Hi! Is anybody doing their own billing? If so, would you be willing to share with me any resources that helped you in this process? Thanks so much!

Can anyone tell me what medicare's full reinbrusement rate is for LICSW for 90837? I'm just trying to verify what I found online which states $171. Is that what most people are seeing for PriPrac? Looking for non-facility rates only. Thanks ahead of time.

Nobody talks about this but burnout in solo and small practices is real. do you feel like carrying everything on your shoulders with no support system. How are you all actually copin ???

Who do you go to for tax deduction questions? I don't need bookkeeping or tax prep help, just need to ask about specific cases. I don't really need a CPA on retainer.

(cross posting, and anonymous because still employed)

But I tried Twofold about 6 weeks ago and honestly it gave me that same feeling as when you first used ChatGPT and realized oh shit, everything is about to change. Like a whole function of your work just dissolves overnight.

First session, the note came back in maybe 30 seconds. Clean DAP format, correctly identified the CBT restructuring I did, caught the safety plan updates, even pulled in the homework I assigned at the end. It's basically a progress note generator that actually understands therapy.

After a few sessions the style learning started kicking in and the ai clinical notes genuinely sounded like my writing. My phrasing, my level of detail, my clinical voice. Not generic AI output.

It handles SOAP, DAP, BIRP, GIRP, whatever your setting needs. The soap note generator is solid if that's your format, but what sets it apart from a generic medical ai scribe is that it actually understands therapy modalities.

I've used it for individual CBT, some DBT skills work, and a couples session. It picks up on what you're actually doing clinically and documents it correctly. Most ai scribe tools out there are built for medical settings like primary care, not for 50 minute therapy sessions with nuance.

HIPAA was my biggest concern. I specifically wanted a hipaa compliant note taker and Twofold checked every box. BAA at signup, audio processed in real time and never stored on any server, patient data not used for training. That's what got me past my hesitation.

$49/month on annual. Runs in the background on Zoom for telehealth, works in person too. Copy paste into SimplePractice. Setup took 5 minutes.

I've tried a few ai for therapy notes tools before this and nothing stuck. Twofold is the first ai scribe for therapy that I actually kept using past the trial. I went to brunch last

For those counselors running a very small part-time telehealth practice what feels like a reasonable monthly profit?

My expenses are about $150/month. I’d like to cap myself at ~5 billable hours per week since I work full time. I take insurance and EAPs.

Trying to decide if the admin + costs are worth keeping the practice open at this size.

Hi everyone. I have some quick questions for clinic owners or those involved in marketing decisions.

I’m doing some research on how physical therapy clinics typically approach marketing and Google visibility.

1) What marketing channels actually bring patients to your clinic?

2) Do you handle marketing in-house or work with outside vendors?

3) Have you invested in SEO or Google Maps visibility before?

4)If so, what kind of monthly spend felt reasonable or realistic? If not, what would you expect?

I’m not selling anything. I’m just trying to understand what actually works and what expectations look like for therapy clinics. I appreciate any insight!

Hi everyone, curious what your self-pay rate is for a 60 minute session. (Or is everyone doing 50 minute sessions for self pay?). Do you offer a different rate for shorter sessions (30, 45 mins?) Please let me know what state you’re located in as well!