Medicare allows no-show fees, Medicaid doesn't, and a missed psych visit can signal real risk. The 2026 PMHNP no-show policy playbook for private practice. In this Deep Dive episode, two hosts walk through “PMHNP No-Show Policy: A 2026 Private Practice Playbook” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • At a 15 percent no-show rate, a solo PMHNP with 60 weekly follow-ups loses about 9 visits a week. At $150 a visit, that is roughly $65,000 a year. • Medicare allows a missed-appointment fee only when one written policy and one dollar amount apply to every patient. Bill the patient directly and never submit it to Medicare. • CMS policy bars billing Medicaid beneficiaries for missed appointments, whatever they signed. Exempt them, and dual-eligible patients, in writing. • Patients with long-term mental health  ...