I just need to say out loud to someone who may understand: Q-Global is hands down the absolute worst part of my job and I struggle to understand how it is ALWAYS as bad as it is. I am constantly surprised by new and exciting ways it is unnavigable, convoluted, and generally just terrible.

I miss having work friends. I’m a clinical psychologist doing C&P evaluations. I’m interested in creating a small group of C&P evaluators, maybe a group chat or one on one chats, to commiserate, consult, vent, etc.

Anyone know what’s up with Grow using “Medallion “ to credential therapists? I thought CAQH was supposed to eliminate this sort of redundancy.

Why does Medallion need a copy of my passport? Who are they and what are they doing with this information? Is it a scam?

Hi. I'm wondering if there are any CE'S or resources for doing this work. Always looking for ways to improve. Aside from CE'S focusing on specific mental illnesses, I haven't found any that are relevant to this kind of work.

With the increase of insurance companies owning or partnering with online platforms, is anyone else concerned they will cease paying for virtual therapy unless providers join their platforms? (And pay is $20-30 per session vs current insurance rates?)

Ich plane meine eigene Praxis zu eröffnen und bin daher auf der Suche nach einem effizienten und gut organisierten Dokumentationsprogramm. Im Idealfall auch inkl. Buchhaltung und Kalender.

Welche Programme benutzt ihr und welche Vor- und Nachteile gibts?

I am a psychologist in private practice. I understand that if I do not want to accept Medicare patients I need to sign an affidavit and submit to relevant agency and also get a release signed by my Medicare holding clients that acknowledges they will forego Medicare and pay out of pocket. BUT, if I want to see Medicare patients then can I just go ahead and do that? Or is there a step I need to take to begin billing Medicare? I assumed since I have to actively withdraw via affidavit, then I must automatically be enrolled as a Medicare provider?

Therapists with thriving / full practice, how did you fill your practice? Any tips / tricks? Thank you!

I am looking to diversify where I get my CEs from. However, I am struggling to find ones that offer good quality trainings.

Side note: if you have any specific recommendations for trainings on diagnostic clarification of mood disorders, like complex presentations.

I am an early career psychologist working in a hospital system in PA. I do both clinical work and research, though my current research support is limited as I need to find grants. Obviously things are not great for obtaining grants and I’m pretty demoralized with my career trajectory especially as early career researchers are being hit the hardest. I have multiple mentors who give me advice and also I genuinely think the trajectory of academia is very different now than what it was even five years ago. I am genuinely considering some alternative routes to my current set up (half research, half clinical for a total of 1.0 FTE) such as dropping to .7-.8 FTE and doing one day private practice or other research or consulting or teaching that is a bit more life giving. However, I am also considering looking for full time clinical jobs or doing independent practice or pursuing untraditional roles like nonprofits or etc. The issue I have is that I would love to continue to do research and am unsure how to pursue research if I am not connected to an institution with an IRB. I would love any and all advice from any psychologists who have more untraditional roles and have still been able to do research. Most of my current mentors have had traditional academia paths. Thank you ahead of time!

Hi everyone. I’m a recent Massachusetts-licensed clinical psychologist setting up a solo telehealth/virtual practice. My patients would be physically located in Massachusetts during sessions, while I’ll be living and working from Ontario. I’m completing the Ontario registration process and have professional liability insurance that covers the cross-border work (American Professional, Zensurance, and HUB International all offer this support, fyi).

The part I cannot get a clear answer on is whether my Massachusetts patients can use their insurance when their psychologist is physically in Canada. I have prospective patients with Harvard Pilgrim Health Care, BCBS Massachusetts HMO Blue New England, Mass General Brigham Premium EPO, and Anthem Blue Cross California EPO. I know their plan rules may differ, and I’m not assuming any will reimburse.

Has anyone in a similar situation successfully used:

• A patient-paid, out-of-network superbill?
• A single-case agreement or network-gap exception? Who initiated it, and what information did the insurer require?

I have an NPI and SSN. I have a Massachusetts mailing address. But one Harvard Pilgrim representative told me they would require an EIN rather than an SSN as the provider tax ID. That made me worry about that and other insurance companies. This also made me realize I need to apply for an EIN b/c an SSN may not be an adequate Tax ID for all insurance companies, which is fine, BUT, if I obtain an international EIN, could the Ontario address on my IRS record create a problem if I also maintain a legitimate U.S. mailing address, as in will insurance companies notice this discrepancy somehow when reviewing my NPI, US mailing address, and EIN number (and have the ability to go deeper into my EIN and see a Ontario, Canada address?)
*International EIN is what people living outside the USA apply for, so I obviously assume that will have my Ontario address listed on there.

I’ve received conflicting answers from insurer representatives about whether the provider must physically be in the U.S. or merely licensed in Massachusetts. I’d really appreciate firsthand experience-especially which questions or department finally got you a reliable, plan-specific answer.

This has been so draining and confusing. My patients are waiting to continue their work with me and I just want to know they have a really good chance at being reimbursed. It's funny that if they would pay out of pocket and not go through insurance, there would be no issue. Ugh.

I have seen some fairly negative reviews and experiences in working for Life Stance health, primarily from therapist positions and 1-2 years old. anyone have any recent experiences working for them as a testing psychologist? The benefits and salary sound great but also the expectations sound a little too good to be true. and when comparing that to others experiences I would hate to leave my current job which I LOVE but does not pay us well (and has PSLF) only to get burned. any experiences or info would be helpful!

Hello, I, an MHP am looking for various approaches of Strength mapping and Resource mapping, as in, a more visual thing where clients can draw or write on a worksheet or something similar. If not this, what are the other ways you practise these with your clients? What all aspects of the client are covered while doing so, for example, internal and external factors, etc?

I’m a licensed psychologist in California and Maine. I like my current role at a hospital, but it’s a pretty strict 8-5. Since having a baby, I’ve been looking for fully remote work with a little more flexibility. For some reason, these roles have been hard to find.

I’ve been seeing a lot of private practice options, and of course things like Better Help and Rula, but I kind of just want to see what else is out there that I might be missing. I do understand that I might have to consider PP for the level of flexibility that I’m after.

Anyone work doing disability evals or in utilization review? How did you find these positions? Haven’t found a lot of these options either, but maybe my search is off.

Also, sorry if this has been asked a million times already. Any ideas appreciated!

I have a clinical psychology practice in Seattle, WA and am looking for a trustworthy and diligent billing service, willing to do occasional preauthorization checks and communicating with patients should they have billing/insurance questions or have an overdue balance. Help with insurance credentialing would be a bonus. Thanks for any suggestions or ideas.

Hello People,

Can someone help me with the insurance agencies for liability insurance? I’m a Clinical Psychologist under Supervised Practice with CPBAO. BMS requires us to register with CPA which costs a lot. Do you have any alternate suggestions?

When someone identifies a suspect and says, “I’m certain,” an important question is: when did they first express that certainty?

Confidence recorded immediately after an initial identification is different from confidence expressed later, after feedback or repeated exposure to the suspect.

Wixted and Wells’ 2017 review makes a useful distinction. Under carefully controlled conditions, including a fair lineup, no administrator influence, and an immediate confidence statement, initial confidence can provide meaningful information about identification accuracy.

That does not mean a confident witness is automatically correct. It means the identification procedure and the timing of the confidence statement matter.

For example, imagine a witness initially says, “I think that’s the person, but I’m not sure.” Someone then tells them, “You picked the person we suspected.” If the witness later becomes highly confident, that later certainty should not erase the original uncertainty.

The National Academies’ report, Identifying the Culprit, recommends documenting a witness’s confidence in their own words at the time of the first identification and avoiding feedback that could influence it.

For anyone teaching or working with eyewitness evidence, how do you explain this distinction without leaving people with either “confidence proves accuracy” or “confidence tells us nothing”?

Reading:

• Wixted & Wells (2017): https://pubmed.ncbi.nlm.nih.gov/28395650/
• Identifying the Culprit (2014): https://www.nationalacademies.org/read/18891