Why is it so important for the medical assistant to be available to receive payment as patients are leaving from office visits? What does this save the office? Mr. Smith has been a patient of Dr. Sanza for many years. Over the years, Dr. Sanza has written off many of his visits because of Mr. Smiths inability to pay. You know that Mr. Smith now receives a retirement check each month and has insurance to pay all but his copayment. Today, he walks to the door to leave without paying the copayment. How do you handle this situation?