Informed Consent Form

policy Nov 12, 2019
 

Hi, this is Dave Kats, of Therapist Consultants and I have a tip for you.

You know I've noticed that good therapists all use an informed consent form. So I hope you are using an informed consent form. Now if you're not using an informed consent form you should start doing it right away and just go through everything in your practice and tell the patient how it functions so there is no surprises for them. You can find a lot of good informed consent forms on the internet and if you are a client of ours you can find it on our website. We have a very good informed consent form. So that is the first thing you should do. If you are not doing one you should do it immediately. Most of you are already using an informed consent form and you have the patient sign it on the first visit. That’s the right idea. That’s the thing to do. But maybe you need to update your informed consent form. Does your informed consent form talk about distance coaching? Does it talk about tele-therapy?...

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Training Supervisors

daily huddle Nov 05, 2019
 

Hi, this is Dave Kats with Therapist Consultants and I have a tip for you.

I have to tell you that this tip is only for about one out of 20 people or maybe one out of 10 people. If you are already a supervisor, in other words, you’re supervising other people or at least if you have the capacity to supervise other people then there’s another step for you. I always wondered why supervisors don’t become trainers of supervisors. Have you ever noticed that when you went to the supervisor classes, in other words, classes for you to become a supervisor, that it would cost quite a bit, and the classes were pretty full, and it didn’t take much to do? That’s something you could be doing. If you’re a supervisor, think about becoming a supervisor trainer. A lot of times it’s just a matter of doing a few small things, and registering, and automatically you’ll become this supervisor trainer. I’d like you to think about that. Not for...

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Low Payers

insurance Oct 29, 2019
 

Hi, this is Dave Kats from Therapist Consultants and I have a tip for you.

As insurance weakens, some insurance companies pay less and less and less, and there comes a point in time where you have to kick the low payers to the curb. Where you have to look at the insurance companies that you have and see what they’re paying and if they’re not paying enough, I think you have to get off that panel and then charge the patient cash. I think in the Mid-West, in Florida, in Texas, probably most areas in the United States; probably $68 is about the breakpoint. If they’re not paying you at least $68, you probably just need to get off that panel, be an out-of-network provider, and then have the patients pay cash because, here’s what we’ve found out, it actually cost between five to ten dollars to have you file insurance especially if you have some outside company doing your billing. Instead of the insurance company paying you $58, really they’re in essence...

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Progress Report

scripts Oct 21, 2019
 
Hi, this is Dave Kats with Therapist Consultants and I have a tip for you.
 
There’s one office procedure that I’ve noticed that therapists often fail to do that other health care practitioners do and that is therapists often fail to do a progress exam or a progress report. I think about every 10 visits, you should sit down with a patient and say, “Let’s talk about the progress we’ve made over the last 10 or 12 visits.” You should pull out the report that you gave them at the first of their care. When you talk about the goals that you have for them, you should go over those goals, and see which ones you have accomplished, and which ones you have not yet accomplished. What that will do is two things. Number one, it will re-enthuse the patient in their care, and they will see the progress, and they will get re-enthused, but just as important is it re-enthuses you about the care that the patient is getting. You both become more interested in...
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RVU Calculator

profit Oct 15, 2019
 

Hi, I’m Dave Kats with Therapist Consultants and I have a tip for you.

Did you know there’s an easy way to figure out how much you should be charging for each individual code that you charge to the insurance company? It’s called the RVU Calculator; it stands for relative value units. If you can tell me about what your primary counseling code is, I call tell you how much you should be charging for all the rest of the codes. Here’s how it works. The American Association of Chiropractic Coders put together a RVU Calculator. A RVU tells you how much you should charge for each code compared to another code. Here’s how you use it. Let’s say you do a 9-9-8-3-4 and you know that you’re going to charge $100 for that 9-9-8-3-4. When you go AAPC space RVU space calculator, if you just type that in your search engine, it’ll take to you to the AAPC RVU Calculator and you can type in your 9-9-8-3-4 and put in one unit, and then you type in a...

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Intensives

increase profits Oct 08, 2019
 

Hi. This is Dave Kats from Therapist Consultants and I have a tip for you.

Have you ever thought about doing intensives? You know what intensives are? Intensives are sessions that you do that are longer than just your 50 minute sessions. It could be that you do a three hours intensive. It could be that you do a 6 hour, 8 hour, 12 hour, even 18 hour intensive. I have two therapists that work with this and do intensives very well. They specialized in marriage therapy. If a married couple is having a problem, they always give them the opportunity to go through an intensive rather than to get their care 50 minutes at a time spread over 18 weeks. This couple can come in and they can get a lot of their needs and lot of their work behind them just by doing this intensive. If there is a situation where there’s been unfaithfulness in a relationship, or if one partner is trying to decide whether to stay or to leave, probably 50 minutes once a week for a while isn’t enough. The...

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Aging of Accounts

collections insurance Oct 01, 2019
 

This is Dave Kats with Therapist Consultants and I have a tip for you.

Now, this tip is more appropriate for those people who take insurance than those people who have a cash practice but it's important for both of you, and that is every month you should be running an aging of accounts. Now what is an aging of accounts? An aging of accounts is a report that tells you what patients owe you money and how much they owe you and when they owed you for how long they've owed you. It'll have the patient's name- the report will have the patient's name. It'll say they owe you so much money, 0 to 30 days, 30 to 60 days, 60 to 90 days, 90 to 120, and over 120.

Now, if you're an insurance practice and somebody owes you money from 0 to 30 days, I wouldn't get too excited about it yet because probably insurance just hasn't paid yet. When it gets over 30 days, you have to look at each account that's over 30 days and say, "Why has this bill not been paid?" Then you have some choices, you're either...

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Double Sessions

increase profits policy Sep 24, 2019
 

Hi, this is Dave Kats with Therapist Consultant and I have a tip for you.

This is mostly for people doing marriage counseling but it's also for people that treat anxiety and depression and things like that. That is a new trend that I see with therapists is to go to double sessions. In other words, if you have a marriage that's in crisis or even near crisis and you only see them once a week for 45 minutes, it may not be enough. Most therapists now or many therapists at least when they do marriage counseling or other important sessions are going to double sessions.

Now if you charge 150, you may do a double session for only 250. In other words, you may give a discount. Here's what I think you should do. This isn't a sales job you're just asking the patient what they prefer. When you give them their report on the second day you say, now we can handle this two ways. We can do one session, which is 45 minutes long. We can do one session a week. It'll take us a little longer, or we can...

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Record Keeping

articles saving Sep 17, 2019
 

Hi, this is Dave Kats with Therapist Consultants and I have a tip for you.

You know they say record keepers are record breakers, so I have to ask you a question. What records do you keep? Well, there are certain statistics that I think every therapist needs to keep to know where they stand. First of all, you should track how many new patients you get each month. Second, how many patient visits you've had each month, and third, how many services you've rendered.

In other words, how many dollars worth of services you've rendered, and number four, how much you've collected. Now, what good do those do? Well, after you have amassed a group of about six or eight months, you can see whether your practice is going up or down or staying the same. You can also see what areas you're weak in and what areas you're strong in. Let me give you an example. The average therapist gets seven new patients a month.

If you average 10 or 12, you're above average. If you average four or five, you're below...

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Running Overtime

articles scripts Sep 10, 2019
 

Hi, this is David Kats with Therapist Consultants, and I have a tip for you.

I find that many therapists run over in the therapy sessions. They schedule patients on the hour, but they'll run up to about 55, 60 minutes before they actually cut off the session, and then they either tight or they run behind. I suggest that you move to 45-minute sessions. This allows you to put in your notes and go home on time. Think about this with all your new patients, when you start to schedule them, say, "Here's how we work, our fee is $150, and we have 45-minute sessions, and I have sessions available on Thursday or on Friday, which day do you prefer?"

See, when they say Friday or Thursday, or even if they say, "Do you have anything on Saturday?" and you say yes, they've already agreed to $150 and they've already agreed to have 45-minute session. I think that if you move to 45-minute sessions, you'll feel much more rested, you'll do a better job, you'll get your notes done on time, and...

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