Successful Private Practice in Neuropsychology and Neuro-Rehabilitation

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ISBN: 9780125517553 | 0125517556
Cover: Paperback
Copyright: 9/3/2003

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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 academics

Foreword

Preface

xix

1 THE CHALLENGE OF PRIVATE PRACTICE IN NEUROPSYCHOLOGY: OVERVIEW OF KEY ISSUES AND EFFECTIVE SOLUTIONS

Pros and Cons of the Institutional Setting

(1)

Maintaining High-Level Skills

(1)

The Interdisciplinary Network

(1)

Do Not Go Gently into That Research Decline

(1)

Creating Educational Opportunities

(1)

Productively Managing Anxiety: Income

(1)

Protectively Managing Anxiety: Malpractice

(1)

Personality Factors in Private Practice

(1)

Ego Needs and Decreased Prestige

(1)

Ongoing Consultation: Are You Willing to Seek It? The Buck Stops Here

(1)

Exercise: Is Private Practice Really Right for You?

(4)

2 OTHER POTENTIAL INDIGNITIES

No Paid Sick Leave or Holidays

(1)

No Additional Reimbursement for Professional Fees

(1)

No Guaranteed Salary or Health Care Benefits

(1)

Overhead Expenses

(1)

Billing, Collections, and Taxes

(1)

Exercise: Personal Balance Sheet for Direct and Indirect Costs

(2)

3 THE GOOD NEWS

Integrating Skills and Interests in Patient Selection

(1)

Creating the Optimal Schedule

(3)

Setting Your Own Fees

(1)

Determining Salary

(1)

Choosing Your Own Support Services

(1)

Office Location, Space, and Atmosphere

(1)

Developing Your Own Letterhead and Brochures

(1)

Personalized Report Formats

(1)

Test Selection

(1)

Tax Advantages

(1)

Exercise: What Appeals Most to Me about Private Practice?

(1)

4 GETTING STARTED: PRACTICAL PRELIMINARY QUESTIONS

Are You Experienced Enough To Be on Your Own?

(1)

Individual or Group Practice?

(1)

Interdisciplinary Practices

(1)

Full-Time or Part-Time Private Practice?

(1)

Consultation or Supervision Practices

(1)

Teaching

(1)

Medical-Legal Work

(1)

Neuropsychological Evaluations and Expert Witness Work

(1)

Hospital and Clinic Affiliations

(1)

University or Medical School Positions

(1)

Adjunct Appointments

(1)

Part-Time Clinical Faculty

(1)

Exercise: How to Explore and Define Your Options

(2)

5 A PRACTICAL GUIDE FOR OPENING YOUR BUSINESS

Don't Burn Bridges

(1)

Clinician, Know Thyself

(1)

A Moveable Feast: The Menu of Practice Options

(1)

Maintain a Part-Time Practice with Your Previous Employer

(1)

Developing a Safety Net: Starting with a Group

(1)

Offering Contract Services to Inpatient Rehabilitation Units

(1)

Offering Contract Services to Private Clinics

(1)

Membership in Managed Care Panels

(1)

Obtaining Adjunct or Clinical Teaching Appointments

(1)

How to Determine Fair Fees

(1)

How to Find Good Help

(1)

Developing a Business Plan and Practice Management Statistics

(2)

Exercise: Timeline for Implementing Your Practice Template

(1)

6 MARKETING AND OTHER MATTERS

First and Foremost, Do Good Work

(2)

The Introductory Letter: Be Specific, but Not Too Limiting

(1)

Develop Seminars and Workshops

(1)

Give Guest Lectures

(1)

Offer a Memory Course to the Public

(1)

Contact Private Practice Physicians

(1)

Contact Independent Nurse Case Managers

(1)

Contact Private Vocational Firms

(1)

Attend Weekly Hospital Teaching Rounds

(1)

Supervise Residents, Interns, and Postdoctoral Fellows

(1)

Obtain Graduate Student Help for Research

(1)

Conference Participation: Yours and Other Related Professions

(1)

Publish

(1)

Exercise: My Five Preferred Modes of Marketing

(4)

7 CREATIVE APPROACHES TO FINANCIAL ISSUES

Trading Consultation Time for Office Space

(1)

Sharing Testing Materials

(1)

Advice on Billing and Collections

(1)

Obtaining Basic Data from Your Patients

(1)

Obtaining Insurance Authorization

(1)

Contract and 50% Down for Private Neuropsychological Evaluation

(1)

CPT Codes

(2)

How to Bill and Collect for Legal Work

(1)

Reduced Cost Malpractice Insurance

(1)

Contract Assistants

(3)

Tax Deductions, a Good Accountant, and Type of Business

(1)

Exercise: Practical Planning

(1)

8 MEDICAL-LEGAL WORK

The Problems with Legal Work

(1)

True Believer Polemics in The Absence of Strong Scientific Data

(1)

Integrity and Reputation-Are You a Plaintiff Or a Defense Expert?

(1)

Potential War of the Clinical and Legal Worlds

(1)

Subtle Influence and Examiner Drift

(1)

Inadvertent Promotion of a Litigious Zeitgeist

(1)

The Benefits of Forensic Work

(3)

Spine-Firming Exercises

(2)

9 CONSULTATION AND SUPERVISION PRACTICE

Clinical Psychologists, Primary Care Physicians, Nurse Practitioners, Physician Assistants, and Neurology or Rehabilitation Nurses

(1)

Neuropsychologists Who Wish to Augment Their Training

(2)

Therapists in Social Work, Counseling, or Pastoral Counselors

(1)

Rehabilitation Therapists-Occupational Therapists, Physical Therapists, Speech Pathologists, Vocational Counselors, Rehabilitation Specialists, Recreational Therapists, and Case Managers

(1)

Consultation with Psychologists Preparing for Licensure

(1)

Exercises

(2)

10 PSYCHOMETRIC CONCERNS

The Interview: Who Should Be Present and Why?

(1)

The Collateral Interview: When, Why, and with Whom?

(1)

Preparing the Patient to Be Tested

(1)

Test Selection

(2)

Selective Additional Testing: Areas of Concern

(1)

Evaluating Personality in Neuropsychological Assessment

(1)

Cross Cultural Issues

(2)

Use of Psychometrists

(1)

Report Formats

(2)

Review of Test Results

(1)

Dictation versus Typing It Yourself

(1)

Dissemination of Reports

(1)

Preservation of Testing Files and Raw Data

(1)

Exercises

(2)

11 TREATMENT PRACTICES FOR NEUROPSYCHOLOGISTS

Your Training Background and Future Training Needs

101

(1)

What Kind of Practice Do You Want?

102

(1)

Other Parts of Good Clinical Practice Development

103

(1)

Establishing Short-Term and Long-Term Groups

103

(1)

Individual Treatment in a Neuropsychology Practice

104

(1)

Billing and Reimbursement Issues

105

(1)

Other Practice Options: Employee Assistance Program Contracts

105

(1)

Other Practice Options: Case Management Services

105

(1)

Exercises

106

(1)

12 NUTS AND BOLTS OF YOUR EVALUATION PRACTICE

Referrals

107

(1)

Educating Referral Sources

108

(1)

Purpose of Testing

109

(2)

Mechanisms of Feedback to Referral Sources and Patients

111

(3)

Insurance Preauthorization of Services

114

(2)

Timely Billing and Collections

116

(1)

Exercises

117

(2)

13 HOW TO DESIGN AND IMPLEMENT A COGNITIVE GROUP

Introduction

119

(1)

Which Patients?

120

(2)

Basic Clinical Rules and Procedures

122

(3)

Basic Billing and Documentation

125

(1)

One Model for Cognitive Group Treatment

126

(1)

Exercises

127

(2)

14 RESEARCH AS A DAILY REALITY

What are Your Research Interests?

129

(4)

Grants

133

(1)

Conference Presentation

134

(1)

Journal Articles

134

(1)

Chapters

134

(1)

Journal Groups

135

(1)

Collaborations

135

(1)

Exercises

136

(1)

15 SUMMARY AND CONCLUSIONS

The Importance of Relationships and Mutual "Best Interest"

137

(1)

What Sort of Work Do You Want to Do?

138

(1)

Where and How Do You Want to Begin?

138

(1)

What is the Best Way to Minimize Costs and Maximize Income?

139

(1)

What Sort of Financial Floor Do You Need?

139

(1)

How Will You Monitor and Promote Growth of Your Practice?

139

(1)

What Do You Do If Plan A Isn't Working as You Expected?

140

(1)

What Are Your Short-Term Intermediate, and Long-Term Goals?

140

(1)

Practical Ways to Vary Your Practice

141

(1)

Periodic Or Long-Term Contract Work

142

(1)

Clinical Faculty Appointments

142

(1)

Be Alert to Clinical, Teaching, and Research Opportunities

143

(1)

Enjoying Your Private Practice

143

(4)

APPENDICES

Appendix A

147

(2)

Appendix B

149

(6)

Appendix C

155

(4)

Appendix D

159

(2)

Appendix E

161

(2)

Appendix F

163

(2)

Appendix G

165

(2)

Appendix H

167

(2)

Appendix I

169

(2)

Appendix J

171

(16)

Appendix K

187

(2)

Appendix L

189

(2)

Appendix M

191

(4)

Appendix N

195

(2)

Appendix O

197

(2)

Appendix P

199

(2)

Index

201

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Successful Private Practice in Neuropsychology and Neuro-Rehabilitation

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Successful Private Practice in Neuropsychology and Neuro-Rehabilitation

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