r/psychotherapists

I've got a growing stack of denied claims and honestly no system for deciding which ones are worth my time to fight. Some denials seem like quick fixes (a wrong code or missing modifier) while others feel like they'd eat hours of back-and-forth for a payout that barely covers my admin time. I'm trying to figure out if there's a rule of thumb based on dollar amount, denial reason, or payer history that tells me when an appeal is actually worth pursuing. Right now I just handle it case by case, and it's starting to feel like I'm leaving money on the table either way.

I have been using an insurance platform to take insurance, but I'm thinking of credentialing with a few of them myself. What has your experience been? Do you tend to make more money this way? Also, if we are in-network with an insurance, are we ALLOWED to charge the difference between our Private Pay Fee and the reimbursement, OR by credentialing, are we agreeing to only charge the patient's co-pay as it reads on their insurance card?

Has anyone worked with this billing and credentialing company? They seem legit per their website but I am looking for real experiences from therapists who have used them. TIA.

I’m a recently licensed LCSW in NC and looking to do some work for online platforms until I can figure out what direction I may want to go in. What platforms are easiest to navigate, credential, better pay, etc???

Hello therapist community.

I am a therapist in Texas. I have been using the platform Wellnite for a few months now. Honestly, I probably should have read and taken the advice of other posts regarding this company. Long story short- I would strongly NOT recommend using this platform. This advice is not just one sided from providers perspective.

In my experience, communication and payouts and platform are all LESS THAN QUALITY. I have not been paid for 7 sessions completed over 3 months ago yet payment for same insurance and patient was able to go through for sessions after the identified period. I have requested attention and explanation to this multiple times with no resolution.

I filed a BBB complaint and Wellnite was not responsive to them. I sent an email on 6/21 with my notice to come off the platform and all I have gotten so far is general response of ‘thanks for contacting us. We will be in touch’. When you call and leave a voicemail, the message says they will get back within one business day. DONT HOLD YOUR BREATH! Apparently one business day to them is not the same as traditional understanding.

I am sharing this for twofold reasons:

1. those thinking about using them, take

caution

1. and listen to the reviews and experiences
2. any professionals out there who have experienced the same issues with payouts? If so, how did you resolve and/or any ideas on how to collectively put the pressure on?

I need help getting a practice set up. Is there a company I can hire that will consult or help with all the applications, business licenses, website, platforms etc needed to get started? I currently work full time and it just seems so overwhelming.

For those of you who have done 1 work from home/telehealth day - have you had any issues filling those spots? I transitioning to my own practice soon and am looking at incorporating a work from home telehealth day but am worried I will be limiting myself and wont get a full caseload.

Any advisements in favor or against this idea?

For context, I've been in solo practice for a few years and my current setup has been okay because I'm the only person using it. It's not perfect, but I know where everything is and I've made it work.

I'm hoping to bring on one or two other clinicians soon, and now I'm trying to be more realistic about what needs to change. I don't want something huge or overly complicated, but I also don't want an EHR that only works for one provider.

For those of you who moved from solo practice into a small group, what did you end up using? I'm mainly thinking about scheduling, charting notes, client records, provider permissions, and billing. I'd also love to know what you wish you had asked before switching.

Hi everyone! I'm a licensed counselor, and most of my career experience is in institutional care. I am curious about the process of getting trained/certified as a court-mandated therapist. I know theres so many routes that therapists can take (i.e. DV work, sex offense treatment, parenting reunification, substance use, anger management). I would love to meet other professionals who do this type of work. I'm interested in learning about the different trainings and certifications. I am in NJ, that helps :)