Libsyn Directory

Accepting Insurance and Third-Party Payors In Your Private Practice | TPOT 204

The Practice of Therapy Podcast with Gordon Brewer

Release Date: 11/15/2021

Gary Katz | Build a Group Practice on Connection, Not Chaos | TPOT 388

The Practice of Therapy Podcast with Gordon Brewer

🎧 Ready to Grow Your Practice Without Losing Your Soul? This Episode’s for You. In this episode, Gordon sits down with Gary Katz—psychotherapist, group practice owner, and intimacy expert—who’s scaling his business across state lines without sacrificing connection, clinical quality, or his sanity. Gary opens up about what it really takes to grow a group practice that feels good, not just on paper, but in your body, your calendar, and your team culture. From building tight-knit pods of therapists to letting go of perfection and people-pleasing, this conversation is packed with honest...

Edy Nathan | Supporting Clients Through Complex Grief in Private Practice | TPOT 387

The Practice of Therapy Podcast with Gordon Brewer

Let’s talk about grief. (I know—what a fun little opener, right?) But hang in there, because Edy Nathan doesn’t talk about grief the way most people do. There’s no clinical detachment or textbook jargon here. Edy speaks from the kind of deep, personal knowing that only comes from living it. She lost her partner at 27—a heartbreak that didn’t just shatter her world, but reshaped it completely. Instead of stuffing it down or soldiering through, Edy got curious. She studied grief, sat with it, wrote about it, and eventually made it her life’s work. Today, she helps others see grief...

Kerry Thomas | Mood, Food, and Medicine in Private Practice | TPOT 386

The Practice of Therapy Podcast with Gordon Brewer

What if your private practice could be a place where people stop trying to fix themselves—and start actually feeling what’s going on inside? In this powerful episode, Kerry Thomas pulls back the curtain on her 25-year journey in mental health, sharing how a personal wake-up call challenged everything she thought she knew about therapy, medication, and what it really means to heal. We talk about the connection between nutrition and mood, why numbing emotions isn’t the answer, and how private practice therapists can stop pathologizing normal human experiences. This one’s...

Julie Herres | Private Practice Tax Changes Ahead | TPOT 385

The Practice of Therapy Podcast with Gordon Brewer

Let’s be honest: when someone says “Let’s talk tax law,” most of us want to fake a Wi-Fi outage and run for cover. But when Julie Herres joins The Practice of Therapy Podcast, you actually want to lean in. Somehow, she manages to make the ever-shifting sands of tax policy sound (dare we say it?) friendly — like a conversation over coffee with a really smart friend who also color-codes her spreadsheets. So, what’s happening with taxes in 2025? Buckle up, practice owners, because there’s a whole lot of “maybe” in the air. But Julie’s here to help us wade through the...

Dori Lewis | Should you Consider Integrating Psychedelics into Trauma Work in Private Practice? | TPOT 384

The Practice of Therapy Podcast with Gordon Brewer

What if the path to healing trauma isn’t just through talk therapy, but through carefully guided psychedelic experiences? In this episode of The Practice of Therapy Podcast, I sit down with Dori, an experienced therapist and psychedelic facilitator, who shares her deeply informed perspective on the nuanced, responsible, and transformational use of medicines like ketamine, MDMA, and psilocybin mushrooms. Dori doesn’t just follow trends—she’s been on the frontlines, participating in research, working underground before legalization, and now helping clients access inner healing...

Tamar Blue | Creating a Safer Space for Peer Support and Digital Therapy | TPOT 383

The Practice of Therapy Podcast with Gordon Brewer

Are you ready to discover a powerful new way to support your clients—and yourself? In this episode of The Practice of Therapy Podcast, Gordon sits down with Tamar Blue, founder of , a revolutionary platform that empowers therapists, coaches, and mental health advocates to create secure, community-driven support groups online. Whether you're a provider looking to scale your services or someone seeking a safe space to heal and connect, this conversation is packed with insight, innovation, and heart. Don’t miss this inspiring story of how one woman turned a passion for peer support into a...

Steve Bisson | Let the Work Find You: Niching with First Responders Through Podcasting | TPOT 382

The Practice of Therapy Podcast with Gordon Brewer

What Happens When the Work Finds You? Steve Bisson didn’t plan to become a go-to therapist for first responders—but sometimes, purpose arrives without a roadmap. In this episode, Steve shares how a chance encounter on a crisis team back in 1999 set off a chain of events that led to a passionate, purpose-filled career. From riding along in police cruisers to launching a podcast that speaks directly to the hearts of firefighters, paramedics, and law enforcement officers, Steve’s story is a powerful reminder that when you say yes to the work that moves you, incredible things happen. Whether...

Jeremy Zug | Private Pay, Insurance, or Hybrid? Decide For Your Private Practice | TPOT 381

The Practice of Therapy Podcast with Gordon Brewer

What if the two most important questions in your practice— 'Is this financially viable?' and 'Am I doing the work I love?' — didn’t have to compete? In this eye-opening episode, Jeremy dives deep into the strategic crossroads every private practice owner faces, especially when considering whether to take insurance, stay private pay, or explore a hybrid model. He breaks down the real numbers, state-by-state reimbursement differences, and the often-overlooked red flags in insurance relationships—like sneaky non-quantitative treatment limitations and the true cost of claim denials....

James Marland | Stop Trading Hours for Income: Scalable Growth in Private Practice | TPOT 380

The Practice of Therapy Podcast with Gordon Brewer

Are you tired of the “time for dollars” trap—where every vacation, sick day, or even slow week hits your bottom line? In this episode, James Marland gets real about the burnout that comes from trading hours for income and why the solution isn’t just slapping together an online course. He dives into what it really takes to build something scalable and sustainable—without losing yourself or your sanity in the process. Whether you’ve toyed with the idea of creating a course or you’re just craving more freedom in your practice, this conversation is a must-listen. It's honest,...

Dr. Robyn Miller | Preparing For The Worst: Professional Wills in Private Practice | TPOT 379

The Practice of Therapy Podcast with Gordon Brewer

What happens to our clients when we’re suddenly not there to care for them? In this powerful and eye-opening episode, Dr. Robyn Miller dives into the difficult but essential topic most therapists avoid: what happens when a therapist dies or becomes incapacitated. With compassion, clarity, and deep professional insight, Dr. Miller reveals the ethical, legal, and emotional chaos that can follow when we don’t have a solid closure plan in place—and how TheraClosure offers a dignified, comprehensive solution. If you’re a mental health professional who’s ever told yourself, “I’ll...

More Episodes

In this episode, I talk about some of the myths and misperceptions people have about being on insurance panels. I delve into this topic and let you know what I've learned about it from my insurance-based practice. First, I speak about the stigma around accepting insurance in private practice. If you accept insurance, you are just as valid and can be just as successful as private practice owners who are cash-based. Tune in as talk about the pros and cons of insurance panels, why I chose to be insurance-based, and where to start when you decide to accept insurance.

The Stigma Around Accepting Insurance In Private Practice

Many people are curious about accepting insurance and if they should or not. There is no correct answer. If you start to delve into your mindset and think about it all, it might just be something that you should consider doing. When you look at all that is out there, there are so many great resources around building a private practice. It seems like most people are encouraging cash-pay. There seems to be a little bit of a stigma against having an insurance-based practice. Many people say that you don't want to be controlled by insurance companies. If therapists don't have a cash-based practice, they're second-class citizens for being an insurance-based practice. I don't agree with that at all! In fact, my success comes from being insurance-based.

The Pros and Cons of Being An Insurance-Based Practice

There are a lot of pros and cons to being on insurance panels. Certainly, one of the cons of being insurance-based is that you've got to have more systems and processes in place. You've got to do more work on the front end to get prepared for insurance. You need specific systems when you start accepting third-party payors and being reimbursed by insurance companies for your services. The biggest con is that there is some work on the front end of being insurance-based.

The pros for being insurance-based are that you've got a built-in referral source by being on insurance panels. I would say at least half the people that we find are from their insurance. In other words, they checked with their insurance provider first to see who would accept their insurance in the area. When making an appointment with us, people ask, how much does it cost? Plus, they ask if we accept insurance. That's why I wanted to be an insurance-based practice. People depend on their insurance, and I want to help those people.

Ready To Accept Insurance? What To Do First

Where do you start? Research your area to find out which are which insurance panels are the most prevalent. In my area, most people have Blue Cross Blue Shield health insurance. Another thing to research is looking at significant employers in the area. Then, check which insurance those companies use. Next, use that data to decide which insurance companies you want to be paneled with. Another thing to note is that when an insurance company offers you a contract, that's negotiable! Make sure to negotiate what rate you will accept.

Systems and Processes Around Filing Insurance Claims

Figure out your systems and your processes around filing insurance claims. If you're on insurance panels, you need a traditional way to send claims off. The best way I know to do that is through an electronic health record system. TherapyNotes helps my practice with this. It's a few clicks of a button to get your insurance claims sent to the insurance companies to be reimbursed. For the most part, insurance companies have a pretty quick turnaround for electronic health claim submissions. Within a week of sending off the claim, we are getting paid. There's a myth that you have to wait a long time to get paid from insurance companies – that's not true! So, make sure you have a way to submit claims and make it as automated as possible.

Cash-Based and Insurance-Based Private Practices

If you're not ready to be entirely reliant on insurance, there's a hybrid option! You can have a mix of cash-paying clients and clients that use insurance. Give people a choice on whether or not they want to pay for therapy through a third-party payor. Remember to set your full fee at a reasonable place; your fee needs to be your FULL fee. The insurance company will pay you what they pay you. Then, you write off the difference between the full fee and the contract rate. If they choose not to use insurance, you can offer a sliding scale based on family income. We don't go and check their income; instead, we go on the honor system. Ensure that the lowest rate on your sliding scale fee schedule is in the ballpark of your average reimbursement rate from insurance companies. If you want more tips about deciding to panel with 3rd-party payors, check out this FREE webinar coming up: https://practiceoftherapy.com/insurancepractice.

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