Pepping Successful Private Practice in Neuropsychology and Neuro-Rehabilitation

A Scientist-Practitioner Model
1. Auflage 2003
ISBN: 978-0-08-051813-8
Verlag: Elsevier Science & Techn.
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 250 Seiten, Web PDF

Reihe: Practical Resources for the Mental Health Professional

At last, a hands-on guide for neuropsychologists who want to explore, establish or expand their own private practice. Do you dream about the freedom of your own office and schedule, but worry about the financial viability of self-employment? Are you weary of the dictates of managed care, but find it hard to see other alternatives? Would you like to vary your practice, but aren't quite sure what else you would like to do, or how to get started? Are you concerned about the potential isolation in a private practice, or how to maintain your teaching and research involvement while still paying the rent? For these and many other important questions, this up-to-date volume can be your step-by-step guide for creating an enjoyable, flexible and equitably paid mix of evaluation, teaching, research, and/or treatment activities.Learn how to find and deliver the following:· High quality, low cost office space· Effective billing and collection practices· Group therapy and community workshops· Teaching as a marketing tool· Research - it's not just for academicsself-employment? Are you weary of the dictates of managed care, but find it hard to see other alternatives? Would you like to vary your practice, but aren't quite sure what else you would like to do, or how to get started? Are you concerned about the potential isolation in a private practice, or how to maintain your teaching and research involvement while still paying the rent? For these and many other important questions, this up-to-date volume can be your step-by-step guide for creating an enjoyable, flexible and equitably paid mix of evaluation, teaching, research, and/or treatment activities.Learn how to find and deliver the following:· High quality, low cost office space· Effective billing and collection practices· Group therapy and community workshops· Teaching as a marketing tool· Research - it's not just for academics* Provides a crash course in business management for therapists * Includes examples, worksheets, business forms, and exercises * Suitable for newly licensed therapists and seasoned professionals

Dr. Mary Pepping is a board certified neuropsychologist with 33 years of experience evaluating and treating working-age people and older adolescents with various forms of acquired brain injury. These include people with traumatic brain injury, brain tumor, stroke, multiple sclerosis, anoxic injuries, residual effects of neurological conditions such as meningitis, encephalitis, Huntington Disease, early-onset Parkinson disease, lupus, normal pressure hydrocephalus, and various forms of dementia. Dr. Pepping has long-standing involvement in neuro-rehabilitation of these populations of individuals. This includes an emphasis on detailed neuropsychological evaluations as a foundation for treatment, cognitive rehabilitation and psychotherapy in a milieu model context, and the role and functions of interdisciplinary teams to achieve good outcomes. With her PhD in Clinical Psychology completed 1981 from Washington State University she went on to a postdoctoral fellowship in Clinical Neuropsychology at the University of Washington School of Medicine. After fellowship she spent six years in the Section of Neuropsychology, Department of Neurosurgery, at HCA Presbyterian Hospital in Oklahoma City, OK, directing the milieu-based treatment program there in her final two years. This was followed by a return to Seattle to work for five years in the Physical Medicine and Rehabilitation Department at Virginia Mason Medical Center, continuing with evaluation, treatment and clinical research. After a subsequent six years in private practice, Dr. Pepping was recruited by the Department of Rehabilitation Medicine at the University of Washington Medical Center to serve for 14 years as Director of their Neuropsychology Service and outpatient interdisciplinary Neuro-Rehabilitation Program. Her years at the University of Washington School of Medicine gave her additional opportunities to provide teaching and training to interns, residents, fellows and practicum students from a range of disciplines, as well as shared research and scholarly writing projects with interdisciplinary colleagues. These fields included clinical psychology, neuropsychology, rehabilitation psychology, rehabilitation medicine, psychiatry, speech language pathology, occupational therapy, physical therapy, vocational rehabilitation and cognitive neurosciences. With retirement from direct clinical practice in July 2013, Dr. Pepping shifted to Professor Emeritus within her department to create more time for scholarly writing, research and a return to a private consultation practice.

Autoren/Hrsg.

Pepping, Abpp

Pepping, Mary

Inhaltsverzeichnis

1;Front Cover;1
2;Successful Private Practice in Neuropsychology: A Scientist-Practitioner Model;4
3;Copyright Page;5
4;TABLE OF CONTENTS;8
5;Foreword;16
6;Preface;20
7;CHAPTER 1. THE CHALLENGE OF PRIVATE PRACTICE IN NEUROPSYCHOLOGY: OVERVIEW OF KEY ISSUES AND EFFECTIVE SOLUTIONS;22
7.1;Pros and Cons of the Institutional Setting;22
7.2;Maintaining High-Level Skills;23
7.3;The Interdisciplinary Network;24
7.4;Do Not Go Gently into That Research Decline;25
7.5;Creating Educational Opportunities;26
7.6;Productively Managing Anxiety: Income;27
7.7;Protectively Managing Anxiety: Malpractice;28
7.8;Personality Factors in Private Practice;29
7.9;Ego Needs and Decreased Prestige;30
7.10;Ongoing Consultation: Are You Willing to Seek It? The Buck Stops Here;30
7.11;Exercise: Is Private Practice Really Right for You?;31
8;CHAPTER 2. OTHER POTENTIAL INDIGNITIES;34
8.1;No Paid Sick Leave or Holidays;35
8.2;No Additional Reimbursement for Professional Fees;35
8.3;No Guaranteed Salary or Health Care Benefits;35
8.4;Overhead Expenses;36
8.5;Billing, Collections, and Taxes;36
8.6;Exercise: Personal Balance Sheet for Direct and Indirect Costs;36
9;CHAPTER 3. THE GOOD NEWS;38
9.1;Integrating Skills and Interests in Patient Selection;38
9.2;Creating the Optimal Schedule;39
9.3;Setting Your Own Fees;42
9.4;Determining Salary;42
9.5;Choosing Your Own Support Services;43
9.6;Office Location, Space, and Atmosphere;43
9.7;Developing Your Own Letterhead and Brochures;44
9.8;Personalized Report Formats;44
9.9;Test Selection;44
9.10;Tax Advantages;45
9.11;Exercise: What Appeals Most to Me about Private Practice?;45
10;CHAPTER 4. GETTING STARTED: PRACTICAL PRELIMINARY QUESTIONS;46
10.1;Are You Experienced Enough To Be on Your Own?;46
10.2;Individual or Group Practice?;47
10.3;Interdisciplinary Practices;48
10.4;Full-Time or Part-Time Private Practice?;49
10.5;Consultation or Supervision Practices;50
10.6;Teaching;50
10.7;Medical-Legal Work;51
10.8;Neuropsychological Evaluations and Expert Witness Work;52
10.9;Hospital and Clinic Affiliations;53
10.10;University or Medical School Positions;54
10.11;Adjunct Appointments;54
10.12;Part-Time Clinical Faculty;55
10.13;Exercise: How to Explore and Define Your Options;56
11;CHAPTER 5. A PRACTICAL GUIDE FOR OPENING YOUR BUSINESS;58
11.1;Don't Burn Bridges;58
11.2;Clinician, Know Thyself;59
11.3;A Moveable Feast: The Menu of Practice Options;59
11.4;Maintain a Part-Time Practice with Your Previous Employer;60
11.5;Developing a Safety Net: Starting with a Group;60
11.6;Offering Contract Services to Inpatient Rehabilitation Units;60
11.7;Offering Contract Services to Private Clinics;61
11.8;Membership in Managed Care Panels;61
11.9;Obtaining Adjunct or Clinical Teaching Appointments;62
11.10;How to Determine Fair Fees;63
11.11;How to Find Good Help;64
11.12;Developing a Business Plan and Practice Management Statistics;65
11.13;Exercise: Timeline for Implementing Your Practice Template;67
12;CHAPTER 6. MARKETING AND OTHER MATTERS;68
12.1;First and Foremost, Do Good Work;68
12.2;The Introductory Letter: Be Specific, but Not Too Limiting;70
12.3;Develop Seminars and Workshops;71
12.4;Give Guest Lectures;71
12.5;Offer a Memory Course to the Public;71
12.6;Contact Private Practice Physicians;72
12.7;Contact Independent Nurse Case Managers;72
12.8;Contact Private Vocational Firms;73
12.9;Attend Weekly Hospital Teaching Rounds;73
12.10;Supervise Residents, Interns, and Postdoctoral Fellows;74
12.11;Obtain Graduate Student Help for Research;74
12.12;Conference Participation: Yours and Other Related Professions;75
12.13;Publish;75
12.14;Exercise: My Five Preferred Modes of Marketing;76
13;CHAPTER 7. CREATIVE APPROACHES TO FINANCIAL ISSUES;78
13.1;Trading Consultation Time for Office Space;80
13.2;Sharing Testing Materials;80
13.3;Advice on Billing and Collections;81
13.4;Obtaining Basic Data from Your Patients;82
13.5;Obtaining Insurance Authorization;82
13.6;Contract and 50% Down for Private Neuropsychological Evaluation;82
13.7;CPT Codes;83
13.8;How to Bill and Collect for Legal Work;85
13.9;Reduced Cost Malpractice Insurance;86
13.10;Contract Assistants;86
13.11;Tax Deductions, a Good Accountant, and Type of Business;89
13.12;Exercise: Practical Planning;89
14;CHAPTER 8. MEDICAL—LEGAL WORK;90
14.1;The Problems with Legal Work;90
14.2;True Believer Polemics in The Absence of Strong Scientific Data;91
14.3;Integrity and Reputation—Are You a Plaintiff Or a Defense Expert?;92
14.4;Potential War of the Clinical and Legal Worlds;92
14.5;Subtle Influence and Examiner Drift;93
14.6;Inadvertent Promotion of a Litigious Zeitgeist;94
14.7;The Benefits of Forensic Work;94
14.8;Spine-Firming Exercises;97
15;CHAPTER 9. CONSULTATION AND SUPERVISION PRACTICE;98
15.1;Clinical Psychologists, Primary Care Physicians, Nurse Practitioners, Physician Assistants, and Neurology or Rehabilitation Nurses;99
15.2;Neuropsychologists Who Wish to Augment Their Training;100
15.3;Therapists in Social Work, Counseling, or Pastoral Counselors;102
15.4;Rehabilitation Therapists—Occupational Therapists, Physical Therapists, Speech Pathologists, Vocational Counselors, Rehabilitation Specialists, Recreational Therapists, and Case Managers;103
15.5;Consultation with Psychologists Preparing for Licensure;103
15.6;Exercises;104
16;CHAPTER 10. PSYCHOMETRIC CONCERNS;106
16.1;The Interview: Who Should Be Present and Why?;106
16.2;The Collateral Interview: When, Why, and with Whom?;107
16.3;Preparing the Patient to Be Tested;108
16.4;Test Selection;109
16.5;Selective Additional Testing: Areas of Concern;111
16.6;Evaluating Personality in Neuropsychological Assessment;113
16.7;Cross Cultural Issues;114
16.8;Use of Psychometrists;115
16.9;Report Formats;116
16.10;Review of Test Results;118
16.11;Dictation versus Typing It Yourself;119
16.12;Dissemination of Reports;120
16.13;Preservation of Testing Files and Raw Data;120
16.14;Exercises;120
17;CHAPTER 11. TREATMENT PRACTICES FOR NEUROPSYCHOLOGISTS;122
17.1;Your Training Background and Future Training Needs;122
17.2;What Kind of Practice Do You Want?;123
17.3;Other Parts of Good Clinical Practice Development;124
17.4;Establishing Short-Term and Long-Term Groups;124
17.5;Individual Treatment in a Neuropsychology Practice;125
17.6;Billing and Reimbursement Issues;126
17.7;Other Practice Options: Employee Assistance Program Contracts;126
17.8;Other Practice Options: Case Management Services;126
17.9;Exercises;127
18;CHAPTER 12. NUTS AND BOLTS OF YOUR EVALUATION PRACTICE;128
18.1;Referrals;128
18.2;Educating Referral Sources;129
18.3;Purpose of Testing;130
18.4;Mechanisms of Feedback to Referral Sources and Patients;132
18.5;Insurance Preauthorization of Services;135
18.6;Timely Billing and Collections;137
18.7;Exercises;138
19;CHAPTER 13. HOW TO DESIGN AND IMPLEMENT A COGNITIVE GROUP;140
19.1;Introduction;140
19.2;Which Patients?;141
19.3;Basic Clinical Rules and Procedures;143
19.4;Basic Billing and Documentation;146
19.5;One Model for Cognitive Group Treatment;147
19.6;Exercises;148
20;CHAPTER 14. RESEARCH AS A DAILY REALITY;150
20.1;What are Your Research Interests?;150
20.2;Grants;154
20.3;Conference Presentation;155
20.4;Journal Articles;155
20.5;Chapters;155
20.6;Journal Groups;156
20.7;Collaborations;156
20.8;Exercises;157
21;CHAPTER 15. SUMMARY AND CONCLUSIONS;158
21.1;The Importance of Relationships and Mutual "Best Interest";158
21.2;What Sort of Work Do You Want to Do?;159
21.3;Where and How Do You Want to Begin?;159
21.4;What is the Best Way to Minimize Costs and Maximize Income?;160
21.5;What Sort of Financial Floor Do You Need?;160
21.6;How Will You Monitor and Promote Growth of Your Practice?;160
21.7;What Do You Do If Plan A Isn't Working as You Expected?;161
21.8;What Are Your Short-Term Intermediate, and Long-Term Goals?;161
21.9;Practical Ways to Vary Your Practice;162
21.10;Periodic Or Long-Term Contract Work;163
21.11;Clinical Faculty Appointments;164
21.12;Be Alert to Clinical, Teaching, and Research Opportunities;164
21.13;Enjoying Your Private Practice;164
22;APPENDICES;168
22.1;Appendix A;168
22.2;Appendix B;170
22.3;Appendix C;176
22.4;Appendix D;180
22.5;Appendix E;182
22.6;Appendix F;184
22.7;Appendix G;186
22.8;Appendix H;188
22.9;Appendix I;190
22.10;Appendix J;192
22.11;Appendix K;208
22.12;Appendix L;210
22.13;Appendix M;212
22.14;Appendix N;216
22.15;Appendix O;218
22.16;Appendix P;220
23;Index;222