Web Presence

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5 Steps To Resigning From Insurance Panels

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One of the most common questions that private practice therapists ask me is "How do I get off of insurance panels?" This question just came up today in my Private Practice Toolbox Facebook Group so I thought it would be a great topic for a blog post. In previous posts I've written about why I broke up with managed care (part 1) & (part 2), but this post will focus on how to do it.

The thought of letting go of the comfort of being on insurance panels can create a lot of anxiety for private practice therapists. After all, if we don't have clients, we don't get paid. Find comfort in knowing this equation. You only need about half the number of clients in a self-pay practice to make the same income (or more) than you made in an insurance based practice. Once I realized this fact, I felt a lot more comfortable resigning from insurance panels. Let's do the math...

Insurance:

Say you are seeing 20 managed care clients per week and you are reimbursed an average of $70 per client.

20 clients x $70 session = $1,400

20 clients x $70 session x 4 weeks = $5,600 per month

(then subtract your time or money spent in billing and paperwork)

Fee-for-service:

2o clients x $125 = $2500/wk

20 clients x $125 session x 4 weeks = $10,000 per month

10 clients x $125 session x 4 weeks = $5,000 per month

(with NO extra paperwork, NO delay in payment, NO denied claims, NO required diagnosis...)

So often we focus on number of clients instead of the quality of clients and the amount collected per client.

5 Steps To Resigning From Health Insurance Panels

1) Rank the insurance companies

Make a list of insurance panels and rank them from your most favorite to least favorite based on:

  • reimbursement rates
  • paper work requirements
  • how quickly you're paid
  • number of clients you see from each panel
  • the type of clients generally referred
  • your general feeling working with each panel

2) Resign in waves starting with your least favorite

Generally, I recommend to my consulting clients to resign in waves over the course of a year. Resign first from the panels with the lowest ranking - the ones that pay the least and are the most difficult to work with.

3) Check your contract for resignation requirements

Review your contract to check on the resignation process that you agreed to. Look at the time frame required. Do you need to give them 30, 60, or 90 days notice? Do you need to send in a written letter?

4) Beef up your web presence

As part of your plan to resign from insurance panels, it critical to invest in creating other referral sources. The most important being your web presence. Google is my #1 referral source. The majority of our clients who come to my clinic Wasatch Family Therapy find us online. The benefit of clients finding you online is that they've already read about you, your services, and your philosophy on your website and have chosen to contact you. This increases the likelihood that they will be willing to pay your full fee.

  • Website - If you don't have a website, make that a top priority. If you have a website, make sure it's effective. Here are some common website mistakes and how to fix them.
  • Blog - If you don't have a blog on your site, add one and start blogging weekly.
  • Therapist finder sites - join PsychologyToday.com, GoodTherapy.org, and your professional organization's "find a therapist" site to help potential clients find you.

5) Know the benefits of self-pay and be prepared to educate clients

There are benefits to the client for paying out of pocket, instead of going through their insurance company, that they may not be aware of. As you make the transition away from managed care to a fee-for-service practice it's important to familiarize yourself with these benefits so you can educate your clients. A few of those benefits are: control over which provider you choose to work with, the course of treatment decided on by client and therapist instead of insurance company, and no diagnosis requirement.

Here's an example of how a provider educates her patients on the benefits of self-pay. Utah Psychiatrist Kelli Hyland, MD my colleague and consultation client, shares her philosophy in this blog post "Why Self-pay?"

(c) Can Stock Photo

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SEO For Shrinks: Can Potential Clients Find Your Practice Online?

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I Spy Cynthia KDo therapists really need to care about search engine optimization (SEO)? If you're in private practice the answer is YES!

So, what is SEO? SEO is the process of improving your website's visibility in search engines like Google, Bing, Yahoo, etc.

Before you starting thinking about SEO, you first need a practice website. Even a single page site with your photo, practice description and contact information is better than nothing! I predict that in the near future it will be nearly impossible to build a successful private practice with clients who pay your full fee unless you have a website and strong professional online presence. If you don't have a website, stop reading here, and get busy creating a site. If you already have a site and you want to make it easier for potential clients to find your practice on the web, read on!

Since "meeting" Your Google Guy, Peter Hannah, LMHC, online I've marveled at the combination of his therapy education and telecommunications specialties. I couldn't wait to "pick his brain" about SEO basics for shrinks to help you succeed in attracting your ideal therapy clients to your private practice.

There's A Reason They're Called "Keywords"

The most common SEO mistakes that therapists make on the website is not understanding how crucial keyword are. Hannah suggests, "If you're a psychologist in Orlando, those two words should be prominent in your site and appear on each page of your website. They should also be in your meta tags. Because people will be searching "Orlando psychologist" to find you and people like you."

Another mistake that Hannah has observed in his consulting work with therapists will often omit their location on the homepage of their website, "Your home page acts as an orientation point to visitors. Who you are, what you do, and where you do it. Make sure it's all on there!"

Hannah says there are two parts to SEO work: on-page (your website) and off-page (out on the web). "On your site, making sure your website clearly has language in it that matches your city and your services is probably the easiest and most important. You might want to talk about "healing" and "journeys" as you write about your work, and that's good, but make sure you're also mentioning "counseling" or "psychotherapy" once in a while, too!", Hannah suggests.

Create Consistent Content

Hannah suggests consistently creating content on the web. This is what I  love to do, and it's what contributed to Sharecare Now naming me the #1 online influencer for depression. I've never met anyone who works with Sharecare, but because of the amount of mental health content and the number of channels on which I produce regular content (4 blogs/sites, 5 Facebook pages, Twitter, Google +, Linked In, iTunes podcast, blog posts, YouTube channel, links to my site from national sites) I came up on radar of a national health organization! Hannah suggests writing something helpful for potential clients your website blog and always have it link back to your website.

Get Listed, But Don't Pay A Dime

Paid therapist listing sites aren't as beneficial as shrinks might think. Hannah suggests finding site that list your business for free and write as much information as you can and provide links to your website. My therapy site is listed on Google places, Facebook places, Yelp!, All About Counseling, local university referral listings, City Search, and many other free listing sites. Also, remember to get listed on your professional organization referral lists.

Peter Hannah, MA (Counseling) MS (Telecommunications) is a Licensed Mental Health Counselor in Seattle, WA. He's also a former technology professional who helps therapists market their practices on the web. Since 2005, he's worked with several hundred therapists, marriage counselors and psychologists with SEO, Google Adwords and making their websites more effective.  Find out more at his website YourGoogleGuy.com.

Creative Commons License photo credit: Flооd

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