A psychiatric consultation was requested for Ron, a 24-year-old male

respond to this statement: My preceptor gets a lot of no-shows -something I have seen in many mental health settings. One day last week she had 26 scheduled and only 11 showed. This has been a problem for all the providers at this facility – even though they offer telehealth visits. Patients are only required to come in physically 1 time every 90 days and can have 2 telehealth visits in between. They have only recently changed the policy to require stimulant visits monthly, but again 2/3 of those visits can be via telehealth. The Office manager is writing a policy to take a payment form when setting an appointment. There will be a charge for the no-show appointments, a practice which has shown the benefit of reducing the occurrence at other facilities. No-shows are a significant financial burden on a business with already thin profit margins throughout medical practice settings. I had a family practice office of my own for a while, and without high patient traffic, the reimbursement was insufficient to keep the lights on. I am not sure how this kind of policy might work for practices that take Medicaid. There were many more rules, regulations, and

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