Thriving Practice with Tracy Cherpeski

Nobody Wants to Be the Bad Guy: What No-Shows Really Cost Your Practice – A Special SNACK Episode, EP 281

September 11, 2026·11 min
Episode Description from the Publisher

Every independent practice has a cancellation policy. The question is whether it exists anywhere besides the new-patient paperwork. In this SNACK episode, Miranda Dorta puts Tracy Cherpeski in the interview seat to talk about what no-shows really cost a practice, and why the gap between the policy on paper and the policy in practice is a systems problem, not a patient problem.  Tracy breaks down the full cost of a single missed appointment (it is a lot more than the lost visit), the difference between a courtesy request and an enforced policy, and why practice owners and front desk teams avoid holding the line. She also shares how automated reminders and fee triggers let the system be the bad guy, so no human has to make the awkward call, and names the one booking change that strengthens practice operations more than any other.  If you have ever waived a no-show fee because it felt easier than the conversation, this one is for you.  Resource Mentioned: AI & Automations for the Smart Practice Roundtable – Request the Replay and Accompanying Resource Guide  Read the full show notes, memorable quotes, and key takeaways.  Connect With Us:  Be a Guest on the Show  Thriving Practice Community  Schedule Strategy Session with Tracy  Tracy’s LinkedIn  Business LinkedIn Page

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