Private Practice Olio

[Sanman]

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I've decided it's best to focus on one thing instead of too many disparate things I don't do as well at. Looking at a combo assessment/therapy practice. Still quite anxious about jumping ship from the VA. Worried about things like consistent referrals, insurance clawbacks, and how to plan for retirement (going to meet with a financial adviser). But the flexibility seems so amazing compared to having to put in 15 minutes of leave when there's a massive snowstorm & I can't get here on time.

1. Definitely agree it is best to focus on one thing at a time if you want to get it right. Even in building a PP, build out the therapy portion, sort your referrals, get your business setup properly. Then focus on adding assessment or additional services.

2. Your leadership seems like a pain. My local timecard people won't even process a 15 min leave.

 

[PsynofTimes]

1. Definitely agree it is best to focus on one thing at a time if you want to get it right. Even in building a PP, build out the therapy portion, sort your referrals, get your business setup properly. Then focus on adding assessment or additional services.

2. Your leadership seems like a pain. My local timecard people won't even process a 15 min leave.

It is a pain. I wish they treated us like actual adults. I mean I get it because some people AREN'T adults, but I get tired of the nickel and diming on patient care and time. They should just have us punch in.

 

[PsynofTimes]

Does anyone have a ballpark number for what a good insurance plan like BCBS will reimburse for ADHD assessment consisting of clinical interview, testing, and report writing? I know that's not an easy question to answer, but wondering if there's any general feedback.

 

[AcronymAllergy]

Does anyone have a ballpark number for what a good insurance plan like BCBS will reimburse for ADHD assessment consisting of clinical interview, testing, and report writing? I know that's not an easy question to answer, but wondering if there's any general feedback.

It's going to be heavily dependent on how long the entire process takes you; almost impossible to answer without that information, unfortunately.

Also, "testing" can be pretty variable. You're not always able to bill for administration time of self-report measures, for example.

 

[WisNeuro]

Does anyone have a ballpark number for what a good insurance plan like BCBS will reimburse for ADHD assessment consisting of clinical interview, testing, and report writing? I know that's not an easy question to answer, but wondering if there's any general feedback.

Need to check your local BCBS policy, ours is fairly limiting for ADHD evals.

 

[PsyDr]

I've decided it's best to focus on one thing instead of too many disparate things I don't do as well at. Looking at a combo assessment/therapy practice. Still quite anxious about jumping ship from the VA. Worried about things like consistent referrals, insurance clawbacks, and how to plan for retirement (going to meet with a financial adviser). But the flexibility seems so amazing compared to having to put in 15 minutes of leave when there's a massive snowstorm & I can't get here on time.

1) I think this approach is wise. However, you shouldn't avoid things due to a lack of mastery. You achieve mastery by repetitively doing a task.

2) While waiting is wise, I'd point out that you're focusing on VERY infrequent things.
a. Referrals: How often have you heard of a therapist without a wait list? That should tell you something about referrals.
b. Insurance clawbacks: I've had exactly two instances, ever.

3) I would highly recommend planning your retirement using Firecalc. Input your stuff. Google terms you don't know. Keep playing with it until you can make sense of the subject matter. There are other retirement planning things, but few better.