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How to get paid as a postdoc in private practice?

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Therapy_Rhapsody

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Hello,
I'm planning to move to Oregon and join a group private practice. I will still need about 4 months of postdoc hours before getting licensed once I move to Oregon. Can I get on insurance panels as a postdoc resident? I'm willing to work with kids and I primarily want to work with adults. I don't offer any specialized services, unless mindfulness groups count as specialized. The owner of the group practice is a psychiatrist so he can't supervise me according to the Oregon Board of Psychology because only psychologists can supervise postdocs. But do you think I could still bill insurance under his license so we could get reimbursed for my services? I would have to find a psychologist to supervise me outside this practice.
Also, any recommendations for the percentage of the fee I should ask to keep while I'm a postdoc? Should we split my fees 50% - 50% at this point and I can ask for 60% - 40% once I'm licensed? No clue how to navigate this stuff.
Thanks!
 

Sanman

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I don't have time to write a comprehensive response right now, but I would re-think your plans carefully. Your post-doc hours won't count without psychologist supervision and you can't bill under a psychiatrist. You also may not be able to bill under psychologist supervision depending on state and insurance rules. Also, why only 4 months of supervision? Most states have specific rules on post-doc hours and this includes the number of hours. You may not get full-time hours at a private practice, especially without insurance. So be prepared for a longer period of post-doc hours. I would speak to the Oregon BOP and get details to make sure you are in compliance for accruing hours at this practice.
 
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Oregon requires both 12 months of postdoc supervision and minimum 1,500 hours, last I heard. Are you coming in with prior postdoc hours that the Board is going to approve?

I would advise you to get some clarity on the legal requirements regarding supervision and billing options available to you first, then financially, do some thinking about what % numbers make sense for you and your situation before diving into this.

If you are a postdoc, there are additional factors to consider ethically/legally regarding financial arrangements as well.
 

Therapy_Rhapsody

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Yes, sorry for not explaining that. I am coming in with about 8 months of postdoc hours from a different postdoc internship. So 8 + 4 will end up being 12 and it will end up being about 1500 total even if I only see about 15 clients per week for 4 months because I've banked a lot of hours in the 8 month internship. I realize it may end up being like 5 months if I can't get many clients quickly. The private practice I'm looking at is in a rural area, reportedly has a 20 client waitlist and is turning away clients regularly because their caseloads are full. So I'm thinking I'll get some clients in a decent amount of time. The Oregon board has already approved the 8 month internship.
Where can I go to get clarity on the billing options? Should I just call insurance companies who are well-liked and commonly used in the area I'm moving to to see if they accept postdocs on to panels?
Thank you very much!
 
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