How I billed $800,000 worth of services in 2022 and how I plan to reach $1,000,000 in 2023.
First, let me say that it will be essentially impossible to reach these figures without offering some form of group psychotherapy. One to one services cannot be scaled and therefore will always be hard-capped by the number of hours you’re willing to work. Groups have a cap too, but the cap is higher.
Let me start by showing you my daily schedule and the associated CPT codes:
8:30am – 9:00am Psychological Testing Feedback Session (90832)
9:00am – 11:00am Intensive outpatient group...
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Source: Student Doctor Network - January 27, 2023 Category: Universities & Medical Training Authors: CWard12213 Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Rank Order List! Please help
Could someone help me rank my Categorical Psychiatry programs - Rutgers New Jersey Medical School (NJMS), University of Alabama at Birmingham (UAB), Kansas University Medical Center (KUMC), Texas Tech Lubbock, and SUNY Upstate (Syracuse NY)???
Or give me some advice on which of them to make my #1? I'm leaning towards NJMS or UAB.
Interests: Primarily psychotherapy. Would prefer to have VA and community rotations, and good forensic exposure. Not interested in a Child/Adolescent fellowship...
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Source: Student Doctor Network - January 20, 2023 Category: Universities & Medical Training Authors: sissyphus666 Tags: Psychiatry Source Type: forums
What setting/subspecialty of psychiatry do you like/hate the most, and why?
Inpatient, outpatient, emergency, CL, addiction, child, forensics, geri, neuropsych, neuromodulation, etc
I'm wondering the same for those that have psychotherapy as a large part of their practice (Source: Student Doctor Network)
Source: Student Doctor Network - December 26, 2022 Category: Universities & Medical Training Authors: slowthai Tags: Psychiatry Source Type: forums
2021 AATBS EPPP Materials
Hey all!
I have the 2021 series of AATBS books, full flash card set, DSM-5 flip cards, and the psychotherapy chart. I also have A LOT of printed material I'll throw in if you want it! Reach out if you're interested in buying! (Source: Student Doctor Network)
Source: Student Doctor Network - December 21, 2022 Category: Universities & Medical Training Authors: earnadegree123 Tags: For Sale Board Source Type: forums
So How Is Everyone Interpreting 90833?
I'm wondering how everyone here interprets the 90833 psychotherapy add-on code. If I am working on cognitive distortions or introducing the CBT model, it's simple--I document the therapy and move on.
But I am finding a lot of my therapeutic work is supportive. I'm failing to see why almost every 30 minute follow-up with a psychiatrist wouldn't have a 90833 attached to it? I have not been coding that way, but the more I think about it, I wonder if I should.
For the people who see 30 minute...
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Source: Student Doctor Network - December 15, 2022 Category: Universities & Medical Training Authors: hippopotamusoath Tags: Psychiatry Source Type: forums
Potential imposter?
I was looking for psychologists around me to do some market analysis for my own private practice, and I stumbled across this person's website. To be honest, I am unsure if this person is licensed by any behavioral health board (e.g., social work, LPC, psychologist, etc.). Their website seems to be worded in a manner that actively avoids using terms like "psychologist, therapy, psychotherapy, etc." What are your thoughts? Is this person practicing without a license? Is this a reportable...
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Source: Student Doctor Network - December 12, 2022 Category: Universities & Medical Training Authors: ohiopsychdoc Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Questions for psychotherapists about branching out into Psych NP
In scouring this forum I've seen a couple psychologists mention going back to school to attain a psych NP to allow them the ability to prescribe. Has anyone had or known of any experiences like these? Wouldn't this make for a great business model and niche for private practice if you could find an agreeable psychiatrist to pair with? Or one could possibly work for a hospital as a nurse and pursue a small psychotherapy practice on the side...
The problem I'm facing as someone debating...
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Source: Student Doctor Network - October 31, 2022 Category: Universities & Medical Training Authors: MustIReallyThough Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Training in Psychotherapy
Psych resident in Germany here. As part of our training we need 250 hours of supervised Psychotherapy. And an extra 150 Hours of Psychotherapy ourselves (as patients)
We have to chose between 3 types of Psychotherapy
*Cognitive Behavioral
*Depth Psychology (Tiefenpsychologie), basically modified Psychoanalysis.
*Systemic therapy
I was leaning more towards Deep Psychology (Tiefenpsychologie) because I've been interested in the works of Freud and Jung, and it also dabs into other personal...
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Source: Student Doctor Network - October 27, 2022 Category: Universities & Medical Training Authors: Tangerine123 Tags: Psychiatry Source Type: forums
Psychotherapy-heavy residencies
Before I start, I know there's debate on the utility of psychotherapy in psychiatry. Maybe y'all will say I should have been a PsyD. That's not the focus of what I'm asking.
I was wondering if anyone had any recommendations on residency programs that are very heavy on psychotherapy that are not research powerhouses (ex. Harvard programs, Yale, NYU, NYP etc). That caveat's important to me because I don't go to a powerhouse medical school that attracts these programs.
Specific things...
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Source: Student Doctor Network - August 18, 2022 Category: Universities & Medical Training Authors: Transistor Tags: Psychiatry Source Type: forums
Thoughts about equine therapy
I have a great opportunity to provide some of my patients with an opportunity to interact with horses since one of my interns has a farm and horses. I completely believe in therapeutic benefits of said activity, but also have strong feelings about making therapeutic activities into the equivalent or superior to the evidence-based psychotherapy that we provide. I don’t think I should market it as equine therapy, but what about people referring to it as such anyway? should I worry about...
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Source: Student Doctor Network - July 30, 2022 Category: Universities & Medical Training Authors: smalltownpsych Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Fellowship Strategy
I am a man with many varied interests, and a large debt burden. What I want to be is a man with a very particular set of skills; skills I have acquired over a very long career.
I'm interested in sleep medicine fellowship and addiction fellowship following a psychiatry residency which will give me the learning of psychotherapy of the east coast. I have two questions:
1) what do sleep medicine psychiatrists really do? I've done some reading and it seems like interpreting electronic...
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Source: Student Doctor Network - June 27, 2022 Category: Universities & Medical Training Authors: bGMx Tags: Psychiatry Source Type: forums
Psychotherapy doesn ’t improve depression outcomes?
Hi all. I’m wondering what you guys make of the research i’ve linked below. To quote the medscape article: “Results of a cross-sectional, naturalistic, multicenter European study showed there were no significant differences in response rates between patients with major depressive disorder (MDD) who received combination treatment with psychotherapy and antidepressant medication in comparison with those who received antidepressant monotherapy”
Medscape article: No Added Benefit of...
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Source: Student Doctor Network - June 17, 2022 Category: Universities & Medical Training Authors: 4AM123 Tags: Psychiatry Source Type: forums
Seeking Therapists for Brief Online Study (Chance to Win a $100 Amazon Gift Card!)
Hello everyone!
I am a fourth year Clinical Psychology doctoral student at Long Island University - Brooklyn and am seeking therapists to participate in a brief online research project, which aims to contribute to the field’s understanding of psychotherapy/counseling training and effectiveness!
*Participants will be eligible for a chance to win one of four $100 Amazon gift cards upon full completion of the study. (Not all participants will be compensated. Rather...
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Source: Student Doctor Network - June 5, 2022 Category: Universities & Medical Training Authors: michaelscharf Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Risk assessment billing code
I think there should be a cpt code for psychiatric risk assessment. This is a separate task we have to perform beyond psychiatric medication management, beyond psychotherapy. And it’s not compensated. (Source: Student Doctor Network)
Source: Student Doctor Network - May 24, 2022 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums
Benzo vs other options for anxiety
Question for the psychiatrists here from a pain physician.
All the national guidelines I’ve read about anxiety management, state that virtually no one should be prescribed chronic daily benzodiazepines for anxiety, (particularly short acting agents such as Xanax), and definitely not tid or qid dosing. Some papers do mention a small supply for rescue benzo doses to be used 3-5 times a month max.
Everything else should be used instead of benzos, so psychotherapy, multiple SSRI, buspirone...
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Source: Student Doctor Network - April 17, 2022 Category: Universities & Medical Training Authors: bedrock Tags: Psychiatry Source Type: forums
