The biggest problem I found when starting my private practice was getting established on insurance panels and billing. For the panels the only solution was to be persistent, follow through on all of the TEDIOUS forms and requirements. I am Medicare/Medicaid certified which took a long time and a lot of effort, but well worth it in the end. Approach the insurance form requirements with acceptance and patience and it will pay off. Not only does it increase patients access/desire to seek out your services, but it will increase your visability. Start with NPI; TIN and Malpractice Insurance. Can’t do the forms without them.

In regards to the billing question – I am not facile with computer technology so I hired a billing service to file claims and solve any problems that arise. I pay them 7% of my total revenue each month – which seems like a lot (this does not include my private pay clients), but it is so well worth it to me in time and aggravation management. I would not do it any other way. However I have colleagues who do their own and they swear by it. It’s just not for me – I’d rather be enjoying a nice glass of wine or riding my bike.

Also, I keep my out of pocket fee for service very reasonable for those people who do not have insurance. I consider it a service to the community and it encourages positive word of mouth.

Advertise on Psychology Today – make sure to put your picture on there (wear something nice , don’t wear your sweats). Create a website (I use WIX – it is reasonably priced) – people are reassured by doing research and if you don’t give them a venue to go to where they can find out more about you they will move on.

Try to affiliate with a doctor’s office (general practitioner). I get tons of referrals from two dr’s offices who now trust me. If you don’t have a personal contact in any offices, send a letter of introduction w/ a brochure (a picture helps).