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Think you have to work harder or longer to make more money in private practice? Fortunately, that isn't the case. Your calendar does not need to become a hostage to your good intentions. Instead, it may be helpful to look at how your practice could be quietly...
I've written a lot of articles over the years about Medicare. So I thought it would be helpful to put together this page to answer some of your questions about Medicare. I'll try to update it regularly, posting the most up-to-date information. I am not a Medicare...
Are you using your Social Security number on claims, superbills, and other practice documents? You might want to rethink this. Using your Social Security Number on practice forms carries a risk of identity theft. There is also the risk of financial fraud...
Do you work with Medicaid clients? Over 80% of Medicaid clients don’t know they’ll need to report work, education or volunteer hours starting in 2027 to maintain coverage, according to a survey from the Health Management Academy. The new requirements The...
While I have always emphasized the importance of putting all your client’s diagnoses on a claim – even the Z codes – this may be more important than you realize. Although found in the DSM-5-TR, Z codes are typically not billable as primary or standalone diagnoses,...
= Updated July 23, 2026 I recently traveled to Washington state to meet Susan Frager from PsychBillingCoach.com. I have turned to Susan for years, whenever I don’t know an answer (I know, you thought I had all the answers, but I don’t). But I had never met her in...
UPDATED AUGUST 7, 2026 There has been a great deal of confusion about billing for psychotherapy sessions that last longer than 60 minutes. How should they be coded? Will health insurance plans cover these longer sessions? Must the therapist get...
Today's post is a rant, so buckle up. I wrote an article back in 2023 about sneaky and sudden drops in reimbursement rates for out-of-network (OON) providers. Well, it's happening again. This is one of the most harmful practices in our industry, one that is...
I frequently hear from therapists who feel they were never taught to keep good client records. What do the plans expect? I'm going to tell you. But don't panic if your records are a tad less detailed -- I'd wager few of us meet these requirements. However,...
I get it. Writing session notes isn't your favorite part of your job. But what if you could learn to do them quickly and with confidence? Maybe you can – with a little practice. Many people who took my recorded progress note training are asking me to offer more...