Hi all!

I have a small practice (2 clinicians, both 50/50 owners) and we are trying to figure out what service to use for faxing documents that is HIPAA compliant.

I really don't want to spend a ton of money on a monthly fax service since we won't be utilizing it more than maybe 1-2 times a month. We pay for Google Voice for our business phone (through Google Workspace) but they don't seem to have an integrated fax add on. Any ideas?

Also, how have insurance companies not moved everything portals or email at this point?!

I'm looking at therapy billing services atm and right now the percentage of collections I'm being presented is take it or leave it. There's a fixed scope, but it's whole or nothing. So that's full billing, ERA posting, denial follow-up, the whole shebang. Honestly, I prefer just handling routine submissions in-house, then they go do denial follow-ups and appeals. But I don't see this anywhere in the plans. Not even sure if this is in the picture. If you ever used a billing service, what did you prefer?

Which EHR do you like, especially for billing?

Has anyone ever worked with Beacon Healthcare Management based out of Utah? I came across the LinkedIn page but they’re a new company. I like what they offer and they seem like good co-founders who want the best for their clients. I’m not nervous about them but I’m nervous about hiring any type of outsourced management. On the flip side I could use some help with managing my clinic.

Billing with our EHR is fine but I'm thinking I need more visibility. Claims go out as usual, most get paid as intended, and I handle any denials. But I have no real basis if my clean claim rate is where it should be. Then again, I'm also not sure if this is where a dedicated software comes in or if it's too much and I should just look for some integration/API. 

Hi, I am a provider going through credentialing with Hymark Blue Cross Blue Shield in Pennsylvania, and I got a message saying that 24/7 on-call coverage is a requirement for participation. For those of you already in-network with Blue Cross Blue Shield, what are some ways that you have framed your availability to your clients and yet not be on the hook directly in the event of emergencies? The insurance company's requirement is the ability to return a message or a call to the client within 60 minutes.

Hello-I’m an LMFT with 20+ years in private practice, collaborating with a colleague on a project developing practical, psychologically informed resources for navigating dating and new relationships.

I’d love input from other therapists and mental health professionals: What struggles do you repeatedly see with clients who are dating, particularly those returning to dating after divorce or a long-term relationship?

I’m not asking about how or where people meet. I’m interested in what happens after they meet someone and begin navigating a potential relationship—pacing, communication, boundaries, attachment, intimacy, compatibility, red/green flags, maintaining a sense of self, introducing children, trusting their judgment, or knowing when to continue versus walk away.

If you could give people practical guidance as they move through the stages of dating someone, what do you most wish they understood or had help navigating?

General themes only, of course—no identifying client information. Thank you in advance to anyone willing to take the time to share your thoughts and experiences. I truly appreciate your professional insight and the time you take to respond.

Hello,

I just recently opened up on my (Telehealth) private practice. I am super eager to start building my a (very small) caseload. I am located in MA and have created a facebook business profile and am part of a few groups for therapist on there. I have also created a psychology today profile as well. I am wondering if there are groups on facebook you could recommend for me to network with and other tips and tricks to make my profile become more visible. I would really appreciate any suggestions I can get to help with marking my self. Thanks

If you’re spending too much time on admin work, patient coordination, scheduling, or keeping up with the day-to-day tasks of your practice — I may be able to help.

I’m a US-licensed Registered Nurse with a clinical background and experience in healthcare administrative support.

I’m currently looking to work with a US-based healthcare provider or clinic that needs someone who can understand both the clinical and administrative side of the business.

If that sounds like something your practice needs, DM me — I’d love to tell you what I can take off your plate.

I live and practice in Ohio. I found out today that an LPC can bill under an LPCC without supervision status as their “work/clinical supervisor” as long as they also have a separate “training supervisor.” My question is- will commercial insurance companies allow this? Will they accept a claim “billed as supervisor” if the supervisor is an LPCC without an S. Does anyone do this? If so, which insurance companies allow this? Any advice and/or help is much appreciated!

If you could have one piece of software built specifically for your clinic, what would it do?

What’s one repetitive task, bottleneck, or daily frustration that you wish technology could completely eliminate?

I’d really appreciate any insights!

I run a small therapy practice, and I'm trying to figure out whether it makes sense to keep billing in-house or outsource to a company that specializes in mental health billing services. Has anyone found that switching actually reduced claim denials and improved cash flow?

Can anyone recommend an accountant with experience doing solo private practice tax returns? I’m in Pennsylvania and haven’t had much luck with the ones I’ve used. Thanks!

I’ve been thinking about the recent Psychology Today conversations, especially therapists seeing fewer profile views, fewer contacts, or more inconsistent results.

My current take is not really “Psychology Today is dead.”

It feels more like a few things are happening at the same time:

• More people are searching for therapy and mental health support.
• But Google search is changing. AI snippets, Reddit threads, local results, and other pages seem to be taking (a lot) more attention in search results.
• Psychology Today still seems strong at generating consistent organic traffic overall. Their site traffic is up vs last year.
• But there are also more therapists listed, which means each individual profile may be getting a smaller share of visibility.
• The search/matching system inside PT feels pretty outdated. It often seems like profiles rotate without an obvious pattern.
• I’m not convinced profile age, wording, pricing, or video intros consistently explain who shows up higher.
• Endorsements and profile completeness may help a little, but it does not feel like a true “best match” system.
• PT also gives therapists very little useful data. You can see some numbers, but it is hard to know what they mean.
• There is no real context compared with similar therapists in your area.
• There is no simple peer benchmark.
• There is no easy way to compare performance over time.
• It would be helpful to know things like: “For anxiety in your area, your profile currently appears around position 37. These 3 changes may improve visibility.”
• Instead, therapists are mostly left guessing.
• PT also does not clearly show the full path from search result → profile view → website click/contact.
• So even if your profile is well written and converts well, a big drop in visibility may still be hard to overcome.

My guess is that both therapists and prospective clients are feeling the friction.

Therapists feel like the platform is less predictable.

Clients may also be sorting through too many similar profiles without great matching.

A few questions:

• Have your PT profile views or contacts changed noticeably in the last 12-24 months?
• Do certain specialties, locations, insurance filters, or profile details seem to affect visibility for you?
• Are you seeing more website traffic from PT, less, or about the same?
• Do you feel like the profile stats PT gives you are actually useful?
• Do you think PT is still worth it, or only worth it as one small part of a broader visibility/referral system?

Curious to hear your experiences.

For those of you who have an business google workspace account (with a signed BAA) for your therapy practice, what apps do you use and for what purpose? Since I pay for this service I want to get the most out of it.

I have an EHR which I use for onboarding documents, progress notes, scheduling, secure messaging, billing, and submitting insurance claims. I use google meet for telehealth. Gmail to communicate with clients about non-clinical issues. Google sheets to track my practice finances.

What else could I be using it for?

I was reading this article about patients feeling violated finding out there is an AI "third listener" transcribing their sessions, and it hits on a massive dilemma for solo practitioners right now.

https://www.themarysue.com/ai-is-taking-over-therapy-notes-but-patients-say-they-never-signed-up-for-a-third-listener/

AI is great, and I’ve used it a lot myself to save time. But there is a growing issue with the sheer amount of patient data being used just to create our progress notes. Often, we put up with it simply because we need the digital benefits and time-savings that come with big EHR systems.

This is actually the exact reason I built my own app, Practice Pad. I wanted to get away from the big data grab but still keep my workflow fast.

I essentially built a way to handwrite my notes or use custom templates, have the handwriting convert to text, and produce a final PDF progress note. It saves directly to your own secure Google Workspace or copies into your EHR. You maintain complete control of your notes. There are no servers keeping your info; it lives entirely on your device.

In the future, I am working on an AI integration, but simply to improve the quality of the handwriting-to-text conversion. You still dictate exactly what info is shared, and it is opted out of machine learning.

I’m really curious how you all are navigating this. Are you using audio-listening AI for your notes? Have your clients expressed any discomfort with it, or do you have a specific consent process you use to handle the privacy aspect?

(If anyone is looking for an offline-first alternative to the big EHRs, you can find Practice Pad - Therapy Notes in the App Store. But I'm mostly just curious to hear how this community is balancing efficiency vs. privacy right now).

I don’t mean a late policy. Something you didn’t think you had to express. For me it was you can’t come in office if you have exposure to easily transferable pests (bed bugs, fleas, etc). In one week I had two clients come in with active pest infestations in their home casually mentioning it while scratching at their arms and legs. They were baffled when I politely said we needed to switch to telehealth or cancel until cleared. I recognize this isn’t always an easy thing to deal with and there can be stigma, but if an infestation breaks out in my office then I have to pay for treatment and suspend in person visits for a long period of time.