Code of Medical Ethics Opinion 11.3.2
Physicians individually and collectively should promote access to care for individual patients, in part through being prudent stewards of resources. Thus physicians have a responsibility to balance patients’ needs and expectations with responsible business practices.
With respect to fees for nonclinical or administrative services provided in conjunction with patient care, physicians should:
(a) Clearly notify patients in advance of fees charged by the practice (if any) for nonclinical or administrative services.
(b) Base fees (if any) on reasonable costs to the practice for:
- Providing special documentation on patient request for such purposes as insurance reimbursement to the patient, certification of immunization or fitness or similar nonclinical services.
- Missed appointments or appointments not cancelled in advance in keeping with the published policy of the practice.
- Acquisition or processing charges in relation to diagnostic, laboratory, or clinical services, copies of medical records or similar nonclinical services.
AMA Principles of Medical Ethics: II, VI