The leak is between the call and the appointment
Psychiatry sells an hour of the most expensive clinician in the building. A no-show on an initial evaluation costs you the highest-billing block on the schedule. Most practices we talk to measure marketing in leads and never look at how many of those leads sat in a chair.
The fix is unglamorous. Faster pickup on inbound calls, benefits verified before the appointment is confirmed, a reminder sequence that runs without staff remembering, and a waitlist that gets called when a slot opens. Marketing that ignores the schedule buys more no-shows.