Recent content by rjs2131

Billing/coding (especially how to use therapy add-on codes), how to structure your visits to be efficient with note-taking + meet insurance requirements, how to structure a focused visit to avoid getting overwhelmed with all of the patient's problems and trying to hone in on what is most relevant.

That’s definitely terrible luck to have 14 in a week, but having done the cancellation list thing for the past 2-3 years…it’s not much work at all! I don’t like relying on staff to do this because frankly…it doesn’t get done as well (and we have great staff). Email contact with patients isn’t...

Going into year 4 of PP this summer, there are a lot of variables that go into this BUT how business savvy + organized you are can honestly mitigate most of this. I’ve had weeks where if I sat around and just let it happen, I’d have up to 10 no-shows/cancellations (most tend to occur at least a...

Generally speaking - work smarter, not harder for the same $$ —> PP > employment The best situation IMO is a group PP where you get all of the benefits of an employee while enjoying the higher $/hr and autonomy/flexibility of PP. Remember - any time you’re an employee, you inherently have to...

If 15 min is the standard, you’re 100% missing things or you are seeing exceptionally stable patients who don’t really need you. Embrace the 90833 and 30-min follow-ups! You’ll be less burnt out, your patients will value you more, and you’ll likely have better outcomes.

Is it though? I’m CAP in PP and yes, the shortage is annoying but (and maybe this is just the area I’m in + luck) ADHD is absolutely one of the most satisfying things to treat. I’ve had several where it has been life-changing to find the right treatment. I also enjoy all of the associated...

To each their own, but I’m structuring my practice to where patients expect the 90833 for a typical 30-min visit and if they don’t feel it’s necessary, we space things out (q3-4 months, usually plenty to chat about over that time and utilize supportive therapy for) or transition to PCP. I’m a...

If you want to consistently be full after 3-4 months (I filled 30 clinical hours of an insurance practice by month 4 and have never dropped below 28-29 clinical hrs/week outside of vacation/holiday - just hit the 2 year mark), here are things that helped me: - Marketing well from the start...

It depends on area and setting but I would view this as the minimum acceptable rate. This is probably why I’m in PP and not working for an employer/institution, so to each their own. It isn’t too hard to figure out how much insurance companies are reimbursing for common codes (99213-15...

For outpatient - yearly salary is usually a smoke-and-mirrors tactic that leads people to think they are being paid fairly when in reality, they aren't. I would look at how much you are actually being paid per patient and per hour to get a sense of if things are fair or not relative to others...

Joined a group PP (insurance primarily) straight out of fellowship, no regrets here. I could likely make more on my own, but the support/camaraderie is priceless in the right group (ours has 10 MD's) and there are things I've learned/am learning from older psychiatrists that I wouldn't have...

I feel like this type of work is right up my alley…any advice on how to get started?

I think this is true for most (all?) physicians but is especially important for psychiatrists. I don't believe you can adequately assess someone's anxiety, depression, ADHD, x, y, z by spending 10-15 min with them every few months. Will you get it right more often than not? Maybe. But you will...

Don't see why this would be an issue - I have several patients like this. Of course, usually if we're needing to meet monthly things aren't 100% stable and there is room for growth (this does fluctuate with time). I see all of my patients q1-3 months generally and they are almost all 99214 + 90833.

That is an incredible reimbursement for 99214+90833 - not sure you can beat that. That seems higher than most cash practices for a 30-min visit (from what I've seen, somewhere in the $200-300 range depending on location) so 60% of that split will mean you are very well compensated. If you are...