I have a situation where a client was seen for a CDA and through the evaluation the client refused to talk and a diagnosis could not be determined. However, the client was seen after the initial CDA for individual psychotherapy and again for case management. Because there was no diagnosis determined we cannot bill for these services. How do folks account for the lost revenue? Does this go to an adjustments GL account, does this get entered as a zero dollar charge, does this get written to bad debt or can these be billed to Medicaid another way?