billing is based on time, patients who arrive even 10 minutes late for their appointments decrease our compensation by about 25%. When certain insurance companies barely pay enough for us to cover expenses, this becomes unmanageable. Therefore, we ask all our patients to partner with us to follow these guidelines:
- If you are 10-15 minutes late for a therapy appointment, and you would like to go ahead with your appointment, you will be required to pay an extra $30 in addition to any copay to make up for the lost billing time.
- If you are 10-15 minutes late and you choose not to go ahead with your treatment, you will be assessed the $60 cancellation fee.
- If you are more than 15 minutes late, you will be considered a no show and charged the $60 cancellation fee.
- Patients who are repeatedly late and/or have multiple cancellations/no shows without adequate notice may not be allowed to have additional therapy.
Fees are payable immediately, ineligible for insurance coverage, and solely the patient’s responsibility. If missing or being late to your appointment was due to unforeseen or unavoidable circumstances, we encourage you to appeal the fee by emailing officemanager@thunderpain.com and explaining your situation. If your request to have the fee waived is approved, the amount collected will be applied to any balance that you have on your account. If your account is paid in full, the fee will be refunded to you.
Reimbursement/Overpayment Refund Process and Information
While TPM makes all reasonable efforts to estimate the patient’s out of pocket or co-payment due at the time of service, occasionally overpayments may occur. If TPM becomes aware of an overpayment or mistake in payment (either through TPM’s discovery or notification by the patient), TPM will process this overpayment either back to the patient or to the insurance, whichever is indicated. Refunds are processed every thirty days. Please let us know if you have an urgency for reimbursement.
Refund per Written Request
If you believe an overpayment has occurred and you would like to request a refund in writing, please send a letter of explanation, including the patient’s name, date of birth, date of service, and request for overpayment refund to: Thunder Pain Management, 6548 S. McCarran Blvd., Suite A, Reno, NV 89509. Discovery of overpayments or questions regarding a balance may also be addressed by calling: 775.336.1256
