Patients keep cancelling outpt visit due to being in IOP/PHP

Can anyone explain this as I havent seen it before. Several patients are in IOP/PHP and give last second cancellation notice saying that they will be charged i guess extra for services at the IOP if they conduct an outpatient visit with an outpatient psychiatrist while they are in IOP. For those who take insurance in outpatient, how do you navigate this?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums