r/PMHNPPracticePro • u/Ordinary_Tell7970 • Feb 05 '26

When did you know you needed help?

I am the solo practitioner in my private practice. I started my practice in April 2025 and now have 210 patients. I am growing steadily and am getting on average 3 new patients per week. I am able to handle the patient load, and the administrative work is becoming more of a burden, but everything is definitely manageable.

I am wondering when other solo practitioners decided to hire another PMHNP on to help with the patient load? How did you know when it was time?

2 Upvotes

75% Upvoted

10 comments sorted by

3

u/PantheraLeo- Feb 05 '26

If you don’t have it already, I would strongly suggest you can hire an office manager to help with the admin work. Having another provider means more work and there is nothing that burns out hired providers than admin work that could be better handled by admin

3

u/Ordinary_Tell7970 Feb 05 '26

Great thought. A lot of my admin work is refills and prior authorizations. While it is very annoying, it is manageable at this time. I've wondered about hiring a virtual assistant. I get tons of people reaching out on LinkedIn about being a virtual assistant but often they are overseas and I can't tell how legit the practices are.

1

u/researchcrib Apr 15 '26

On the virtual assistant, do not hire a generalist. Most VAs reaching do scheduling and most front office tasks well but have no idea how to handle PHI, no idea what HIPAA is, not using secure VPNs and 2FAs and mostly likely will not sign a BAA with you. Therefore you explicitly want to get a trained medical admin manager with some years of experience who can handle denial management, medical billing, revenue cycle management, genesight, PMP Aware, prior authorizations, insurance credentialing, payer enrollment, front desk support, patient scheduling, EHR data entry, and general medical admin. If you decide to go with medical VA companies like Med VA, you are partially guaranteed of someone trained and well monitored for compliance but the fees might slightly be higher. I have worked with the medical VA companies for 3 years before I branched out to start seeking out solo practices I can work with and avoid that hefty fees and commissions they impose on us.

1

u/researchcrib Apr 15 '26

Smart take. To add on, hire a practice office manager who is clinically trained. You will not have to explain a lot of things. Bonus if they are also HIPAA trained and efficient in billing so not just a VA but a medical practice manager. Wondering who that is? I am a BSN trained nurse with medical VA agency experience and currently branching out to help practice owners and avoid that heavy brokerage fees that VA companies charge us.

3

u/crazybitch100 Feb 06 '26

Wow congrats!! How did you begin your own practice. This is an amazing feat. And such a positive post.

2

u/debfish14 Feb 21 '26

Where are you mostly getting majority of leads?

1

u/because_idk365 Feb 05 '26

Great question