When a new patient asks about the cost of their office visit, what should the MAA do?

Providing an estimate based on allowable amounts is the most appropriate action for the Medical Administrative Assistant (MAA) when a new patient inquires about the cost of their office visit. This method ensures that the patient receives relevant and realistic information regarding potential fees. It allows the MAA to consider various factors, such as the specific type of visit, the services rendered, and the patient’s insurance coverage, which can influence the final cost.

Estimates based on allowable amounts can help manage the patient’s expectations about what they may be financially responsible for, thereby fostering transparency and trust. This approach also aligns with best practices in healthcare settings, where cost transparency is essential for patient satisfaction and financial planning.

Diverting the question to the office manager may not always be necessary, particularly if the MAA has the appropriate knowledge to provide an estimate. Similarly, quoting the lowest exam fee does not give a complete picture of potential costs and might mislead the patient about what they can expect to pay out-of-pocket. Claiming that insurance will cover the visit could be misleading since the actual coverage can vary significantly between plans and may not cover all aspects of the visit.