Successful Private Practice in Neuropsychology: A Scientist-Practitioner Model
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Table of contents
- Cover
- TABLE OF CONTENTSvii
- Forewordxv
- Prefacexix
- CHAPTER 1. THE CHALLENGE OF PRIVATE PRACTICE IN NEUROPSYCHOLOGY: OVERVIEW OF KEY ISSUES AND EFFECTIV1
- Pros and Cons of the Institutional Setting1
- Maintaining High-Level Skills2
- The Interdisciplinary Network3
- Do Not Go Gently into That Research Decline4
- Creating Educational Opportunities5
- Productively Managing Anxiety: Income6
- Protectively Managing Anxiety: Malpractice7
- Personality Factors in Private Practice8
- Ego Needs and Decreased Prestige9
- Ongoing Consultation: Are You Willing to Seek It? The Buck Stops Here9
- Exercise: Is Private Practice Really Right for You?10
- CHAPTER 2. OTHER POTENTIAL INDIGNITIES13
- No Paid Sick Leave or Holidays14
- No Additional Reimbursement for Professional Fees14
- No Guaranteed Salary or Health Care Benefits14
- Overhead Expenses15
- Billing, Collections, and Taxes15
- Exercise: Personal Balance Sheet for Direct and Indirect Costs15
- CHAPTER 3. THE GOOD NEWS17
- Integrating Skills and Interests in Patient Selection17
- Creating the Optimal Schedule18
- Setting Your Own Fees21
- Determining Salary21
- Choosing Your Own Support Services22
- Office Location, Space, and Atmosphere22
- Developing Your Own Letterhead and Brochures23
- Personalized Report Formats23
- Test Selection23
- Tax Advantages24
- Exercise: What Appeals Most to Me about Private Practice?24
- CHAPTER 4. GETTING STARTED: PRACTICAL PRELIMINARY QUESTIONS25
- Are You Experienced Enough To Be on Your Own?25
- Individual or Group Practice?26
- Interdisciplinary Practices27
- Full-Time or Part-Time Private Practice?28
- Consultation or Supervision Practices29
- Teaching29
- Medical-Legal Work30
- Neuropsychological Evaluations and Expert Witness Work31
- Hospital and Clinic Affiliations32
- University or Medical School Positions33
- Adjunct Appointments33
- Part-Time Clinical Faculty34
- Exercise: How to Explore and Define Your Options35
- CHAPTER 5. A PRACTICAL GUIDE FOR OPENING YOUR BUSINESS37
- Don't Burn Bridges37
- Clinician, Know Thyself38
- A Moveable Feast: The Menu of Practice Options38
- Maintain a Part-Time Practice with Your Previous Employer39
- Developing a Safety Net: Starting with a Group39
- Offering Contract Services to Inpatient Rehabilitation Units39
- Offering Contract Services to Private Clinics40
- Membership in Managed Care Panels40
- Obtaining Adjunct or Clinical Teaching Appointments41
- How to Determine Fair Fees42
- How to Find Good Help43
- Developing a Business Plan and Practice Management Statistics44
- Exercise: Timeline for Implementing Your Practice Template46
- CHAPTER 6. MARKETING AND OTHER MATTERS47
- First and Foremost, Do Good Work47
- The Introductory Letter: Be Specific, but Not Too Limiting49
- Develop Seminars and Workshops50
- Give Guest Lectures50
- Offer a Memory Course to the Public50
- Contact Private Practice Physicians51
- Contact Independent Nurse Case Managers51
- Contact Private Vocational Firms52
- Attend Weekly Hospital Teaching Rounds52
- Supervise Residents, Interns, and Postdoctoral Fellows53
- Obtain Graduate Student Help for Research53
- Conference Participation: Yours and Other Related Professions54
- Publish54
- Exercise: My Five Preferred Modes of Marketing55
- CHAPTER 7. CREATIVE APPROACHES TO FINANCIAL ISSUES57
- Trading Consultation Time for Office Space59
- Sharing Testing Materials59
- Advice on Billing and Collections60
- Obtaining Basic Data from Your Patients61
- Obtaining Insurance Authorization61
- Contract and 50% Down for Private Neuropsychological Evaluation61
- CPT Codes62
- How to Bill and Collect for Legal Work64
- Reduced Cost Malpractice Insurance65
- Contract Assistants65
- Tax Deductions, a Good Accountant, and Type of Business68
- Exercise: Practical Planning68
- CHAPTER 8. MEDICAL„LEGAL WORK69
- The Problems with Legal Work69
- True Believer Polemics in The Absence of Strong Scientific Data70
- Integrity and Reputation„Are You a Plaintiff Or a Defense Expert?71
- Potential War of the Clinical and Legal Worlds71
- Subtle Influence and Examiner Drift72
- Inadvertent Promotion of a Litigious Zeitgeist73
- The Benefits of Forensic Work73
- Spine-Firming Exercises76
- CHAPTER 9. CONSULTATION AND SUPERVISION PRACTICE77
- Clinical Psychologists, Primary Care Physicians, Nurse Practitioners, Physician Assistants, and Neur78
- Neuropsychologists Who Wish to Augment Their Training79
- Therapists in Social Work, Counseling, or Pastoral Counselors81
- Rehabilitation Therapists„Occupational Therapists, Physical Therapists, Speech Pathologists, Vocat82
- Consultation with Psychologists Preparing for Licensure82
- Exercises83
- CHAPTER 10. PSYCHOMETRIC CONCERNS85
- The Interview: Who Should Be Present and Why?85
- The Collateral Interview: When, Why, and with Whom?86
- Preparing the Patient to Be Tested87
- Test Selection88
- Selective Additional Testing: Areas of Concern90
- Evaluating Personality in Neuropsychological Assessment92
- Cross Cultural Issues93
- Use of Psychometrists94
- Report Formats95
- Review of Test Results97
- Dictation versus Typing It Yourself98
- Dissemination of Reports99
- Preservation of Testing Files and Raw Data99
- Exercises99
- CHAPTER 11. TREATMENT PRACTICES FOR NEUROPSYCHOLOGISTS101
- Your Training Background and Future Training Needs101
- What Kind of Practice Do You Want?102
- Other Parts of Good Clinical Practice Development103
- Establishing Short-Term and Long-Term Groups103
- Individual Treatment in a Neuropsychology Practice104
- Billing and Reimbursement Issues105
- Other Practice Options: Employee Assistance Program Contracts105
- Other Practice Options: Case Management Services105
- Exercises106
- CHAPTER 12. NUTS AND BOLTS OF YOUR EVALUATION PRACTICE107
- Referrals107
- Educating Referral Sources108
- Purpose of Testing109
- Mechanisms of Feedback to Referral Sources and Patients111
- Insurance Preauthorization of Services114
- Timely Billing and Collections116
- Exercises117
- CHAPTER 13. HOW TO DESIGN AND IMPLEMENT A COGNITIVE GROUP119
- Introduction119
- Which Patients?120
- Basic Clinical Rules and Procedures122
- Basic Billing and Documentation125
- One Model for Cognitive Group Treatment126
- Exercises127
- CHAPTER 14. RESEARCH AS A DAILY REALITY129
- What are Your Research Interests?129
- Grants133
- Conference Presentation134
- Journal Articles134
- Chapters134
- Journal Groups135
- Collaborations135
- Exercises136
- CHAPTER 15. SUMMARY AND CONCLUSIONS137
- The Importance of Relationships and Mutual "Best Interest"137
- What Sort of Work Do You Want to Do?138
- Where and How Do You Want to Begin?138
- What is the Best Way to Minimize Costs and Maximize Income?139
- What Sort of Financial Floor Do You Need?139
- How Will You Monitor and Promote Growth of Your Practice?139
- What Do You Do If Plan A Isn't Working as You Expected?140
- What Are Your Short-Term Intermediate, and Long-Term Goals?140
- Practical Ways to Vary Your Practice141
- Periodic Or Long-Term Contract Work142
- Clinical Faculty Appointments143
- Be Alert to Clinical, Teaching, and Research Opportunities143
- Enjoying Your Private Practice143
- APPENDICES147
- Appendix A147
- Appendix B149
- Appendix C155
- Appendix D159
- Appendix E161
- Appendix F163
- Appendix G165
- Appendix H167
- Appendix I169
- Appendix J171
- Appendix K187
- Appendix L189
- Appendix M191
- Appendix N195
- Appendix O197
- Appendix P199
- Index201
At last, a hands-on guide for neuropsychologists who want to explore, establish or expand their own private practice. Do you dream about the freedom of your own office and schedule, but worry about the financial viability of self-employment? Are you weary of the dictates of managed care, but find it hard to see other alternatives? Would you like to vary your practice, but aren't quite sure what else you would like to do, or how to get started? Are you concerned about the potential isolation in a private practice, or how to maintain your teaching and research involvement while still paying the rent? For these and many other important questions, this up-to-date volume can be your step-by-step guide for creating an enjoyable, flexible and equitably paid mix of evaluation, teaching, research, and/or treatment activities.
Learn how to find and deliver the following:
· High quality, low cost office space
· Effective billing and collection practices
· Group therapy and community workshops
· Teaching as a marketing tool
· Research - it's not just for academicsself-employment? Are you weary of the dictates of managed care, but find it hard to see other alternatives? Would you like to vary your practice, but aren't quite sure what else you would like to do, or how to get started? Are you concerned about the potential isolation in a private practice, or how to maintain your teaching and research involvement while still paying the rent? For these and many other important questions, this up-to-date volume can be your step-by-step guide for creating an enjoyable, flexible and equitably paid mix of evaluation, teaching, research, and/or treatment activities.
Learn how to find and deliver the following:
· High quality, low cost office space
· Effective billing and collection practices
· Group therapy and community workshops
· Teaching as a marketing tool
· Research - it's not just for academics
* Provides a crash course in business management for therapists
* Includes examples, worksheets, business forms, and exercises
* Suitable for newly licensed therapists and seasoned professionals
Learn how to find and deliver the following:
· High quality, low cost office space
· Effective billing and collection practices
· Group therapy and community workshops
· Teaching as a marketing tool
· Research - it's not just for academicsself-employment? Are you weary of the dictates of managed care, but find it hard to see other alternatives? Would you like to vary your practice, but aren't quite sure what else you would like to do, or how to get started? Are you concerned about the potential isolation in a private practice, or how to maintain your teaching and research involvement while still paying the rent? For these and many other important questions, this up-to-date volume can be your step-by-step guide for creating an enjoyable, flexible and equitably paid mix of evaluation, teaching, research, and/or treatment activities.
Learn how to find and deliver the following:
· High quality, low cost office space
· Effective billing and collection practices
· Group therapy and community workshops
· Teaching as a marketing tool
· Research - it's not just for academics
* Provides a crash course in business management for therapists
* Includes examples, worksheets, business forms, and exercises
* Suitable for newly licensed therapists and seasoned professionals