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Growth in a therapy practice shouldn’t mean more nights on hold with insurance companies or writing off denied claims. In 2026, behavioral health denial rates hit 16–22%, credentialing delays stretch 60–120 days, and undercoding + authorization lapses quietly cost practices $15K–$35K per month. This guide shows exactly how to scale from solo to multi-provider without billing chaos—plus the proven systems (and outsourcing strategy) that free 10+ hours a week and boost net coll