The bottom line is paramount. Billable hours are the highest priority and must be met even considering vacation, conferences, holidays, etc. Deadlines are unreasonable; treatment plans are due months before the end of the auth to go through layers of critique which has different requirements for each reviewer, no set standard. Clinic is run by Admin, not a Clinical professional, so decisions are based on efficiency and financial gain instead of what’s best for the kids. A lot of lip service to their wonderful list of values but not where the rubber meets the road.