Post-doc positions/employment in Private or Group Private Practice

[erg923]

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I see these advertised on the APPIC list-serve, but I am a little confused about how these people are able to pay their post-docs anything because its my understanding they can't bill for the persons services (ie., you cant bill for services rendered by an unlicensed person)? Is this correct? Or are there certain things that can be billed and certain things that cannot? For example, I know hospitals and individual practitioners cannot bill for npsych evaluation performed by their post-doc(s)...at least I think this is correct?

So, if I were to go straight from internship into a private/group practice (Im sure many people do this) how exactly do I get paid?

 

[aagman01]

Get your LPC. One friend of mine was able to apply for it in her home state while on pre-doc internship last year. Between the 2000 hour internship she completed in June and the 1000 hours she had post-Masters she was able to have the 3000 hours and get her LPC. She is started a position in a private practice in her home state in the midwest this week.

I see these advertised on the APPIC list-serve, but I am a little confused about how these people are able to pay their post-docs anything because its my understanding they can't bill for the persons services (ie., you cant bill for services rendered by an unlicensed person)? Is this correct? Or are there certain things that can be billed and certain things that cannot? For example, I know hospitals and individual practitioners cannot bill for npsych evaluation performed by their post-doc(s)...at least I think this is correct?

So, if I were to go straight from internship into a private/group practice (Im sure many people do this) how exactly do I get paid?

 

[stigmata]

I have a post-doc now and she can bill for most services with a co-signature. However, Wyoming has a separate designation for a "Psychological Resident" as per the licensing board so it may differ in other states.

 

[Therapist4Chnge]

It is very state dependant. It also depends on what type of work you are doing (therapy v. assessment). I know in many states you can bill your assessment services as a "psych tech", though some states have restrictions of billing if the person is receiving credit for the work. Basically, the insurance company can claim that you are in training, and that your supervisor's time spent on the case can be billed, but not your own....even if you are doing the exact same thing as a "psych tech".

Pearson has a pretty useful PDF that provides an overview of different billing codes: http://www.pearsonassessments.com/N...FA89E97CC/0/4675_Coding_Psych_Tests_BR_r4.pdf

*note that it was compiled probably ~5 years ago, so YMMV if any changes have been made since then*

PM me for more info about resources, as I did quite a bit of digging a few years ago on billing codes, as I was assembling a business plan for a multi-disc. practice setting.

 

[DynamicDidactic]

Can't they just be working with clients that pay out of pocket?

 

[aequitasveritas]

In CA a psychological assistant is not considered "in training" and can bill under the license of the supervisor.

There are a few other states like this.

When money comes in from insurances or cash pay, it is usually split between the supervisor and the assistant.