45. Teletherapy and Online Therapy Services: What You Must Know
In today’s episode, I have a great conversation about online and telepractice therapy services with the founder and CEO of BlinkSession.com, Eric DeGrove. Eric and his wife, Rikki DeGrove, CCC-SLP started a new outpatient clinic about 2 1/2 years ago, Sprout Therapy Services in Colorado Springs, CO but suddenly realized many of their patients were coming from far away. Since Eric’s background is in programming, he jumped onto the opportunity and that’s how BlinkSession was born! In today’s episode, we discuss why Eric built Blink Session, Opportunities to Offer Services Online, The Biggest Challenges to Offering Services Online, and then Eric offers online-based Private-Practice Startup Advice for people wanting to enter the space. In this episode: 01:45 – Value, Value + Value !! 02:58 – Home Based Treatment 05:50 – Telepractice and Billing 06:15 – Today’s topic – TeleTherapy 08:28 – About BlinkSession 13:31 – Online Speech Therapy 17:02 – Easy Solution for Teletherapy 18:38 – HIPPA Compliance and Teletherapy 20:18 – Setup, Programming and Teletherapy 25:10 – Recording Teletherapy Sessions 30:21 – Speech Therapy is improvement for Your Patients 31:00 – Added Value for Patients DOWNLOAD PDF TRANSCRIPTION Now a lot of it goes back to what I said earlier about focusing on the results. The result of Speech Therapy is improvement, improvement of your patients life of whatever their therapy goals are. The goal is not just to do therapy. The goal is to see their lives improved and so this online tele therapy option offers that a different way to achieve the same goals. [Commercial] Well, Hello everyone you’re listening to the Speech Therapy Private Practice StartUp Podcast. This is episode number 45. My name is Kyle Meades and I’m a Speech Pathologist since 1993. And these podcasts are designed to help you improve your business and your life one Podcast at a time. Welcome back to the show everyone. Thanks again for all the emails and all the questions and as of today, today is Sunday November 25th 2018. We have well over forty one thousand seven hundred and sixty six listeners to the show and I’m super delighted you guys are out there. And if this is your first episode Welcome to the Speech Therapy Private Practice StartUp Podcast, and I hope you find everything that you need to grow, scale, start your own Speech Therapy Private Practice. I know you’re in the right place, lots of people get value here every single month and if you don’t mind you hear me say it time and time again, Value is what you get in the absence of money. These podcasts are absolutely free for you, so if you wouldn’t mind just go to the Android or iOS platform of your choice and leave some good five star feedback so that other people just like you can get the same valuable information that you’re receiving now, they can find it much simpler if you would just do your part and leave some feedback. Also we have a space available for the perfect student that’s when you fly into Tucson and work with me hand in hand and we’ll show you how to get credentialed, how to bill and how to grow, scale, work on your referrals, all the things that you need to know. It’s a supercharged system to get you ready to go in Speech Therapy Private Practice. But a lot of people just can’t leave their job and if that’s where you are right now we have another option where you can get training from me and I’m there to help you. It’s the Private SLP All Access Community and you can find these options at privateslp.com/coaching. Now I wanted to jump in today and answer a question. We had a listener and her name is Stacy and she was wanting to know if we are able to treat individuals in their home that have been discharged from home care or maybe they’ve maxed out their Medicare benefits. She goes on to say that she works with adults and the geriatric population, strokes and traumatic brain injuries. She’s got referrals to see these families in their home and she knows that these folks they can’t get to the outpatient clinic. But she’s more than willing to go and see these people in the home setting. And so she wanted to know if they can pay cash and she wants to see those patients and so that’s what she wanted to know. And my big disclaimer here I’m not a lawyer. I don’t want to be a lawyer but I will say this. You want to double check and make sure that you don’t have a contract with Medicare. I mean you may want to have a contract with Medicare but I guess the main issue here is you can take someone’s cash if you’re not in network with that person’s insurance plan and you just might find out if you work for long term care centers. You may already have a Medicare contract attached to your NPI number, so you definitely want to call. If you go to cms.gov, that’s the Center for Medicare & Medicaid Services, you can reach out to them, give them a call and give them your name and NPI number. You may find that you are already in the Medicare system and if you are you may want to think twice about taking cash from that person because if you are a network provider from Medicare services you’ve got a bill those Medicare plans appropriately and accurately. So it’s a contractual issue and again I’m not a lawyer but I do know that if you are in network with any plan, that could be Blue Cross Blue Shield, Aetna, Humana, UnitedHealthcare, Tricare or any other plans when you are in network you’ve got to provide that service to those patients under those rules that you signed in that contract. So you might want to just do your due diligence and double check if you’re in network. There’s nothing wrong if you’re not credentialed with any health insurance plans and you want to see people in the home. That’s fine. If you have an agreement you can do that. In the All Access Community, we talk about how to bill insurance companies if you do have those patients that you see that are in network with those plans that you’re credentialed with. We show you how to bill it and how to collect it. Also too when someone has Medicare especially with these geriatric patients they also might have other insurances like they might have Tricare for Life or they might have Blue Cross and Blue Shield. You need to build those plans first because any sort of government plan wants to be the pair of last resort. Any Medicaid plans or any Medicare plans they always want to be the pair of last resort. So there’s other plans that you need to bill appropriately first if you’re in network with those other plans. So that’s just something to think about. And today what I want to do is I want to talk to you about teletherapy. And recently I had a gentleman named Eric DeGrove. He reached out to me. He is the president of Blink session and you can find him at Blinksession.com. He is a programmer and he is the CEO of Blink session. He reached out to me and wanted to tell me about his software platform that he has made from the ground up and it allows someone to perform teletherapy sessions, bill it, get paid and had a schedule on his platform. And it’s just really nice to see another person out there really making a change and making a difference in other people’s lives through the platform of teletherapy. His wife is a speech pathologist and they own sprout therapy services out in Colorado Springs, Colorado. So when he reached out to me he wanted to let me know that they started out as a brick and mortar business but they found that they really had another opportunity to help people that couldn’t get to their clinic for Speech Therapy services and that’s where this whole idea of blink session got started. So in the interview that we complete today we talk about why he built blink session and some opportunities to offer services online. We talk about the biggest challenges to offering services online. And then his Online Private Practice startup advice so anybody out there who has an interest in teletherapy or maybe is thinking about starting a teletherapy business or some sort of addition to your own Speech Therapy Private Practice, this is the episode for you. Let’s get started, Kyle: Hey Eric! How you doing today? Eric: Doing good. Kyle: Hey, how was your Thanksgiving? Eric: It was really good, had a good time with family and ready to get back to work here before Christmas. Kyle: That’s awesome. Yeah I just got off the plane, got out of Baton Rouge in New Orleans and I’ve been doing that whole vegan diet thing. But once a year I go crazy and ate too much crawfish, grow oysters and fresh seafood. Eric: You got to dig in once in a while. Kyle: Oh yeah. Hey, tell me about this blink session program you made. Why do you do that? Eric: Yeah, So my wife and I we live here in Colorado Springs and she’s been a Speech Therapist for 13 years now. And my background is in software development. We founded a clinic here two and a half years ago and during the time, that we were starting up we were looking for business. We noticed that a lot of our clients were coming from further out from our location out in rural areas and we thought maybe this is a business opportunity for us. Maybe this is an opportunity to serve people who are on the outskirts of the city but do it online. And so we looked into doing Tele practice or Teletherapy and at that time this was about two years ago. So about six months after we started our practice there was really only one software package available specifically for doing Speech online. And it wasn’t very good and it wasn’t selling well. And so since I had that background in software development I thought, let’s look into building something to help Speech Therapist do Speech therapy online to take what they do in person and to do it online. And so that was kind of the impetus for creating this software. Kyle: Man what an idea. We have a lot of emails, all my listening audience sends me emails all the time about software. In our clinic, we had the same scenario. We serve southeast Arizona and the outlying areas but sometimes we have people who are an hour and a half out and they just really don’t have the time to be driving back and forth from the clinic. And once in a while we’ll do some Skype sessions but from what we’re talking about the other day, we had a little chat the other day and I guess Skype is not the way to do it. Is it? Eric: Yeah and when we were looking at software two years ago for our Private practice and we found nothing in the market really. What I wanted to do was to make it easier for my wife to do therapy online. And so we thought well I can use Zoom, Skype, these products that were designed for personal chats or business meetings we can do that. But they don’t really help the therapist get used to doing therapy online or they don’t provide that feature set that therapists really needed. And so that’s what my heart was. What I really wanted to do was make it easier for therapists to start doing therapy online. Kyle: That’s great. Now in your software blink session, does your platform take payments? Does it allow the therapist to manipulate the environment? If you have online tools, tell me little bit more about that? Eric: So if you go to Skype or Facetime in any of those products we’re used to using, they’re typically pretty easy to use especially Facetime. You can get on you have a video call with somebody and some of them like Skype now and Zoom, particularly Gotomeeting those products have screen share so you can share maybe a window of your computer or you can share the whole screen. And so that’s a tool that a lot of therapists were using to kind of provide interactivity in the session. Well there’s other things that you’re doing within a session that we wanted to help with. And there’s things you’re doing outside of the session that we really wanted to help with. So I said that one of our goals was to make a software platform that made it easier and so we started with this idea of resources that when you’re a therapist when you’re SLP you’re using flash cards games with kids definitely you’re using exercises, all these different types of resources that are aiding you in teaching and going through exercises with your clients. And we wanted to replicate that online with resources that would work seamlessly in the virtual space. So if your client was on an iPad and you’re on a computer that you could bring up that resource and it would work well in that setting. And so we started with that and we developed a resource catalog but we wanted to develop a resource catalog that enable people to be creative and invited other therapists to share it with each other so instead of just making a few apps or games that we allowed you to use in blinksession we made a store where you can share and sell with one another. And so that’s really the central focus of blinksession. But so there are so many other features that we saw that therapists were needing when they do the sessions Online. And one of those is Writing notes, your Soap notes. We didn’t want you to have to go to another program to write your notes so you can write them all in this session. We didn’t want you to have to have a different payment processors say you wanted to take credit cards online your clients and do that. You can schedule appointment reminders, all these little features you can learn about the features at Blinksession.com. But we wanted to create the tools that make it easier for not only you to do therapy online but for you to run your business online so that your clients had a place to log in and they could see things you’ve shared with them they could pay their bills. They could see appointments all those little things. So our goal Kyle was really just to make it easier particularly for that Private Practice Startup, for that private practice person that speech therapist to get into this world of Teletherapy. Kyle: That’s awesome. I have some of the All Access community members. I threw that out there when you reached out to me, I threw that link to Blinksession.com so they can learn more about it as well. Now explain to me a little bit more. Do you have to be on the same platform if somebody is using like an android tablet or an iPad tablet, I guess is an old School Speech pathologist. I’m working with these kids. One on one in the clinic and we’ve got our iPads or tablets or we’ve got that kid right in front of us. Can you actually take like the iPad or what’s on your screen or in the Android device, it’s right on your platform there? So the other person on the other hand can see that. Eric: Yeah, so this is a question I get a lot from people looking to get into Teletherapy or Telepractice, is because we’re used to using. I’m not used to it because I’m not a therapist. I know my wife like you she’s used to using her iPad. I think we have three of them at our clinic for even evaluations, to play games. And it makes sense because now I have three kids. They’re 5, 9 and 11 and my 5 year old would be on an iPad 24 hours a day. If we didn’t stop her from it. But she’s used to an iPad, it makes sense to her. It’s something she can interact with in a therapy setting. We’re used to using that technology and so the natural thing is to think, can I just use this technology in a Tele situation? Well one thing you have to think about when you’re doing therapy over the Internet is that whatever you do on your side on your computer has to be replicated on the other side, their computer or their device. And so I always remind people that because there are some technical differences that you really have to be aware of that maybe you’re sharing from your iPad over screen share and you figured out how to do that to your student on the other side. But you have to think about that they can’t touch that. They’re used to touching it and manipulating it with their fingers. So what we found and what we want to do at Blinksession is kind of provide alternate ways that we know will work on both sides of it that they’ll replicate if that kid’s on an iPad at their home and you’re on a computer at your office. Does that make sense? Kyle: Yes, so did they have to have a touch screen on their end to interact with the program on your side? Eric: So with Blinksession, technologically one of our tech goals was to make it compatible no matter what device you’re using. So we wanted that solution where people didn’t have to download anything. I get tired of having to download a new program every time someone want to have a meeting with me. And so we wanted to make it all in the browser. So on Blinksession, if you’re on a iPad you simply bring up Safari. You go to blinksession.com, log in and you’re ready to go. If you’re on a computer, you can use chrome, safari, Firefox, you just log right in. There’s no software to download and it will work seamlessly no matter what platform you’re on, as long as you’re on one of those browsers. So we try to make it super easy that way not having to download software. Kyle: That’s great. When I’m interacting with my podcast audience when I’m sending out emails I’ve got these things called API keys that one program’s got to have an API key to communicate with the other program. And sometimes you got five or six things going on in the background. It can get really challenging. How easy is this for your average Speech Pathologist who isn’t tech savvy to operate? Eric: Oh yes. Super easy. If you can login and do Gmail you can do therapy online. I think anything new is going to take some learning. But at the same time our goal at Blinksession is to put ourselves in the shoes of a Speech Therapist. And so we’ve designed it to fit your working pattern to fit the features you need. And we say that a lot because a lot of therapists today are using Zoom or other products that were not designed for therapist and they don’t have that feature set that makes it easy for them. Kyle: Right, I would think too there’s HIPPA compliant, that’s a big thing with skype or something like Zoom. What about your platform? Is that HIPPA compliant? Eric: Yes definitely. And that’s another issue where I’ve just written three articles for our Website about this. Recently one yesterday where I was looking into not only security, and a lot of therapists will come and ask us. We were at Asheville last week and so we got a lot of questions about in the end encryption, are the video calls encrypted end to end and these technical things. And all those things are important of course Blinksession is a 100 percent HIPPA compliant but there’s so many other things to consider when you’re online. Things like data privacy, if I have a Skype call with somebody or I have a facetime call, is Microsoft or Apple or Google whoever they’re going to sell that data are they going to know. It’s super important that you use a platform that states they are HIPPA complaint. That they’re following rules that they’re underneath those regulations because you don’t want it to come back two years ago that you used a platform that wasn’t HIPPA complaint and some data got out that you had sessions with different people and so that’s why we take the security and privacy really seriously. Kyle: Absolutely. I mean that’s a big deal. What about if somebody wants to review their sessions? Can the client log back in and go over sessions that they had last week? A parent wants to go over their own take exercises with a kid? How did they do that? Eric: Yes, so going along with the features to help therapists we were just rolling out to be ready in about two weeks a recording feature so you can record sessions and then they’ll be stored in our cloud environment which is HIPPA compliant. You don’t have to worry about session recordings being on somebody’s laptop and getting sold but they’re there and then you can share those recordings with a patient. You could even go in and you’ll be able to record maybe a sample of how to do something and then you can share with the client. They can log in and then the parent could bring it up and interact with it. So we have those tools in place where they have a dashboard. Your client has a dashboard and they can go over things without you being there. So that’s one area of therapy we’ve really tried to help with is really that home programming piece. Kyle: That sounds exciting. Do you have ever find out that your online practice is growing faster than your brick and mortar business. Eric: Yeah, well the growth is amazing. We were at Asheville last week like I said and 18,000 people at this conference last week. But we must have personally spoken to 800 people who want to introduce tele therapy or they want to get into tell a therapy or they want to bring it into private practice. So I see both growing, and what I see is that there’s just such a need for speech therapist that any avenue where people get services is growing. Kyle: Absolutely. You can expand your market, you can serve people that are homebound and they can’t get out of the house. In southeast Arizona, we have people like I was saying earlier two and a half three hours away that need therapy services and I know people even in the medical space, even UnitedHealthcare the insurance that I provide for our employees at no cost. There’s a nurse 24/7 that you can just dial it up and you can talk to the nurse and get a prescription online. It’s amazing how doctors visits, nurse practitioner visits, therapy visits. It’s kind of going online now. Kyle: Right. And it’s something that your average consumer, I’ve started five businesses that I’ve been involved in marketing and so I’m kind of addicted to entrepreneurship and so I study the trends a lot. But your average consumer is kind of expecting these services and as the therapies that could kind of be scary because what therapies has had a tele therapy class in their graduate program? Very few of them if any. And so that can be scary, so how do I provide this service when I don’t know how to provide it? Maybe you could share some ideas on that. Kyle: Right. We were talking before this we have kids and my kid’s almost 13 years old. His generation they’re so used to standard people on the other end on their phone or they’ll have webcams going, they’re playing fortnite, they’re doing three different things at one time. For my son, it’s nothing just to pick up the phone and facetime his friends. I mean for me I’m pushing 49 at the middle of the month and it’s just totally different. But there’s so many people who like you were saying who are demanding these services now, not just a brick and mortar clinic where you’ve got outpatient speech therapy visits, but for those people in the outlying areas who really want these services and I’ve noticed too that it’s not just send somebody a PayPal link anymore and get paid. Insurances are starting to reimburse as well for online services. Did you come across any reimbursement issues at ASHA? Eric: Yeah, it really wasn’t talked about much as I thought it would be in the courses. But I do know that CPT there’s a reason change in CPT codes related to where the service is rendered and things are definitely going that way that turns in reimbursements. But one thing I have learnt that’s really come to mind recently about transitioning from in-person to online services is that we tend to think a lot about how we do things in-person, how we’re used to doing them. And then we think that is therapy, therapy is how we do it instead of the goals. When online so much of it is how do I achieve that same therapy goal online with a different method. Does that make sense? Kyle: Well yeah. I mean and also just the technology behind it, it can be a nightmare. But over a Blinksession.com it sounds like you’ve got everything kind of under one roof. I was saying too like PayPal, do you guys use PayPal as your payment processor or is it through Stripe? Eric: Yeah, we use stripe to integrate because it’s super easy. Once you have your Blinksession account just go in and click two buttons and you can link a stripe account. If you don’t have one you can set it up with your bank account and then people can pay online through the system. Of course you can definitely use another invoicing system outside of Blinksession. Some people have other systems they’re already using and so we just integrate that feature to make it easy for them. Kyle: That’s awesome. So you’re able to schedule, you’re able to get paid, and you’re able to complete the sessions online. It sounds like you guys are really scaling this thing. What other features do you have coming up in the near future? Eric: Right, so besides the recording we really see that it is an important thing where especially for the school setting. 80 percent give or take of online speech right now is a school setting. So a lot of companies will have a contract with the school who can’t find a therapist locally or they want the virtual experience for some reason. So they have that contract, they end up having meetings with the principal, Special Ed department, parents and to go over IEPs. So we wanted to introduce this recording features so that you could even record your session bring it up there in IEP meeting, you can bring up other documents and all these things. That’s a big feature for us coming out. The other one is we’re going to have a self schedule features. So right now you can log in say your availability for your schedule and then you can set it for other therapists in your organization. But we’ll have where client can log in and then they can schedule themselves if you’ve given them permission to do that. So that way you’re not dealing as much with having to talk to them on the phone. So those little features there’s about 100 other things we want to add definitely to make it easier to do therapy online. Kyle: That’s great. Is it pretty costly to jump on a platform like this or is it something you can work in too or if you really wanted to jump on this platform and start out online. How would you do that? Eric: With Blinksession, go to blinksession.com you can sign up for a trial, you can watch a demo or you can definitely you may ask any questions. And then what we’ve done is if you have five or more therapists, what we found is a lot of private practices that have five plus therapists they want to get into tele therapy but they’re going to be slow at it. So that makes sense. They’re going to ramp up, they’re going to start with maybe four or five. And so what we do is if you have enough therapists we’d give you a custom quote so that you’re not paying as much. Your paying for basically what you use. So go on blinksession.com let us know what your needs are then we can help accommodate the pricing that fits your needs. Kyle: That sounds awesome. Yeah, there’s a lot of therapists out there who are emailing us. I probably get three questions a month about tele practice, tele therapy and just starting out. That sounds like this is a really exciting space for you guys and just to think that you guys started with a brick and mortar speech therapy business and then just said, “Wow what a niche. That’s where it’s at. Just niche niche niche.” Eric: Exactly, in niche you bring that up. It’s so important when you get into any business especially online space because when you go to Google.com you put in a service. You’re competing with everybody, everybody in the country or everybody speaks English for your services and so having that niche is important. In software it is really important from our perspective because we wanted to build something that fit the needs of therapists, not just the needs of people who wanted to have a video meeting. So that was important to us. Kyle: Do you find that more therapists that you spoke to offered ASHA? Were they working more with pediatrics, articulation or did you see more people with strokes and traumatic brain injury or aphasia type therapies or was it kind of a little bit of both? Eric: Well really all over the place, I think any speech therapist is going to know that kids are the majority and then with so many schools having big needs. The school tele therapy space is huge, but honestly our biggest user right now is a clinic that does a facial treatment. So people who have had strokes and obviously your audience would know what a facial treatment is for. Kyle: Absolutely. Eric: But the thing I’ve noticed is that the more specific your therapy is especially in private practice, the more niche specific your therapy is, the better you’re going to be online. So say you do aphasia therapy and you’re really good at that. You’re one of the best in the world at that. It’s gonna be easier to market that to faraway places because you’ll become known as that person, clinic that can do this really well. And people will be willing to go online and do it. And it may be that population who’s had strokes it’s easier for them to get on a computer. You might not think that somebody who’s elderly or over 70 could get on a computer and easily do this but it might be easier for them to do that than to find transportation to a clinic. Kyle: Even in our clinic some of our patients rely on the back of the insurance card, there’s free transportation to and from the clinic. But sometimes there’s three or four people on those Van trans and the patients late. And sometimes they miss half their session. It’s not their fault but they’re totally dependent upon public transportation, Van Tran through the Medicaid or Medicare system and it’s frustrating for them. And you’re right, my dad who’s 83 I was talking to him and he’s looking to get one of these IMax that we built for our clinic. We just switched over to an online medical records documentation system. So we’ve got these IMax that I built later in the clinic and he wants me to mail them one so he can start jumping online and learning about this stuff. So I mean that’s my dad totally from the Southeast Louisiana, 83 years old from a small town and he’s really thinking about. And he’s texting too that’s the funny thing and he’ll face time you once in a while. Times are changing. Eric: Right. Well somebody motivated to come in like that who’s going to be motivated to go to a clinic, do therapy. They’re likely going to be motivated to learn what they need to learn to get online and now a lot of it goes back to what I said earlier about focusing on the results. The result of Speech Therapy is improvement, improvement of your patients life of whatever their therapy goals are. The goal is not just to do therapy. The goal is to see their lives improved and so this online tele therapy option offers that a different way to achieve the same goals. Kyle: This is really interesting. I’m glad you reached out to me so we can tell our listening audience about blinksession.com. Is there anything else that somebody would need to know about before jumping on blinksession.com? Any last words. Eric: No, I would encourage your listeners especially in that Private practice space to kind of think of tele therapy as another option to your in-person therapy. I consult a lot of businesses that want to get online and they want to get into that online space, they want to sell products online. And you’re not going to compete with Amazon.com to sell products and the same is true with therapy. There’s several companies that are big and they dominate Google and you’re not going to really compete with them. But what you can do is go around to those doctors and those other people that referred you and present this as an option. I think that’s a really good way to get started to say, “Hey, we have this tele therapy option. We can provide it online. We have a platform. It’s HIPPA compliant.” All these things and show them the benefits of doing therapy online. Show these refers, how much you can serve people who can’t get to your clinic and those things. Think of it as the same way you would think of doing in-person therapy and that’s really the last word of advice I’d have. Kyle: Yeah. And I guess with patient permission too you could probably show a referring doctor or pediatrician an actual session. May be a 30 or 40 seconds in a session and show him how the kids or the adults really respond to that technology. Eric: Definitely. You got to think as a marketers, as somebody who’s coming in with a new idea and showing them even research articles, look up things. Be prepared when you go in because not everybody is going to be familiar with this or familiar with its efficacy. I think you’ve got to be prepared. But I really would encourage you guys to focus on getting people to referred you for Tele practice. You’re not going to get a lot of customers just you by putting an ad on Google or Facebook, but really focus on that and focus on those people in your community that maybe can’t make it to your clinic or they’re a little too far out, but you can provide this service online as another option. Kyle: Yeah I know a lot of people when they reach out to me or they join the PrivateSLP All access community, people are tired they’re frustrated they’re working 50 hours a week and they think if they just hang that shingle and start that business that those patients are going to just start rolling in. And sometimes it’s just not like that and and that’s why I tell people to please take it so and do your homework and really focus on the patient. This is not about just filling clinic space this is about outcomes. Like you were saying earlier this is focusing on the outcomes and making people better focusing on the patient. And the more that I focus on the patient the better everything gets. The therapists have their work the patients get their help and everybody has. But I think a lot of people they get frustrated because it just doesn’t happen fast enough and I’ve said that before in a previous podcast. This is a long game, this takes years and I’m sure you know your wife is a speech pathologist. When she started that clinic it’s not like people were being in on your door to jump in and when you open those doors. Eric: No, Speech pathology is one of those things where there’s so much business out there. But that doesn’t mean that people are automatically going to know you exist. I can definitely prove that. Same with software you do have to take the time to get out there let people know you exist. And with Online therapy to me it’s just that other piece that your competitors probably in your city are providing it’s that other thing. But you really have to be focused on it and say add a page on your Web site. This is Tele therapy this is why it’s effective and then start really a concerted effort to market it to your community. Kyle: Right. Make it meaningful. Absolutely right. Well Eric thanks for coming on the show today and I know the listeners got a lot of information today and the best place to reach you is. Eric: Yeah, blinksession.com and then if you have any questions there’s a contact form. Definitely let us know. We provide all kinds of services besides the software, we do consulting, for bigger companies custom development and different things, training, we can provide training for your staff in different things we’re here to help people. And that’s our goal is we’re here to help Speech therapists and other types of therapies get online get their services online and succeed online. Kyle: Awesome. Eric thanks again. Eric: Thank you Kyle. The post 45. Teletherapy and Online Therapy Services: What You Must Know appeared first on PrivateSLP.
27 Nov 2018
Cognitive distortions are ways that our mind convinces us of something that simply isn’t true. These irrational thoughts are usually used to reinforce negative thinking or emotions, such as telling ourselves things that sound rational and accurate, but really only serve to keep us feeling bad about ourselves. Generally, these distortions are at the subliminal level, but with awareness they are easily identified. Is this podcast, I discuss the 10 most common cognitive distortions and relate them to our world of speech therapy private practice. In this episode: 01:01 – Wow, it’s a new year 01:06 – Seahawks VS Cardinals, lessons learned 02:15 – Family time is very important – with corn hole 03:07 – Cognitive distortions 03:30 – Common misconceptions of speech therapy private practice 04:20 – Costco, Organic Mighty Green Juice and exercise 05:15 – Backward masking and the Reverse Speech App 06:05 – All-or-Nothing Thinking 06:26 – Overgeneralizing 07:00 – Mental Filter 07:15 – Discounting the positives 07:26 – Jumping to conclusions – A. Mind Reading or B: Fortune Telling 08:30 – Magnification or minimizing 08:42 – Emotional Reasoning 09:01 – “Should” Statements 09:03 – Labeling 09:12 – Personalization or blame 09:17 – Business can be stressful – but don’t fall into the cognitive distortion trap 09:51 – Ready for a mentor? I am taking 2 students – email me with “The Perfect Student” in Subject Line Download PDF Transcription Transcription of Episode Seven: You’ve got to take care of your mind as a business owner, as clinic owner, you’ve got to take care of yourself, especially your mind. You are your most important asset to your business. Well, hello everyone, you’re listening to this Speech therapy Private practice Startup Podcast, this is episode number 7. My name is Kyle Meades and am a speech pathologist since 1993 and this podcast is designed to help you improve your business and your life one podcast, at a time. Well everyone it’s 2016. This is the first episode of 2016. Today is Monday January 4th, I’m really thrilled to be on the podcast today to share with you some things that I’ve been thinking about already this year. We had a wonderful New Year’s Eve I took my family up to Phoenix for the weekend. We went up and shared some time with a very good friend of mine. He’s a clinic owner up in Phoenix. We also went to a NFL football game. I took my son to his first NFL football game. It was the Seahawks versus the Cardinals. Now we live in Arizona, but my son, he loves the Seahawks he loves the Seahawks. So he had his number three Seahawks jersey and I’ll tell you what, the Cardinals got shut down and my friend that I was with in Phoenix he told my son, he said you know you’re going to be crying by the half-time. Because the Seahawks are going to lose and every time the Seahawks scored or made some great play, he turned around and looked at my friend and he gives him that little grin you know that little, I can’t repeat it but that little grin just shuts everybody down. But anyway, the Seahawks won. It was very fun. We had a great family time; we stayed at the Hyatt out in Scottsdale, beautiful resort, beautiful place to stay, the team for West Virginia who played Arizona State. They were staying at the Hyatt. My son was playing corn hole. I think that’s a game that was invented in Cleveland, Ohio if I know my history right, Cornole. Leave a comment if you know where cornole that game where you throw the beanbag up in the air and to the other side, it hits the little board and goes through the hole. Leave me a comment. Seriously, leave me a comment and tell me where cornhole was invented. I think it was Cleveland Ohio because my other half, she’s from Chardon, Ohio, which a suburb or a place out in the country kind of around Cleveland. She says it was Cleveland, but I’m not too sure about that. So let me knew where corn hole was invented. Cardinals Got Killed by the Seahawks Anyway, we hung out at the Hyatt and play corn hole with West Virginia football team who also beat Arizona State. It’s a really fun weekend and I was reading some books and reading some material and I got to reflect on what’s called cognitive distortions and I’m not trying to go all hippie on you, but this stuff is real. This stuff can stop you dead in your tracks, because your mind. You’ve got to take care of your mind as a business owner, as a clinic owner, you’ve got to take care of yourself especially your mind. You are your most important asset to your business. A lot of people think once you start that private practice, you can jet on out to the beach and just, you know, get rich on the beach and live that dream. But you know what, that’s not how businesses is, you’ve got to take care your business, you’ve got a take care yourself. You are responsible for all the patients that come through your doors; you’re responsible for all the employees that you have got to pay taxes. You’ve got to do those things, this is serious, and you’ve got to keep your mind clean. You got to take care of your body. You’ve got to eat well, you’ve got exercise, you can’t drink a lot of alcohol. You can’t get bloated all the time you got a have a clean, pure, clear head to operate a business and you know what, let me know otherwise, but last time I checked, you’ve got to keep a clean head. I go to Casco, I shop at Casco, and so I’m drinking my organic mighty green drink. It’s apples, celery, cucumber, kale, colly greens, lemon, mentees, spinnage, ginger and all these other things that I can’t even say, Barley grass, alfalfa grass. Now for someone who comes from Southeast Louisiana, this was not on our dinner table. We didn’t have organic mighty greens. We had red beans, rice sausage, gumbo, jambalaya, it’s good food but I can’t eat that all the time. I’m trying to take care of myself, I’m exercising I just got out of the gym. I ran 5K, I went and did my stretches. I did my steam session, I did my Jacuzzi, you know I’m cutting up a little bit, listen to episode number six, I’m trying to liven up a little bit, trying to have a little fun. You know, think about it. Try to say Speech Therapy Private practice Startup podcast backwards [unclear] exactly, can you do that backwards? Well I just did I downloaded this, I reverse speech app from the iTunes Store downloaded it and that’s what came out. So I think it’s kind of funny. Trying to liven up a little bit. You know have some fun. You know, have fun, that’s what life is about and download the app it will be fun. Your kids will like it, the kids you work with in your clinic, your kids, you know your own personal children, and they will like it too. I don’t know about you guys, my sons always grabbing my phone and he’s 9, he’s playing on the phone all the time. Dad may I have your phone, he’s got his own phone but mine has more storage and so I’ve got more apps that he just put these things on. But anyway, check out that I reversed speech app and download it and have some fun with that. Cognitive Distortions Can Be Dangerous !! Yeah checklist of cognitive distortions, number one, All-or-Nothing thinking, that’s when you look at things in absolute black and white categories. You ever done that? Number two – Overgeneralizing, that’s when you view a negative event as a never ending pattern of defeat. Number-3 – Mental filter, you dwell on the negatives and ignore the positives. You ever done that? Number-4 – Discounting the positives, you insist that your accomplishments are positive qualities that just don’t count. How about Number five – Jumping to conclusions. There is two parts to that you can be a mind reader or a fortuneteller. Mind reading, that’s when you assume that people are reacting negatively to you, when there’s no definite evidence or B fortune-telling; you arbitrarily predict that things will turn out badly. You ever done that? Probably could write a book on that. Number six – Magnifications or minimizing, that’s when you blow things way out of proportion or you shrink their importance inappropriately. Number seven, Emotional reasoning you reason from how you feel, like I don’t feel like an idiot, so I really must be one or I don’t feel like doing this so I’ll just put it off. Number 8 – Should statements, you criticize yourself or other people with should or shouldn’t or must or adds or have to or similar offenders. Labeling, Number nine – you identify with your shortcomings. Instead of saying I made a mistake. You tell yourself I’m a jerk or I’m no good, or I’m a fool, or I’m a loser, or I’m stupid. Number ten – Personalizations or blame, you blame yourself for something that you weren’t entirely responsible for or you blame other people and overlook ways that your own attitudes and behavior might contribute to a problem. So those are ten cognitive distortions that I came across this past weekend when I was doing some reflection and some reading. I just want to throw it out there because I’ve noticed when businesses, things get stressful or things just don’t go my way. You know look I’m a vulnerable individual. I’m going to throw it out there and life is just not perfect all the time. Oh my gosh, you mean Kyle the podcast guy for Speech Therapy Private practice Startup podcast says his life is not perfect, that’s right. My life is not perfect and I make mistakes all the time, all the time every day and some of this negative thinking, this cognitive distortion comes up and I think it’s important because again, this subliminal self-sabotage, it’s real. It can happen. And it’s important to recognize it shinning a light on and call it out by name. So you don’t make that same mistake because, again, our mind is our most important asset to our business and our profession, and it affects everything. So we have to stay clear and stay on top of things. So I just want to share that with you guys because it’s important. Family Time is Important You know if you have any comments or feedback please send me an email to firstname.lastname@example.org or you can send me a Tweet, my handle is privateslp you can use #privateslp when you are commenting. I wanted to also give you some information right now I’m looking for two students. Since this is the first half of twenty sixteen I’ve got some time for two extra students. You would be able to fly into Tucson, come spend a week with me in the clinic and I can show you how to run and start up your own clinic or your own home health business. You can have direct access one-on-one access to me for at least six months, I’ll answer your questions, give you honest feedback. Real advice, I’ll be your personal coach, so to speak. This isn’t free, but for the right person. It’s got to be the right fit. You know not everyone is designed to be together. So what I’d like you to do if you think you have what it takes to start your own private practice and if you think that twenty sixteen is your year to be successful in private practice and speech therapy private practice I want you to send me an email to email@example.com and in subject line I want all caps I want you to put THE PERFECT STUDENT, because I think if you have what it takes and if you have that drive and you have that dedication. I want to work with you and I want to show you how to do this the right way, because you know right now we have twenty five part and full-time employees. You know we’ve got benefits now in a clinic for our employees. You know we’re just growing. We see over twelve to thirteen hundred people per month. We do excellent work in this community and we’re very proud of it and I want show you how to do the same. So if you think you got what it takes seriously send me an email to firstname.lastname@example.org again the Subject line THE PERFECT STUDENT and I’ll get that e-mail and I’ll see if we got a match. So, also I’d like you to help others by doing one small tiny step. I want you to go to iTunes here and I want you to click on five-star rating and share your personal comments about this podcast because I want other people to have value to ad again value is what you get in the absence of money and this is a very, very valuable podcast and I want others to be able to find it easily. So please help others to find this podcast easily by giving it good, honest feedback, give us a good rating five stars would be very very appreciative and again, this is thank you for listening. If you have any questions, leave your comment to the bottom of the post. Have a wonderful week, folks. Thank you. The post 7: Cognitive Distortions That Affect Business Growth appeared first on PrivateSLP.
7 Jan 2016
49. Fully Committed and “All In” in Speech Therapy Private Practice
In this episode I talk about the idea and mindset of being fully committed and “All In” in your own speech therapy private practice. So many times people start their own business and simply give up. They quit because they can’t seem to cut away from their job, or they just don’t have enough patients coming into their practice. Most often, they quit before miracle. Also in this episode I take time to recognize a very busy and motivated speech therapist Grace Tan Cheng Man, a speech therapist based in Malaysia who has an online magazine! In this episode: 01:08 – Value, Value, Value, 03:37 – Grace Tan Cheng Man, Malaysia Speech Therapist 06:07 – Becoming an Independent Speech and Language Pathologist 07:34 – Required Mindset for Private Practice 09:40 – Establishing a solid foundation for Speech Therapy Private Practice 11:51 – Motive for startup 18:45 – All In 20:10 – Self Honesty 20:51 – Worried? 22:52 – Getting Paid DOWNLOAD PDF TRANSCRIPTION [Commercial] Well, Hello everyone you’re listening to the Speech Therapy Private Practice StartUp Podcast. This is episode number 49. My name is Kyle Meades and I’m a Speech Pathologist since 1993. And these podcasts are designed to help you improve your business and your life one Podcast at a time. Welcome back to the show everyone. Thanks again for all the emails and all the questions. As of today, today is June 26, 2019 we have well over 51,979 listeners to the show and I’m super fired up. You guys are out there getting good valuable information and it’s free for you. And you know me I say it every single podcast. It wouldn’t be my podcast if I didn’t say it, “Value is what you get in the absence of money” and these podcasts are free for you so what I would like you to do is, just simply go to the iOS or Android platform of your choice and just leave some five star feedback that way other people just like you can get the same valuable information that you’re receiving right now because it’s important to give back. And when I started this podcast over three years ago I wanted to give out as much free information as possible and to do that I want to be able to drive traffic to our website and we’re doing great. When you Google “Startup Speech Therapy Private Practice”, we’re right there on top. I mean we’re helping a lot of people, I get a lot of questions during the week and I’m doing conference calls and coaching calls with people in the All access community. And they’re always wanting to know how do you do it all. Well that’s because I have a team I don’t rely as a podcaster and as a business person, I don’t rely on other clinics to show my subscribers and members of my community how to do things. We do it all here in-house so if I want to teach one of the access community members about billing we can get on the phone to have a coaching call with our billing department. We have a referral department, we have a scheduling department, we have a team of therapists multidisciplinary team of people and locations where we can help as many people as possible. That’s from patients all the way to all access community members so if you want to learn how to start your own practice, you’re in the right place. And again if this is your first podcast, welcome, start at the beginning and work your way through all 49 episodes along the way. If there’s anything you need from me, all you have to do is reach out to me at privateSLP.com/contact and I’ll help you. I get people all the time that say, I can’t believe you’re just picking up the phone and calling. Well absolutely, I’m picking up the phone and calling because I don’t like typing emails. It’s just too much work so I’d just rather get on the phone, talk to you, see what’s going on in your business and see how I can help you. Because there is a solution, if you need help with your billing or credentialing. Let me know we can help you. If you want to start your private practice let me know we can help. If you want to grow it and scale, we can help you with that too. Because with all the experience that I’ve had doing this there’s always an answer, so I’ll be more than happy to help you in anyway that I can. OK. Today I’d like to answer some questions from Grace Tan Cheng Man she’s a certified Speech therapist and she’s a member of the Malaysian Association of Speech-Language and hearing. She’s a candidate member of the Malaysian Writers Society. She’s also certified in Hanen. She also is certified in Picture Exchange Communication System and Vital stem. She also has expertise in Parental training on Hanen. She also does talks on breastfeeding, feeding disorders and feeding therapy talk tools and also written communication therapies and her website is Gracetanchengman.com and I’ll leave this in the show notes below. But she simply reached out to me and wanted me to answer some questions for her so that she could share with her listeners. She’s definitely a motivated individual. And she has her own magazine online. It’s a subscription based model so I wanted to answer some questions for her so let’s get to these questions. Question 1: “I always come to the words of Freelance. In Malaysia, we use the word “freelance”, for describing the Speech therapist who work on their own practice. So may I know what it is called? Is Freelance equivalent to the definition of Private practice. Or do you refer to those Therapists who own a center? Please advise.” That’s a great question. So basically the question is about what you would call someone in a different setting basically freelance or a Private practitioner. Now here in the States we have multiple places that we can work in different settings so to speak. So when clinicians work as a Speech and Language Pathologist we can work in an outpatient clinic or an inpatient hospital or a school setting or a private practice. It can be in the community and when people work for someone else they’re generally an Employee or a licensed Speech pathologist who works in a different setting. But when I know other people when you want to work for your own, when you want to be outside of an employment agency or you want to work for yourself, and kind of hang your own shingle for your own location, you can call yourself maybe an independent speech and language pathologist or a private practitioner or a center based SLP or community based SLP. Here’s one how about PrivateSLP or even PR in, that’s when you kind of part time your way around different settings or something like that. But I think for this question when you have your own business, when you have your own clinic, I wanted to start my own business and I wanted employees in that business so I try not to put my name on the business that way I can hire a team to help serve those who need Speech occupational, physical therapy services in our area. So I hope that answers that question. Let’s go ahead and go to the second question. Question 2: “So Mr. Kyle as you know what is the meaning of Private practice, it seems like a very new subject for those Speech therapists who used to work in the center, who work for the center rather than working on their own. So before we start any new venture we might be afraid of the uncertainty. So from your experience what are the mindset for Private practice startup. Kindly mention the mindset we shall have for those Speech therapists who are wishing to have their own practice.” The mindset needed for private practice I mean for me and I’m only speaking for myself but its drive. I just had to have a lot of drive. It’s scary, it’s the unknown and I just don’t know what else to call it. I’ve got something in me. It’s just a fire and I just can’t stay still. I just wanted to make my own business I know what I want and I know I had an expiration date on this. I mean after Hurricane Katrina I knew that I only had a limited amount of time to make the move and I just had to take care me and my family and so I also didn’t understand the meaning of No. I’m a very hard headed individual which means in the States somebody who just doesn’t take No for an answer. My grandfather was the same way I think it’s a personality trait. But besides drive and not really taking No for an answer kind of what this podcast is today it’s about being all in attitude and just being 100 percent committed to being the best clinician I can be for my patients to come to see me in my office. And really I think for most it’s legitimately wanting to do a great job for the patients and families that we serve. I’ve seen and talked to people in our profession and you can always tell when someone’s taking the job for the money or if their heart’s in the right place and definitely I think the people who are the most successful at private practice are the ones that you can just tell it who’s is out of their system. They want to make a difference in their patients and their families because really for me it’s not about the money. It’s about how I can help other people and help as many people as possible so I hope that answers the question about the mindset needed for private practice. Let’s go to the third question. Question 3: “How to prepare our self and how to tell that we are really ready for a private practice startup? Maybe you can give us some advice on how to get a solid foundation to start a private practice.” Well to have any business that’s successful and to have a solid foundation I mean specifically for Speech therapy we have to have patients, we have to have a referral source. So I think having what’s called an offer that converts at its simplest form is how that you are going to have a solid foundation. So let’s think about that an offer that converts what’s our offer in our Speech therapy private practice. Well, obviously it’s speech therapy services for kids or adults or whatever market that you’re going after. So you have to offer a good solid treatment for the patient at an affordable price that they can afford so they can come back again and again and get the help they need from you and you have to set yourself apart from other people in your community. So I think that referrals are very necessary to have that solid foundation because if you don’t have a patient flow then you really don’t have a business do you. Also another thing that I would focus on is community alliances with pediatricians or doctors offices, psychologists or referral clerks in the area and really being very embedded in your market in your community having talks, you can go to the library and educate families on what speech or language disorder is. I mean being a very big advocate in your community and to me I think that is what makes that solid foundation for Speech therapy private practice. Let’s go to question number four. Question 4: “In my personal words, your PrivateSLP podcast is really amazing. What motive do you have to come up with something so fascinating and influential. Is there any incident or any event that pushed you to come up with something that is so amazing?” My motive behind the creation of PrivateSLP.com and the All Access Community where I coach other people to start, grow and scale their own private practice and even the motivation to start my own business to start what I’m doing is really simple. I love helping other people I genuinely love helping other people I like watching the light bulb go off and I like helping other people. I like coaching people and I remember after Hurricane Katrina, I was living in New Orleans and I lost that job that I had and we were uprooted from New Orleans to Arizona and there was this little window of opportunity where the light went off. I remember talking to the accountant at the time because I was trying to get my taxes in order so I could file my taxes and because we had some losses in New Orleans and things like that. But I just remember she saying you can always go back and get a job. You can always go to the school or the nursing home and that just really made sense to me. And when I was younger and graduate school I used to make study guides. I would take my notes in class and I would make them into colorful notes in packets that I could sell. So I really like to sell things when I lived in New Zealand. There was a time where I lived in the Northland. I worked for the Northland District Health Board. I used to import and export different things I also used to study information products at that time. Some key players over in the New Zealand and Australia market who really helped shape the way that I made information products so that was a big thing. I like to motivate others but really I think Hurricane Katrina was the best thing that ever happened to me because after Hurricane Katrina I had a decision to make. There is never a better time to start something when it’s uncomfortable and I had to take care of my child my family. I had to make money and I just had to do what I had to do. So this whole PrivateSLP part of this was just documenting everything that I do in my Private practice so I could teach others how to do it. So really when someone asked me for coaching, when someone wants to become an All access community member at PrivateSLP.com then I can show them step by step what I did to create what we have here in Tucson Arizona, the multidisciplinary clinics at multiple locations. So that was really the motive behind PrivateSLP documenting what I’m currently doing clinically here in Tucson Arizona so that other people can learn. Let’s go to this last question. Question 5: I think we’ve listened to all the podcast. Can you tell us a little bit of your background? Like what is your education and what is your background, your interest and your specialties so that our readers can understand you better. Thank you. My background is pretty simple, I have humble beginnings. My father was a plumber. He did not graduate high school but he had a serious work ethic. My grandfather was also a union pipe-fitter which means my grandfather did water pipes and built hospitals. I remember as a small child I go to see my grandfather work and here they are building these big hospitals in a town called Morgan City Louisiana. It’s kind of in the bayou area. But I remember going to see my father and I just really thought it’s really cool my grandpa was building all these big malls in Baton Rouge and it’s just really neat. And I remember my dad, he was a plumber. He had over 100 employees at one time in his business. And I remember I just got the taste of money, I remember one summer my father asked me if I wanted. Well he didn’t ask. He said you’re going to work with us this summer because you’re out of school and I said well I need to take a break, it’s summer. He said now you’re gonna come work with me I’m going to pay you. So I would get 80 to 100 dollars a week and I got a company paycheck but I really worked hard. I remember my dad saying, “Son, you are the owner’s son but you’re going to have to work harder than other people to show them that you’re not some spoiled kid who just sits around and gets anything you wanted. For some reason that stuck and I remember my dad used to tell me. He would say, “I need you go out to the plumbing shed out there and make some gas line for me. I need 100 of these fittings and 100 of those fittings.” And I just remember one time going into the office and I said Daddy it’s really hot in southeast Louisiana, it’s really hot in August and September in the summer. And he said, “if you want to come sit in the air conditioner maybe you might want to think about going to college. But right now you need to go out there and do what I told you to do.” And things were non-negotiable back in the early 70s, so it’s a completely different world now. But that really shaped me just being around my father and I remember my dad he used to pack me around on his shoulders and I was a little kid and we’d be at the fair and I remember him having conversations with other men about business and of course I didn’t know what they were talking about but something about my dad’s voice. He would shake hands and those were handshake deals and he kept his word. He was honest still is. I’ve talked to my dad almost every day. And my father was just a big influence in my career now. I went to LSU and Baton Rouge, I’m a graduate of Louisiana State University. I went to graduate school at LSU Medical Center Louisiana State University Medical Center in New Orleans and did the program there for two years. I moved my first job was in Whitesburg, Kentucky for Appalachian Regional Healthcare and then from there I moved on and went back to New Orleans. And I’ve lived in New Zealand, I’ve lived overseas. I’ve traveled, I’ve worked in all the settings known to man for speech and I just love doing what I do and helping people. I’ve got one son and he’s now 13 and we ride dirt bikes and we have fun. He loves skateboarding I’m an active parent and my son’s life and I care about him and his school. He’s a smart boy and I’m just trying to show my son a good example of what a good father and a good parent can be and that’s one of the reasons I like to do what I do is kind of document the stage in my life, the growth of our business. Document the people that we help in PrivateSLP.com. So that’s a little bit about me and what really early on shaped me to be what I am today. And I just wanted to say thank you for sending these questions to me and I know the reason that I’m playing this for our listeners is I know that our listeners just like your listeners in Malaysia will get a lot of value out of your question. So again thanks for sending those questions to me. Now Today’s episode is about ‘Being All In’ and when you think about being all in, a kind of think of it as is like breakfast. The head makes a contribution to the breakfast but really the pick is the one that’s all in, right. And the biggest question that I hear all the time is when you started, why did you do it? Now for me I wanted more time with my son. He’s now 13 but I really want him more family time, because after Hurricane Katrina I needed a life change and I said this is the best time for me to start from scratch. So I just did it. But you really have to ask yourself when you’re going all in. Why do you even want to be in business? Is it just for more income or do you want to have more time with your family or is it personal growth time? Do you want to just the challenge of it all? Do you need a career change? Maybe moving from more treatments to more of a management role so those are some questions you have to be very honest. Because I talked to a lot of practice owners and some of them are just kind of dabbling in the fact that they want to be in private practice. But when it comes down to it they’re still relying on their job and their paycheck from their employer so they can make ends meet or they’re run in high debt – credit card debt, consumer debt and that’s not a good place to start. I remember when I made that step to being all in, when I made that jump on I made that leap. I had to get very honest with myself. So that’s one of the biggest questions I would say to you as a potential practice owner somebody who really wants to scale it, why do you even want to do this because if you don’t set it up right the first time it can be really difficult to manage it later on. So that’s one of the greatest things I think about being a member of the All Access Community at privateSLP.com, is you’re learning from experience and I’ve made tons of mistakes and I document those mistakes in the community. So it’s just another way to reassure you that you can get what you need. Now a lot of people the second question is, “How do I even start?” Some people use that term, “fake it till you make it.” I disagree, there’s no way to fake. Being in business there are some things you can’t do to make it look like. You’re a big business owner like with your phone systems, answering your phones, returning your phone calls and hiding your number, to be a big clinic number or having a bunch of zeros at the end of your number but at the end of the day you’ve got to have a good service to give your patients and if you don’t have that. You’ve heard me talk about this in other podcast. You got to have an offer that converts and an offer that converts at its basic form. You have a service to provide in exchange for the fee and you provide that service and you provide it to the best of your ability. And when you do that well and take care of your patients and families, you’ll see what I’m talking about. You have exponential growth. And again that’s how you start to got to have an offer that converts, you got to have strategies, systems and you may want to make sure you’re providing the best location for your patients and your service delivery. Is it going to be group or individual or if you’re going to take insurances or if you’re going to just do packages, cash deals and things like that. So when it comes to starting how to start, that’s another thing that the All access community talks about. How to even get credential with insurance companies if you want to take insurances and people say, “Oh, what a headache.” But there’s a way to do things appropriately. I talked to a business owner recently who was working and just really working hard but she was doing her billing at the end of the week, one time per week she was doing her billing and she couldn’t figure out why she couldn’t get paid. And I said the first thing is when you see a patient you got to get your money and that might be in a check or a credit card or bill the insurance with a copay or deductible or coinsurance. And again this might be confusing to you but it’s a lot of information but you can get paid at the time of service. And another reason to bill at the date of service is because the following week you can give the patient a copy of the EOB once that claim is processed and you can say this is what you owe per visit. So it’s really clear. But again billing in accounts receivable two totally different things. I always use the expression you can train a monkey had a bill, but it’s an art in a science to be able to pick up the phone and call the insurance company to work your denial. So again how to start, you got to make sure you’re going to get paid and you want to work your claims. And also when to start” Sometimes people say, “Is there a better time to start during the year, anywhere when than January or June or in December? Really, I don’t think that makes a difference. But when it comes to insurance as you have to remember about deductible. Many people’s insurances have deductibles and those are generally met by the fifth of the six months. So when it comes to cash flow from insurance companies you may want to consider starting in June, July or August or something like that. But that’s just a suggestion. Every place is different, every market is different, every city is different, just depends on your demographics and your patient. But again in this episode I wanted just to kind of review being all in and why you even want to be in business and how to start and maybe when’s the right time to start. So I hope this has been a helpful episode for you. And if you have any questions about growing or scaling your own Speech therapy private practice you can reach me at privateSLP.com/contact. And as always, thank you for listening. The post 49. Fully Committed and “All In” in Speech Therapy Private Practice appeared first on PrivateSLP.
29 Jun 2019
16: Accepting Insurances: How to Have a Successful Speech Therapy Private Practice
Many people contact me and ask this question, “How do I start a speech therapy private practice and just take cash and not deal with insurances and minimize headaches”? There isn’t an easy answer to this question, because with the increase of consumers forced to have insurance coverage, people want value. Patients want to use their insurances to cover medical services, and that includes therapy services. I truly believe as clinicians and business owners, we owe it to our patients to accommodate everyone. That is why I choose to take cash, insurances, Medicare and Medicaid as forms of payment in our clinic In this episode, I talk about this and other aspects of the cash-versus-insurance topic. Television Advertising Still Works Today In this episode: 01:08 – Over 4817 listeners from various parts of the world 01:52 – The Perfect Student 02:35 – Question from Andrew 04:32 – Survey in your area for Pricing 06:33 – Multiple payer source 07:22 – Insurance is not always a headache 08:54 – Old school tactics 10:16 – Biggest marketing secret 11:49 – Membership section of privateslp.com Download PDF Transcription You just turned an Insurance client into a cash pay patient, so that’s another way to think about it. Why settle for only forty-five dollars a visit when you might get a higher rate of reimbursement. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 16. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Welcome back to the show and I want to say Thank you for listening. Thanks for all your emails, thanks for the feedback on iTunes I really appreciate it. And as of today, August the 6th 2016, we have over 4817 listeners from various parts of the world, like United States, Australia, United Kingdom, Canada, India, Israel, Philippines, Turkey, Singapore, we have people listening from all over the World. Its really nice to have all you guys listening and if you wouldn’t mind, jump in and chime in, go to Privateslp.com and at the bottom of each podcast post you’ll see a place for comments. I really appreciate you guys leaving comments and if you don’t mind leave some comments down there. Chime in, start telling me what you’re thinking so I can drive and steer this podcast to what you want to hear. And also too if you’re interested in working with me, please send me an email email@example.com. Please put THE PERFECT STUDENT in the Subject line and tell me a little bit about yourself. Go in the detail and let me if you’re just starting out or if you’ve been working on your private practice for sometime, if you’re so practitioner, if you have employees, let me know some information about you so that I can help you better. Right now I do have a waiting list but I am accepting people. Just again, please give me as much information as possible and make sure you put a valid email address in there because likely I do email people back and their email are bounced for whatever reason and I just can’t get in touch with you. I just want to make sure I can help you so give me as much information as possible. I want to start today’s show with a question and this question comes from a person named Andrew and it says, “Hi Kyle, my wife wanted to start a private speech therapy practice in our area. She’s been working for a local school for the past 10 years and she’d an itch for a long time to go out on her own. She is almost to the point of launching her own business. She loves Speech but dislikes the business and technology part of it and that’s where I come in. I created a website, I setup her phone system, I registered her EIN, I took an old MacBook upgraded from 4 GB to 16 GB of Ram. And I’ll be doing the marketing and of course listening to your Podcast. We’ve learned a lot along the way and there are two things we’re worried about and hopefully you can help me with that. Number 1 Pricing. How much should be charge for services? What if our local Speech therapy practices in our area charges fifty-five bucks for half hour and three hundred for the evau. My wife wanted to charge forty-five dollars for half hour and two hundred for the evau. I thought it might be too low. She wants to do private pay and I have to deal with the Insurance companies. Number 2, How to get clients. This is one of my wife’s biggest fears. What if we put all this work in starting get out and we just don’t get in the clients. I assured her that her field as you know is a very in-demand field. She’s going to work part-time for the school while she gets it up and running. What type of marketing have you found that works. Thanks for all you do, your podcast is great. Andrew.” Well Andrew, I wanted to say thank you for that email. Those are great questions, so I wanted to take the time. I know you wrote this to me couple of weeks ago and I wanted to take the time to really think this out for you and give you a good answer. I really believe that taking my time and being through with my answer will help you and others. That’s why I wanted to go and make these questions into a Podcast. Let me go and get started. When it comes to pricing, you want to do a cost survey in your area. Now there’s nothing wrong with fifty-five, fifty or forty-five dollars per half hour. That’s a very good solid price point. As far as the evaluation, two hundred fifty or two fifty five or three hundred dollars for the evaluation, obviously that’s going to take longer, because you got to do report, you got to send that report to the pediatrician or the doctors office. I get it. We are going to take more time on the Eval. When I started my own private practice, I knew I wanted to be an employer so when you’re asking me questions about pricing and taking an insurance plan. I get it, I understand. There are lot of physical therapist out there who podcast and blog about the cash-based business model. I totally understand. Insurance companies can be a headache. I totally get it. You’re preaching to the choir. But let me tell you this, I wanted to be an employer. I wanted to change lives for the better not only for my patients but also the employees who work with me. If you go back and listen to those earlier podcasts, you’ll hear me complaining about the places I used to work. For Christmas, we got a chocolate or cherry pie. It was my choice either chocolate or cherry. It was a frozen cisco pie. We had to by end of this fake culture in order to keep our job. It was horrible. So when I started my own private practice, I wanted to grow it and scale it as big as I can get it. I am still doing that today; because of insurances I was able to that. I am going to share with you my own personal experience and I totally understand a lot of people don’t want to deal with insurance companies. I was always told from the get go and I did talk to a lot of private practice owners before I started. Why would you only limit yourself to one payer source, you want to take multiple payers. Multiple payers might be cash or insurance or what about working with an attorney doing leans for people who have been in accidents, who need cognitive training. There are so many different things out there, why would I want to just limit myself to one payer. I think its smart Andrew that your wife is doing working part-time at the school and slowly building this thing up because you don’t want to go out there and borrow bunch of money from Banks because when you do that you are really working for the bank. I think what she’s doing is very smart and she’s got you to help with all the technology, website and marketing and that’s a really good solution. But please don’t forget Insurance is not always a headache. Lets say you want to just focus on forty-five dollars per half hour treatment, what if an Insurance company would reimburse you Seventy-six or Eighty-two dollars per visit, what’s wrong with that. And it’s just as simple as going to a computer program, inputting that charge, hitting enter and it’s done and maybe you get a cheque three days later. Sometimes it’s that simple. I will be honest when I say that yes, there are headaches to insurances. Sometimes Insurances play those games like United Health care and Cigna, they play that game, like we need a prior auth or its got to be medical necessary. But don’t forget sometimes lets just use an example for United Health Care, if this were covered by your Insurance your co-pay would be forty dollars for those treatment. However, this is not covered in our cash rates forty-five, its only five dollars more. You just turned an Insurance client into a cash pay patient, so that’s another way to think about it. Why set off only forty-five dollars a visit when you might get a higher rate of reimbursement. That’s another way to look at it. We talk about marketing; I’m kind of old school when it comes to marketing. We do have a Facebook account at our Office. I do have a Twitter account but we do advertise with Twitter and we do some Facebook advertising. When I am really finding that works, its just old school tactics going to the pediatrician’s offices, doctor’s offices, introducing myself, giving them a copy of my Insurance list and saying, “Hey, here are the payers that we take. If you have any patients who need Speech therapy, here they are. We take all medicate, Medicare plans, third party liabilities, we take all these payers. So if you have the need for speech, fax the referral, here’s our Fax number. We’ll get your patients taken care of. Meeting personally with pediatricians and physicians offices, getting to know your referral clerk that’s a big thing too. Also I like going on television, I’ve been going on a morning talk show. I got invited monthly to do a morning talk show here in Tucson. That’s been very positive for me when I take that link from the TV station on their page; I send it out through Facebook and pay for advertising that way. And we just get a lot of marketing that way. Also too you can make pamphlet, you can hand those out of clinics. But I think the biggest thing as a clinic owner that we can do is treat those patients, get on work done, get those kids work done and treating with respect do wonderful treats. And those families will go back to that doctor and thank them for sending their loved ones to you and I think that’s the biggest marketing secret that I could share doing good quality work, not really focusing on the money part of it. Yes, it is important we got to pay the bills but if do a good job and you do this right, you will have the work. I’ve talked about this in another podcast about not being flaky, scheduling people appropriately, not being late for appointments, making patients accountable for missed appointments, no shows and late arrivals; and it works on our side too. We’ve got a show up and do our part too. But if you do the right thing, take care of those patients; that will do more than Facebook, Google, Website and talking referral clerks. It will happen but it’s a slow steady process. And I think your wife is smart for keeping her job while she builds her private practice up. It’s a lot of work and I notice in your question, you say what if this doesn’t works out. This a lot of work to get it started. It shouldn’t be too much work though to get it started. If you’re leasing a building, you’re going to have a lot of pressure there to meet your rental bill every month. I would recommend starting out may be a separate room in your home or an Office sweet where you’ve got a low rent and overtime you can grow and may be move from one office to two offices the three rooms, four rooms. I did a podcast about that recently in talks about your First Office. So if you check that podcast, that’ll give you some more information. We have a membership section of privateslp.com, its almost done. I know people have asked me about it, “Hey, when this membership website going to be ready?” I’m being putting some content on there and I’m almost done. I go into specifics on how to bill it, collect it, document, also how to just get paid because we’re really good at that in our clinic. We’re really good about getting reimbursement from Insurance companies. Andrew, I hope this has helped answering some of these questions that you and your wife have about starting your own private practice. To sum it all up, just do it. Don’t get in to the whole analysis, paralysis thing because I really believe a Speech pathologist, we are a certain type of personality, we are a certain type of people, we tend overthink things. We want to solve all the problems. Its almost like we have this perfectionism about us. We want to get everything done so right and perfect. Don’t fall into that trap, get moving, get started, get your first patient, get that person scheduled, take that payment, get a credit card, just start with square up. It’s an app in your phone. Its 2.75 % for swiping a credit card, yeah that’s expensive but move this up and cheaper later, get it to about five or six thousand a year from swiping or ten grand a year. Then you can go get your credit card system to a bank like Bank of America or something, but get started. Get into action, do something that’s in your future goal. Get that first patient scheduled; it doesn’t have to be perfect because when I get into that whole analysis paralysis, nothing gets done. Just like this recording, I got to hit record and talk, and go over my notes and just say it. I hope you guys have had a good listen on this podcast. If you have any question, send me an email firstname.lastname@example.org. Thank you for listening. The post 16: Accepting Insurances: How to Have a Successful Speech Therapy Private Practice appeared first on PrivateSLP.
17 Aug 2016
Most Popular Podcasts
31: Revenue and Expenses in Speech Therapy Private Practice
In speech therapy private practice, there are two things that really matter if you want to stay profitable (and open for business). In this episode, I discuss revenue and expenses and the importance of managing the flow of money coming into and out of the practice. In this episode: 02:00 – Listener Statistics 02:40 – Staying Connected 03:45 – Revenue & Expenses 04:18 – Profit & Loss 05:50 – CPT 92507 Untimed Code 08:20 – Managing Expenses 10:40 – All Access Community DOWNLOAD PDF TRANSCRIPTION Now with insurance remember in speech therapy we bill the code 92507 that’s what you bill. But don’t forget this goal now 92507 is an untimed code, it’s non-time, it’s not time. So in other words you don’t bill 92507 by the unit, you bill one visit 92507 and that’s it. Unless you have a contract that clearly states that your 92507 is per unit. And I’ve only seen that one time. So again 92507 is a non-time code when you bill that out and you look at your EOB’s when they come back you want to see what your reimbursement rate is and then you want to see how long you’re seeing that patient for because again if you are giving away more time than what you’re bringing in you’re losing money you’re giving away revenue and that’s going to put you in the negative. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 31. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Welcome back to the show everyone. Thanks again for all the emails and all the questions. And as of today today is Sunday October the 29th 2017. We have well over 24,122 listeners to the show and when you break that down all over the world you’re going to find the United States tops the map and then we’ve got Japan and then Australia, the U.K., Canada, Germany, India, South Africa and Singapore. And then when you look at the United States as a whole the top state that listens in the most right now is California, then Texas, New York, Florida, Arizona, Illinois, Pennsylvania, New Jersey and then Maryland. So that’s the distribution of our listeners out there and again if you’re brand new to the podcast. Welcome aboard and I hope you find some good valuable information, if you want to start and grow or scale your own Speech therapy private practice. And if you go to the front page privateslp.com that main index landing page you’ll see a place there that says “Stay connected”. Go and put your email address in there and I’ll send you some information on Speech therapy private practice events and that may be in your area in the near future. I really don’t send a lot of emails, for those of you who’ve been around since day one and it’s been about three years now so it’s really nice to have you guys still out there listening. But you know I’m not a spammer. I don’t have a lot of corporate sponsorship. I’ve had a few people lately who want to put some advertisements on the Web site. I just decline it. I just don’t want that and I want to keep this free of charge. And for you guys we don’t need a lot of advertisements at the moment so I declined those and so again if you want to stay up to date with Speech therapy private practice and also too there’s going to be a PrivateSLP live event coming up pretty soon so you may want to go ahead and put your name on that list, again privateslp.com. Now I wanted to talk to you today about a very basic model that something I follow on a monthly basis. It’s called Revenue and Expenses. I’m going to take a shot of this white board that I have right in front of me right now for this podcast it’s my notes but I think it’s important for you guys to follow this model. If you want to stay profitable because if you’re not profitable you are no good to yourself or to the patients that you serve. If you can’t stay profitable you can’t stay in operation. If you can’t stay in operation you’re not going to be in business. So what I wanted to do I wanted to do a podcast on Revenue and Expenses. Now this is something that my CPA we meet once a month and I get what’s called a P&L statement, Profit and loss statements what money comes in and what money goes out. I do this every single month with my CPA and she is really smart and she’s always talking about these things that I’m going to share with you today so free of charge here we go. Now when it comes to revenue you’ve got a graph, we’ve got revenue on the left and expenses on the right. Now what are some forms of revenue for your own Speech therapy private practice. Well those are payments and those can come in the form of cash or a check or credit card or insurance. Now with cash, Cash is king you hear it all the time. And if you can go ahead and take the cash. Now also too, our patients write checks in our clinic. We also take credit cards. We started out with square, but square is really really expensive. Its Okay. When you’re doing home visits and you need to have that payment processor when you got your smartphone and you want to go ahead and collect your payments at the time of service in the clinic or in the community so square is an option. But look at Amazon they’ve got a payment platform out there too. It’s a little bit cheaper. Now what we do in our clinics now we have a bank processing through Bank of America and it’s really really affordable. So we’ve saved thousands by switching from square to our own bank processing platform. But again shop around, now that’s the other form of revenue for your clinic. Now with insurance remember in speech therapy we bill the code 92507 that’s what you bill. But don’t forget this goal now 92507 is a untimed code it’s non-time, it’s not time. So in other words you don’t bill 92507 by the unit, you bill one visit 92507 and that’s it. Unless you have a contract that clearly states that your 92507 is per unit. And I’ve only seen that one time. So again 92507 is a non-time code when you bill that out and you look at your EOB’s when they come back you want to see what your reimbursement rate is and then you want to see how long you’re seeing that patient for because again if you are giving away more time than what you’re bringing in you’re losing money you’re giving away revenue and that’s going to put you in the negative. So again revenue on one side expenses on the other. Make sure that your revenue exceed your expenses. Now on the other side of the column we’ve got our rate. We’ve got our electricity. We’ve got our wages. We’ve got Internet. We’ve got phone. We’ve got Insurances. And when I say Insurances, professional liability and general liability. What’s professional liability? Well that’s simply insurance that covers you as a practitioner. General liability covers the office. The things like slip and falls or anything like in fire hazards, that’s general liability. Then you’ve got advertising and credit cards. So just off the top of my head those are some of the major expenses that we have in our office. Now if you look at the third one when it goes down to wages, you have to pay taxes, you have quarterly taxes, and every time you run payroll you’ve got payroll taxes withholding. Now in my clinic I choose to have employees W-2. I don’t really mess around with 1099. That’s because my CPA she’s the smart, when she tells me what to do and I just say yes ma’am thank you. So again we have to pay payroll taxes, we have to pay quarterly taxes, we pay income taxes all that’s in there. Now with the phone we’ve got our clinic phone. We also have our cell phone. I recently switched my cell phone plan from Sprint to Google Fi. And Google Fi, I encourage you to check out Google Fi on our page privateslp.com. We have a place for services that we use often and there’s going to be a link if you want to click on that and check out Google Fi. I have just found that Google Fi coverage is incredible. The price is about half so for our phone our cell phones in the clinic we use Google Fi we’ve been really happy with it. Now also to the credit card. I’d like American Express I like my Amex platinum card. The reason is I’ve been a member with American Express since 1993. I get tons of perks. But the main reason is when I need to pay that bill I can’t pay just a little bit. I’ve got to pay it all off so I need that discipline so I choose to use American Express Platinum card services for our business. I do have a city bank card through Costco. It used to be American Express but they switched to Citibank so we have a Costco card for our business and our office manager has one of those and then we have the American Express Platinum card. So again if you go to privateslp.com/services you’ll see some links there for credit cards and cell phones and things like that if you want to see what we’re using as well. And again I like to pay my balance in full every month. That keeps the credit score up it keeps the cash flow going and so we can stay operational so that patients can get what they need the employees can get what they need. And everybody is happy. So again revenue on one side, expenses on the other. Revenue, you’ve got insurance payments. And again watch your timed codes and non-timed codes. Speech therapy – 92507 that’s a CPT code that we bill out for speech therapy all the time and that’s a Non-timed or un-timed code. Then you get cash as far as revenue then you get checks and credit cards. Expenses – rent, electricity, wages, taxes – quarterly and payroll taxes, Internet phone, clinics cell phones, Insurance – professional liability & general liability, advertising and then credit cards. If there’s something you think that we may have left off in this podcast go ahead and mention it in the comments section below. But I hope you’re getting some good valuable information out of this podcast and if you need help don’t do it alone. We have a coaching platform where we help people just like you start grow and scale your own Speech therapy private practice. There’s a couple of options there you can take off for a couple of weeks come into Tucson I’ll help you hand in hand. I’ll show you how to set up your own business and get going. Or if he can’t do that we have an online coaching platforms called the all access community. Go ahead and look at that too. And as always if you need help reach out to me at email@example.com. And as always thank you for listening. The post 31: Revenue and Expenses in Speech Therapy Private Practice appeared first on PrivateSLP.
1 Nov 2017
24: Cash Flow Basics for Speech Therapy Private Practice
When you have a speech therapy private practice, you’ve got to have cash in the bank to operate appropriately. Keep in mind, if you don’t have enough money to cover your expenses, then you’re really working for someone else, and that someone else is the bank. In this episode, I discuss the basics of cash flow, AR and billing for speech therapy private practice. In this episode: 01:02 – + 11,866 listeners 02:58 – Importance of asking questions 04:31 – The Perfect Student 05:05 – Cash Flow: Billing and AR 07:28 – Closed internet communities 10:36 – Cash flow is money movement 13:25 – Importance of cash in the bank for operations 13:50 – More about 1099s + taxes DOWNLOAD PDF TRANSCRIPTION Anybody can bill, billing is the easiest thing in the world but it’s how you get that money it’s called AR. That’s when you get the money and follow up after you bill. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 24. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Welcome back to the show everyone today is Tuesday morning, March 21st 2017 and as of today we have over 11,866 listeners to the show and its really nice to have you guys on-board and if you are new to the show Welcome. And thanks again for all the questions and comments. Keep them coming in. And I really appreciate it. Right now when you’re looking at the demographics of the show lets say from the worldview, you have the United States listening, UK, Australia, Canada, India, Japan, Singapore, Israel and the Philippines. Now when you breakdown the United States some of the Top states that are listening in is California, Texas, Arizona, New York and Florida. Then we’ve got Pennsylvania, Illinois, Georgia and Massachusetts. So it’s really cool to have you guys listening, and again if you are new Welcome to the show. As always if you need some questions answered about your Private practice or if there is something you just want to talk to me about, go to www.privateslp.com/contact and there is a link to send an email to me. Also at the bottom of the page there is a little SpeakPipe application where you can send a voice message directly to me, nobody else would hear that. And right now its setup for it will come right to my Inbox. So if you want to ask a lengthy question and you just don’t want to type that out because I hate emails and I hate typing. A lot of time I just like to speak and let things get transcribed. So if that something you would like to do just go to the bottom of the Contact me page, there is a SpeakPipe application and you just hit Start recording, and you just say what you want to say or ask me your question. I’ll take that question out and answer for you. I wanted to remind you guys this is a really need thing where you can ask questions and get the feedback that you are looking for when it comes to starting a Private practice, because when I was starting out my own business there wasn’t much out there we have some PDF files we had a few things on the internet about Speech therapy Private practice, but it was very rare. There were a lot of things like on Chiropractic and physical therapy, a couple of things on occupational therapy there were a few older books out there on Private practice, Speech pathologist and things like that. If I would have the ability to work with another Speech pathologist hand in hand I would have paid a lot of money to do that. I would have gotten on a plane and travel just to see how a clinic runs, how the billing aspect works (that’s the most important thing) or how you bill it, how do you collect it, how do you get all of that money so you can afford to stay in business. I learned the hard way I had to make some mistakes along the way. I lost multiple thousands of dollars doing it my way. And the first time I did this I mean it was really hard it’s not like you open up your own Private practice Office and you just have this big pot full of money. No for me I had to make mistakes, I had to bill, I had to see people and sometimes I just didn’t get paid. I had to eat it and it didn’t taste so good at that time. And I remember like I how am I ever going to get this done, how am I going to crack this code, how can I survive on my own. So with that said, I do have one space available for the Perfect Student. That is where you can come out to Tucson and you can work with me hand in hand and I will work with you and I will show you how to set it up a Private practice, how to grow it, how to scale it, whatever you need to know I will show you all the billing secrets, all the things that we do in our Clinic to get paid. Anybody can bill, billing is the easiest thing in the world but it’s how you get that money it’s called AR. That’s when you get the money and follow up after you bill. Again anybody can bill but it’s the follow-up that makes the money so we will teach you AR, we will teach you how to schedule it, how to collect it how to increase your referrals, all the forms all the systems that we have in our clinic I will show you how to do that. Now in order to do that it’s a lot of information. Part of the perfect student is where you come in to Tucson and you fly out, we meet, I will show you the clinic, introduce you to the staff, the billing, the referral clerks, all that you get to meet everybody and we work hand in hand. But also that includes weekly Skype calls, you will have direct access to me, my personal cell phone, so it’s like having a team member to help you grow and scale your own Private practice. So if that’s something you are interested in and again I would have paid a lot of money starting out for that. It’s not going to cost a ton of money but it does cost because this is not free the podcast is free. And podcast is something that will get you motivated and get inspired so you can make those decisions and grow and start that Private practice. But this is not free, this is working with me one on one there is a cost but if that’s something that interests you, please go to www.privateslp.com/coaching and once click on that and you will see there’s a Speech therapy private practice coaching section and to be considered for the Private practice coaching, I need you to answer some questions – enter your email, give me your phone number, and again nobody is going to see this. This goes directly to me. This even bypasses my assistant she is not going to see this, this goes to my inbox and there is a series of questions there and I need you to answer those questions for me as honestly as you can so it will help me help you better. That way we can all make a good decision to see if this is a good fit so if that’s something that you would like to do, go ahead www.privateslp.com/coaching. Today I wanted to talk a little bit about Cash flow, which is a very important aspect of the business. Before I do start, I want to tell you something I just got back from Australia I’m still kind of suffering from Jet lag, for those of you who do listen to the Podcast regularly you will know that I go to Australia on a yearly basis. I have a group of people that I meet there every year, I am a member of a closed internet community in Australia and it’s just a group of like-minded people you know we talked about internet marketing and just all kinds of neat stuff. But I went into Australia I arrived on a Tuesday and then I left this past Sunday and got home on a Sunday. It’s a 15-hour trip from Tucson to LA, LA to Australia and then back; it’s crazy. I used to live in New Zealand for about 4 or 5 years and I was a Speech pathologist there and I worked in one of the hospital systems there in the Northland District Health Board so I am kind of used to the plane ride but the older I get I am just realizing that I can’t handle that jet lag like I used to. But it was a great trip, it was fun and I got to see all these guys and gals that I have seen on the closed form and it’s just you go for the content but you stay for the community and that’s what I really enjoyed about it. I am noticing as I am getting older my hearing it is not as good as it used to be, my vision is definitely not as good as it used to be so I am sitting there and I had to get an Uber to go a couple places and well in Australia here they say “Uba” but I wanted to get an Uber and I wanted to tip the driver. I was excited and I got this $50 bill and I needed to change it, so I ran out of the Uber and I am going into the hotel, and there was these two big glass doors you know the first one opens up kind of like Star Trek right and then you go through the next door and it opens up like Star Trek and you are in the hotel lobby, you take a right and you can get some change their at the bar. And I was a little bit too excited you know I guess I went through the first door and didn’t go through the second door. I took a quick right and I walk right into a pane of glass and I busted my head. The lady at the bar there she said, “Sir you’re bleeding” and I am like, “Oh my goodness it was really embarrassing, there’s nothing worse than walking into a glass wall. It was a beautiful glass wall, I couldn’t see it and BOOM I walked right into it, ended up in the Manly emergency room. It was great; it was a wonderful experience. If you want have stitches that’s the place to go Manly hospital. The lady who checked me in she was just absolutely lovely. She was the nicest lady in the world I think she was from England and she said, “Oh, I’ve got friends from New Orleans”, you know all this good stuff. And guess how much the emergency room bill was with no insurance, no overseas insurance just take guess. Nope, it’s not $2500, it’s not $2,000, it wasn’t even $1500, it wasn’t even 799 bucks, it was a $135 Australian dollar that’s cheap so 45 minutes I was out of there, I got stitched up and I’ve got this nice big bandage on my forehead and I’m good to go. I’ve got to go on television next week for our local segment of the Morning Blend here in Tucson, so I am going to have to do a little bit of work cover that up but it’s life and life is life. I just wanted you to know about that that was interesting. Let’s talk about cash flow today. What is cash flow? That’s the amount of money you need in your bank to survive. Basically cash flow is the money moving in and out of your business and what’s left over after your expenses is called Profit. But let’s say your expenses exceeds your monthly reimbursements, that’s a loss and if the business can’t meet the needs of your monthly expenses then your Private practice you’ll have to use reserves to cover those expenses. So if you’ve got some cash in hand you can use that but if you don’t have cash in hand you’ve got to borrow the money from the bank, so are you working for yourself or are you working for the bank? If you are borrowing the money so that’s the big question but cash flow is so very important. What makes a business cash flow positive? I’ve got apartments too I’ve got six apartments here in Tucson. I used to have a couple of duplexes right there by Tulane University in New Orleans when I lived there before hurricane Katrina. I was so lucky so blessed to have cash flow positive properties. Now to break it down let’s just keep it really simple. I was living upstairs and I was renting the downstairs, the monthly mortgage was 1200 bucks at that time. This was in 2000, which was a really good mortgage. I was living upstairs for free and renting downstairs for 1600 bucks. My note was 1200 so that’s a profit every month, so I was living for free and making a little something. So then I was able to buy a second apartment, a second duplex and then I was renting those two plus the bottom and then cash flow positive there. So it’s great until hurricane Katrina happens right and then you are like what do I do now. Well I was lucky I had ten thousand bucks saved up. So after the storm I was able to hire a contractor to come out. I didn’t have to worry about insurance I didn’t have to file a claim with Travelers Insurance. Everybody had blue roofs trapped over their homes, but the day after I was able to get back into the city a little bit earlier than other people because I had connections. I had connections with the Army and they were able to get me in. Everybody’s got these blue roofs tarps over their roof to keep water from getting in their roof and to their home. And I was able to call one of my contractors, I said, “Hey, can you get me two roofs on my house?” and he said, “Yeah, I can do that.” and I said, “I got cash. How much?” and he says, “For you yeah let’s do that.” I was able to get two roofs on my own house for 8 grand. So that’s $4000 roof, that was cheap but the real reason was I had cash in the Bank. I could just reach in the bank, write a check, paid the guy and before it in two days I had two roofs. I didn’t have to worry about it. I didn’t have to go hack over the insurance companies; wait for checks so I can pay the contractor, nope I did all that later. So the moral of the story is you’ve got to have cash in the bank to operate and because when you come across a deal you are going to get a significant discount you can purchase what you need to purchase at a discount because you’ve got the cash to do it. It’s the same with the business; it’s the same with your Speech therapy Private practice. You want to have cash in the bank. So that means when you get paid from insurance companies when you get paid from your contracts that you serve you want to make sure that you hold onto that money and don’t spend it. Because you are going to need that money to use on employees, you are going to need that money to pay your taxes. If you listen to the other podcasts especially the one about taxes, at the end of the year you get these 1099s from these insurance companies when they pay you out. They keep track of all that and at the end of the year they send you a little form and it’s your job to take that form and give it to your CPA or file it with your taxes because when the government come knocking they want their money and you are going to have to have cash on hand or you can borrow it but then again who you are working for yourself or the Bank? And don’t forget when it comes to cash flow how are you going to increase it, now you can go out and knock on doors and talk to doctors’ offices and have contracts but you want to be careful like I was saying in Episode 23, if you bring an employee on there is cost for that. There’s a payroll cost there’s insurance cost like professional and general liability. And then the time it takes to get reimbursed from the third party and when we talk about third party payers we’re talking about private insurances like Blue Cross, Blue Shield, Aetna, Humana things like that. It takes a while it’s not like you see the kids today and you get paid tomorrow. You might not see that money for 60, 90 or 120 days out. AR that’s why that’s important, you want to make sure you get paid so you can increase your cash flow to get the money in to survive. Just because you hire a bunch of employees doesn’t mean you’re going to make that much more money, you just have that much more expenses that is guaranteed. So you want to be again very careful and increase your cash flow, increase your growth slowly. The first CPA I talk to years ago she said you want to grow your business about %10 to %15 to %20 every year that way you can manage it, and you want to be very careful it’s like a chess game. So when I hear about people who want to rush into private practice and they want to quit their jobs. They want to leave their job without having cash reserve; you want to be very cautious. It’s like a chess game don’t go out and quit your job and you think when you’re just going to hang that shingle up and it says Speech therapy private practice, People are just going to roll in, and even if they do how are you going to get paid? You want to make sure you got all your bases covered. Now if you are taking insurances you want to make sure you get credential you want to have your billing in place, you want to have your referrals in place, before you even get started. Also too remember I was telling you about New Orleans and having apartments and rentals and being cash flow positive. Everything is great until something happens like a natural disaster. I mean life is good until a hurricane wipes your city out in the floods. Then you have no job I didn’t have my job. I remember the place that I was working at they took the money back. They paid me via direct deposit they credited my account and then for some reason I can’t really remember they took it back. Here I am thinking what’s that about I got to have this money to survive. I got a family to feed and here I am it’s a long story. But the reason I am telling you this is because government regulations can change just like a hurricane or a natural disaster can affect the area that you are living in. what about when government regulation change. Look at the changes and MedicAid rates back in 2016 in Texas. Talk to those providers and see how they did when the bottom fell out when they’re reimbursement rates dropped you know 50%. So what do you do when that happens when government regulations change, you have immediate rate reductions? How does that affect your business? You want to run lean you want to be frugal you want to save you want to work for yourself and not the bank. Cash flow is the way to do that you want to have a good positive cash flow in your business. I hope this is been a good episode trying to bringing it in from many areas and kind of give you examples about cash flow get your brain thinking. But if you have other questions about cash flow all you have to do is go to www.privateslp.com/contact you can reach me there or you can simply leave a comment below on my website there. Each podcast has its own post and at the bottom of the post there is a place for comment. Go ahead and leave a comment, again my assistant she doesn’t read those either those come straight to me so I will be more than happy to answer that too. Also if you’re finding these podcasts valuable please go to iTunes and rate us a five star so other people can find this information easier can get the same value. And again value is what you get in the absence of money, so these podcast are free for you. I hope you guys have enjoyed this episode and as always if you have any questions about Speech therapy private practice, reach out to me and as always, Thank you for listening. The post 24: Cash Flow Basics for Speech Therapy Private Practice appeared first on PrivateSLP.
23 Mar 2017
37. Fear of Success
It may seem counter intuitive, but I believe that some people may be more afraid of being successful than failing. When you look the flow charts of failure and success, failure is easy. A successful flow chart is more complex, however. In this episode, I address common fears of success and provide some action steps and tips to overcome the fear of success and self sabotage. In this episode: 01:32 – 31,182 listeners to show 03:21 – Fear of Succeeding 03:55 – Flowchart for success 07:18 – Grow your reputation in the community 07:38 – Improve your savings account 08:18 – Increase your Patient flow 08:38 – Take care of yourself, physically or mentally and emotionally 10:45 – How to deal with negative feedback 12:29 – Fear of becoming Business Owner DOWNLOAD PDF TRANSCRIPTION I always wanted to start my own Speech Therapy Private Practice and it took Hurricane Katrina to throw me out of my comfort zone to push me into this realm of starting and growing and scaling a Private Practice, so again it’s for a specific type of person. And I’ve also talked to people who say you, I want to do this, I want to open my own Speech Therapy Private Practice and then they join the community or they start getting coaching and then after a couple of months they get a little complacent. They don’t interact with the group. They start doing other things or not being as accountable to their own actions. They’re not being honest with themselves and they kind of just fizzle out and it’s just the same idea over and over. [Commercial] Hello everyone you’re listening to the Speech Therapy Private Practice StartUp Podcast. This is episode number 37. My name is Kyle Meades and I’m a speech pathologist since 1993. And these podcasts are designed to help you improve your business and your life one Podcast at a time. Welcome back to the show everyone. Thanks again for all the emails, questions and all the feedback. And as of today, today is Sunday April 8th 2018. We have well over 31,182 listeners to the show and I’m super happy you guys are out there getting good valuable free information and I say it every single episode, “Value is what you get in the absence of money”. These podcasts are absolutely free for you so if you wouldn’t mind please go to your Android platform or your iOS platform of choice and leave some good 5 Star feedback that way other people just like you can get the same valuable information that you’re receiving. And I would really appreciate that that way other people can get the same help and assistance that you’re getting off of these podcasts. Again when I first started out I just didn’t see or hear or find anything on the web except for some PDF and things like that, so I wanted to change that. And as I slowly grew and improve my own business I wanted to just go ahead and share that information. So that’s what I’m doing on these podcasts. And we have listeners now from all over the world. It’s really cool to see who’s out there. United States is topping the charts, but lately the Japanese are coming up there and we’ve got Australia on the top the list. We have India, United Kingdom, Canada, Germany, South Africa and The Republic of Korea. And when you break it down in the United States from the state standpoint, we’ve got California topping the charts, then Texas, New York, Florida, Arizona, Illinois, Pennsylvania, New Jersey and Georgia. So again I’m happy you guys are out there if you have any questions or if you want to know more about Speech Therapy Private Practice just simply go to privateslp.com/contact. You can reach me there and I’m willing to help you. So I wanted to talk to you today about the ‘Fear of Succeeding’. Now that might sound a little bit counter-intuitive because a lot of people are just scared to fail. But when you start your own Speech Therapy Private Practice or when you’re growing it and scaling it, there’s a lot of fear because when you do something one time you need to do it over and over and over. So the stakes just get higher and higher and higher. And if you look at success, success is actually more complex than failing. The flowchart for failure is simply you try something you fail and you’re done. But the flowchart for success can be really complex. For example, you start your own Private Practice, you see some patients in the home or the home of community setting or your office and then you might lease a space and then you start to make a small profit. You save that money so you can hire other employees and then you hire an employee and then you save more money and you grow it. That’s success, that’s when you just opened yourself to a new set of growth opportunities. And those growth opportunities, for me those things are very scary. They makes a person sort of fearful. You’ve got employees and you’ve got management, you’ve got compliance issues, I speak to a lot of people in the private practice world and they have fear of compliance issues, service delivery, taxes, problems with billing and credentialing, payroll, legal issues and employment issues. And the list goes on and on. But that’s success. That’s what’s going to take me obviously to another level with my own Private Practice. But also it’s going to help me grow and push me into those areas that I really don’t want to be pushed into. And again let me say this being successful and having your own Speech Therapy Private Practice it takes a certain type of person to want to do this. Now, there’s nothing wrong with being an employee working for the same company or multiple companies for multiple years. There is absolutely nothing wrong with that. It’s a simple good consistent life where you can go to work for a set amount of days and a set amount of time, you get a paycheck and you get benefits. You get your caseload and you get everything done for your schedule and it’s very convenient. And there’s nothing wrong with it. And I did that for years. But there was finally a piece of the puzzle, I always wanted to start my own Speech Therapy Private Practice and it took Hurricane Katrina to throw me out of my comfort zone to push me into this realm of starting and growing and scaling a Private Practice, so again it’s for a specific type of person. And I’ve also talked to people who say you, I want to do this, I want to open my own Speech Therapy Private Practice and then they join the community or they start getting coaching and then after a couple of months they get a little complacent. They don’t interact with the group. They start doing other things or not being as accountable to their own actions. They’re not being honest with themselves and they kind of just fizzle out and it’s just the same idea over and over. And so that’s something that when you do start your own Private Practice you want to make sure that you get over those humps and that you get over those problems of getting distracted. I’ve mentioned that another podcast going after those bright shiny objects, those BSO’s, spending too much time on Social media, Facebook, Insta, Twitter, YouTube and its just distractions. So here’s some tips on how you can overcome sabotaging yourself when you’re starting or growing your scaling your own private practice. Number one, what you can do is you can really grow your reputation in the community and this takes time. Wherever you’re working, whatever community you’re involved in. You can actually help and change a lot of lives for a lot of people and be of service. So that will help you overcome that sabotaging fear. The second thing is you can improve your savings account your bottom line. There’s no secret the more money you save in the bank the more money you’re going to have to grow your business and that’s directly proportional, you can go out and borrow money but there’s no guarantee that you can pay that loan back. You might be able to service that loan and make those minimal payments but again why would you want to borrow a lot of money when you haven’t tested the waters on a smaller scale. That way when you borrow a lot of money from the banks you’re working for the bank and when you’re borrowing money from yourself you’re in for yourself. So that’s another thing to remember when you want to overcome sabotaging yourself. A third tip to remember you can just increase your Patient flow. I mean over time if you’re doing a good job and providing a good quality service you’re going to get more patients, more doctor referrals. You’re going to see that patient flow increase and improve. Also a fourth thing you can do to overcome fear and self sabotage. I mean you can just take care of yourself, physically or mentally and emotionally. Physically you can hire a personal trainer. You can work out, you can eat well, you can exercise, you can set off time, set aside time during the week to take care of you. I love to go to the gym. I’m not a big weight lifter but I do like to get my cardio on. I like to exercise and rhyme. I love to hit that treadmill, like to steam and I like to sit in a jacuzzi. I like to go to the JCC, it’s here in Tucson. It’s a place I’d like to go work out and I do that on a regular basis. And I do notice when I’m not taking care of myself physically, my mental state I get a little fearful when I get a little worried, I get a bit squirrelly they call it but I gotta get back into my routine. Now mentally and emotionally, you can take care of yourself. You can attend seminars and there’s nothing better than getting on a plane going to a foreign country and working with others and meeting new people and working with other people and getting a new perspective on different ways to run and scale and grow a business. You can also meet other professionals through close communities like privateslp.com/membership there. You can get one on one coaching with me and also meet other professionals and receive feedback from others too. So also besides getting coaching or attending seminars you can block out time in your week and you can have a certain day once a month or you can just disappear from the office. If you’ve got everything in place you can disappear and take care of yourself. So that’s another tip. The fifth tip would be maybe realize that you can’t please everybody. Now we are in a helping profession. We love to help people we like to fix things. That’s just what Speech Language Pathologist do. That’s her personality trait and if you go back to graduate school when they select people for our profession that’s something that they look at. Do you have that helping gene that helping trait? So again there’s nothing more scary and worrisome and fearful when we get a negative feedback. I mentioned that on one of my previous podcasts dealing with negative feedback. We want to please and help everybody but sometimes you just can’t please everybody. But the more that you go through the more that I go through, these scenarios of negative feedback or criticism it really helps us grow. So we can change and alter our way we do business I mean recently we had a parent that came into the clinic and she was upset and she posted some negative feedback and my default is run and hide. Let’s just run and hide and pretend like that never happened. But it was six o’clock in the evening and I simply just picked up the phone and I spoke to the mother and I said, “Hey, this is Kyle, I’m the owner of the clinic and I really appreciate the fact that you left me some feedback”. She says, “Well I’m really sorry”. I’d normally don’t leave negative feedback and I said No I’m glad you did because it’s going to help me improve our overall service delivery and systems that we use and we have put in place to provide service. So the mom at the end the conversation not only was she grateful that I took the time out of my schedule to call her but she got the help she needed. I got the help that I needed because we’re all learning at the end of the day. Nobody’s perfect and because of that it’s given me a chance to grow as a clinic owner and to do a better job to help our patients. So really negative feedback in itself or realizing that you can’t please everybody and you can’t do it all the time for everybody. I mean it’s not a bad thing. I mean good things come out of everything. I think maybe just not on the timeline that I want it to happen on so. And lastly when I’m taking these notes and writing things down the Sixth tip, would be just the fear of becoming that person, that Business Owner. A lot of people are scared to succeed and become that crazy business owner, where you’re always attached to your phone. I remember the days of the Blueberry member folks way back in the day the big red light days to call it the Crackberry the red light with blink and it’s like Oh man, I got another message, I got another message, or you see people who work in long term care who are maybe going up the ladder not just speech pathologist but they might be in charge of an area or a couple of states and they’re always on the phone, emails, calls, webinars and dealing with problems. But it doesn’t have to be that way because when I put systems and people in place, that’s kind of a buffer between me, other people and consumers and so again that fear of becoming that person, that business owner is not always what I think it’s going to be. It doesn’t have to be crazy and just always tied to the phone and always tied to the internet. You want to think about it as adding something. This ain’t homework folks. It’s not all about subtraction, it’s about adding value. And you want to think about it is adding you where you can help other people, families in need, entities in your community like donating money to a soccer team or a softball team or helping out a local charity or working in a food bank, given back to the local community. Paying taxes, yes paying taxes. What a blessing to have the gift of being able to pay more taxes right to be a part of the local community. A thriving business in the community so you help employees they get the insurances and health insurances and vision dental 401k with a match. They get what they need, they get a paycheck, patients that they can help. And again, this couldn’t be possible unless you start your business and do it the right way. So if you need help with starting growing scaling your own Speech Therapy Private Practice, hit me up, go to privateslp.com/membership. Also if you’re kind of be in a right year in a you’ve got your own private practice but you’re having trouble with billing and collections or maybe even getting credentialed. We have a service we have a separate company that does that too. Just go to privateslp.com/billing. And as always I hope you’re getting valuable information out of these podcasts. If there’s anything I could do please reach out to me at firstname.lastname@example.org. And as always thank you for listening. The post 37. Fear of Success appeared first on PrivateSLP.
10 Apr 2018
10: Checklist for Out of Network Benefits
Sharon, a SLP from Washington State emailed me recently (actually while I was in the hospital passing a kidney stone — there’s a first time for everything, right?!) regarding out-of-network benefits (OON). In this podcast, I discuss a checklist that you can use in your business to process referrals that are out of network in your clinic. In this episode: 01:01 – Many THANKS for the emails, tweets and feedback 03:04 – Esther is taking the wheel 04:14 – Hanging out of the car and sick as a dog 04:40 – Checklists, checklists, checklists 05:10 – The left-handed nurse 05:45 – Physicians, nurses and hospitals follow a checklist – we should too 06:50 – 2 mm kidney stone and the email from Sharon the SLP 07:35 – Out of network benefits and a checklist for action 08:13 – The referral 08:40 – Payer source 08:43 – Eligibility at the time of the referral 09:09 – The need to decrease financial ambiguity 10:01 – The out-of-network benefits (OON) for speech therapy services 10:35 – Cost of Care / Cost of Evaluation 10:56 – Pricing and Out of Network Benefits (OON) 11:30 – In-network (IN) and Out-of-network (OON), two different sets of rules = play fair, play well Download PDF Transcription Transcription of Episode Ten: There’re going to all these checklist as they’re bringing me back to the backroom and it was highly standardized and the treatment was really good. Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 10. My name is Kyle Meades and I’m a speech and language pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. I want to start out like I do all my podcast and say thank you for listening to the podcast, thank you for sending me those questions via email, thank you for sending me those tweets and to let me know that you guys are listening out there. Its because of you guys out there we now have over 2000 listeners to the show from all part to the world and every state in united states. It’s because of you guys leaving good solid feedback on iTunes that other people can find the podcast easily. I want to give you guys value and I know I sound like a broken record but values is what you get in the absence of money. Listening is free for you guys and I want you to get the latest best information out there to help you either start or grow or improve your speech therapy private practice. And I just again want to say thank you, I really appreciate it and I want to start out this podcast with a Story. So yesterday I am on the way taking my son to school about 07:30 and the way we go to school we go right past the speech therapy clinic. And my son always like, “Dad, there’s the speech therapy clinic.” And I said, “Yes sir, there it is”. New office, new place and this time he points to it and I see Esther, she is our Office manager. She is always back into her parking spot right there. But this time I had to turn in and he said, “Dad, where you’re going?”. I said, “Son, dad didn’t feel great and must meet attorney. I couldn’t even finish driving my son to school. I had the most excruciating pain the night before. I tried to take hot bath, I tried to get rid of it. I thought it will pass, I didn’t know what was going on. I am sucking it up to get my son to school on time and I just cant even drive the car so I pulled into the clinic and I banged on the door. Esther comes out and she says, “Hey”, and I am like all my interior. I said, “Esther, can you please take my boy to school? He tell you how to get there. He knows how to do this.” She said, “Whats wrong?”. I said, “I am in such bad pain. I cant even drive.” She gets the keys and she gets behind the wheel and all she goes to take my son to school. And then I just kind of curl up in the fetal position in my office and couple of people they hear me. And they want to say, “Hi Good morning Kyle, how are you?”. You know how Speech pathologists are, they always want to figure out whats wrong and treat the problem. That’s how speech therapists are, we’re neurologists, psychologists and educational specialists. We’re all that stuff combine into one little package. So Christine comes in and she says “Oh my god, whats wrong with you?” And I’m like, “Awwwwww…” anyway she says I was stuttering, my pain was so bad. Esther comes back after taking my son to school. She come in and says “Kyle, we cant have you here like this. You need to go to emergency room right now.” I said, “You know what I hate the hospital but I’ll do it.” We lease from Tucson Medical Center so we’re right across the street from the hospital. So she puts me in the car and drives me across the street and as soon as we get across the street, I am opening the door, I start vomiting I know it sounds gross but the pain was so bad. I just started throwing up in the parking lot while we were moving and I am just like get us to the hospital. I don’t know whats going on I have never ever experienced pain like this in my whole entire life. So Esther gets to the front door of emergency room, they came out and get me to the wheel chair, they roll me into the ER there and I didn’t have to wait and gave them Blue Cross Blue Shield card and gave a copy of my license, they are going to these checklist. They need this and that information; are you allergic to anything. They were going to all these checklist as they’re bringing me back to the backroom and it was highly standardized and the treatment was really good. So I get into this backroom and then there was a nurse that came in and I really don’t even remember what was going on because I was in so much pain. I am on the ground like on my knees with my head against the gurney there. And this left-handed nurse, the reason I know she was left-handed is because I am left-handed too. She says, “This is classical kidney stones.” Anyway she comes in, this is before the Doctor comes and she’s been around. You can tell, she knows her stuff, she was very confident. The nurse comes in and she can just tell I was in all this pain. She came up to me, “Mr. Meades, did you have anything to eat? Did you have a bowel movement? Did you pee today? All these standardized questions, because that’s what doctors, physicians and nurses do, they have a list of procedures that they have to follow. And I’m listening all this I can barely speak because I am in pain. Anyway to make a long story short finally the physician’s assistant didn’t even see a medical doctor. I saw a PA she came in she knew exactly what it was. She said, “Oh, you got kidney stone, this is classical.” I said, “Yeah that’s what the left-handed nurse said 30 minutes ago. But can I please have something for the pain.” And for those of you who know me out there folks, I don’t drink, I don’t take drugs, I don’t take anything, I am a nerd. I am a good person. And I just said, “Look you got anything Non Narcotic” and they said, “Look, trust me you want something for this pain.” Anyway they gave me some Non Narcotic injection. And it really worked, and then I went to CAT scan. You get the CAT scan and they get all this standardized procedures. They’re asking you all these questions; do you have metal inside your body? Do you have ever had surgery? again procedures and standardization. So we get through all of that and make a long story even longer. About 4 hours later, 2mm kidney stone, here’s your discharge paper, everything standardized again, checklist after checklist. Go home drink lots of water, take this medications, you should pass this little thing in about next 4 to 7 days. So here we are the next day sitting here and listening all of this stuff and going through all this checklist and answering all of this questions. I thought about this email that this lady named Sharon; she is a speech pathologist in Washington State. She says to me, “Kyle, Thank you so very much for the Podcast. I find them informative and they’re really helping me grow my private practice.” She says, “Hey, I have a question. When you receive a referral if it’s a pair that you are in contracted with, do you still call and schedule that family? And if so how long do you wait before you actually call them?” Great question and we have a checklist for that that we use in our office. So I got online this morning and pull some forms out of our online forms there and I wanted to read you guys these steps that we take for our referral when we don’t take that pay resource. So this is good information and can you believe how I tied all this stuff in from my Kidney stone to a checklist for a payer that we’re not contracted with. So here it goes, number 1, you receive the referral and the referral will usually indicate who ever the payer is. So you go to number 2, the Payment source. Now in our clinic, users are going to be Private Insurance, Medicare, Medicaid or Cash. Number 3, Eligibility at the time of referral, Why is that important? That’s important so when you speak to that family and get them on the schedule, you can kind of give them an estimate how much it’s going to cost. People want to know what it’s going to cost, don’t forget. Healthcare is the only business where everything is just financial ambiguity at its find. I went to the Hospital yesterday, I gave him an Insurance card, I don’t know how much they’re going to bill me. I don’t know how much they are going to collect from me. I don’t know the final amount. It’s the only business where we don’t have a final answer but I tell you what its very important when you call and schedule your patients you want to given them a range, we don’t take your insurance but based on our experience the phone call we have with your Insurance company today, 80% of its going to be covered and here is the amount that we are going to charge your Insurance company and 80% of which is X amount of dollars is going to paid for so you are going to be left with 20. So the range is going to be anywhere from 150 bucks which is our cash way up to 190 bucks. So there’s the range you can give the family because they have a right to know about what there cost of care will be. So that’s why you want to check the Eligibility at the time of the referral. Number 4, you want to find out the out of network benefits for speech therapy. You ask if the patient has met there the doctor for this year and the representative should be able to tell you the actual amount that patient has spent on their medical care up to this date. So for instance, if you are in urgent when you call this people and get them schedule, they should be able to say, “Oh, so and so met their the Doc the last month, everything should be covered up to 80% over the plans going to get cover. So number 5, you can then tell the family what their cost of care will be for the evaluation. You may even find that your Cash rate may be more affordable for that family rather than using their Out of Network benefits. Now here is something that you want to remember, since you are not contract with this Insurance Company you had the ability to price it that way because when you are not in network with this insurance company you are not bound to those terms of service. So you are able to say, “Look, here’s our cash rate and your Insurance will cover this amount and this would be your cost of care, so whichever wants cheaper.” That’s how we are doing in our clinic because people really like to have value. So we are always say, “Look if you want to use your Insurance it’s going to be this much, If you want to do cash its this much, Its up to you what would you like to do. And once we make that decision, we have them sign and we are bound to those terms. You can’t do that if you are in contract with Blue cross, Blue shield. You can’t just say, “Hey, they’re going to reimburse this and our cash rate is cheaper, so we’ll just go with cash. You can’t do that because if you get caught doing that when you are in contract their network with these Insurance companies, they can pay you and reimburse you that lesser rate because you’re doing that. You’ve got to follow the rules. So I just wanted to give you guys this checklist, these five things that we do in our clinic when someone comes to our clinic and they have out of network benefits. So I hope this has been helpful for you guys. This is been a little bit of a story tell to as well because we all get sick. Thank the good lord above that we have insurance. Anyway I wanted to say Thanks again to Sharon for sending me this email and to kick this whole podcast off. It was because of that email I started to think about checklist, policies, procedures and kidney stone. Thanks again to all of you out there who are listening to the Podcast and I’ll see you soon. Thank you!! The post 10: Checklist for Out of Network Benefits appeared first on PrivateSLP.
20 Mar 2016
35. More Mistakes to Avoid When Starting Your Speech Therapy Private Practice
Recently, a listener named Darlene emailed me about starting her own speech therapy private practice. The more I read, the more I could see that she was unsure and scared about the process of getting started. She wanted to know the most common mistakes that people make when starting their own therapy practice. Back in August 2017, I made a video post about the most common mistakes that people were making at that time. Whenever I have monthly coaching and strategy calls with other business owners, I always take notes. So in this post, I go through all of my notes and update my listeners on additional mistakes that you should avoid when starting your own speech therapy private practice. In this episode: 01:20 – + 29,930 listeners to the show 02:10 – Answering listener question 02:55 – Too much, too fast 06:11 – Relying on others 07:23 – Obtaining good advice 08:21 – Investing in yourself/knowledge 09:03 – Don’t Waste Your Time with insurance contracts, credentialing and billing – Let us Help You! DOWNLOAD PDF TRANSCRIPTION We’ve all seen those YouTube videos with cats and dogs who jump on a fast moving treadmill or those joggers when they jump on a treadmill. It’s going way too fast and they fall flat on their face and they get kicked off the treadmill. Now think about Private practice being that treadmill and if you jump on to a fast moving treadmill you’re going to fall flat on your face and not only that you’re going to get kicked out of the treadmill space. [Commercial] Hello everyone you’re listening to the Speech Therapy Private Practice StartUp Podcast. This is episode number 35. My name is Kyle Meades and I’m a speech pathologist since 1993. And these podcasts are designed to help you improve your business and your life one Podcast at a time. Welcome back to the show everyone. Thanks again for all the emails and all the questions and as of today, today is March the 10th 2018. It’s a Saturday and as of today we have well over 29,930 listeners to the show. And I’m glad that each and everyone of you guys are out there and if this is your first podcast welcome to the show. I hope that you will find everything that you’re looking for when you start your own Speech Therapy Private Practice. And don’t forget the reason that I did this was because when I first started out there wasn’t anything out there like this so this is a way for me to give back and I hope you guys get the same valuable information that others do and for other people to find the podcast easily. If you wouldn’t mind just please go to the iTunes or Android platform of your choice and just leave some 5 star feedback. That way other people can find the podcast easily. Now I wanted to go ahead and jump into today’s topic and it is from a listener. Her name is Darlene. She is from Pennsylvania and she emailed me a question recently and she says, “Hi Kyle, what are some of the biggest mistakes that you see when dealing with new therapy business startups?” Now I take notes when I speak to other private practice owners on the phone. And I do speak to private practice owners a lot and I take notes on every single phone call and I put it on my life sheet and that’s an Excel spreadsheet that I keep in my google drive and so I went back through that google drive and I searched my drive and I found these important points and I wanted to share that with you guys today. Now one of the biggest mistakes with new Speech therapy business owners is starting out way too fast and just taking too large of a first step. Now let me give you an example. I spoke to someone recently who was just head over heels ready to get going. And I had to remind that person I said you want to take small steps and here’s the example think of a treadmill. We’ve all seen those YouTube videos with cats and dogs who jump on a fast moving treadmill or those joggers when they jump on a treadmill. It’s going way too fast and they fall flat on their face and they get kicked off the treadmill. Now think about Private practice being that treadmill and if you jump onto a fast moving treadmill you’re going to fall flat on your face and not only that you’re going to get kicked out of the treadmill space. So you have to be very careful because we’re all human we all see other people who are successful who have their practices, who are making it and making a good living and having a great life. And of course we want that too. I mean I saw that, that was one of the things that made me want to do that first step and start my own Speech therapy private practice. I remember after Hurricane Katrina I was out of work for a long period of time and I had a lot of time to sit and reflect and I just remember thinking about some of those private practice owners in New Orleans and seeing those lifestyles that people were living and I wanted that too. And so I got on the internet and I searched and searched and found a couple of PDFs and things like that. It just wasn’t a lot of information. So that’s one of the reasons I’m giving this back to you guys but don’t forget we see other people making it and we want that too. A lot of us still subscribed to that old thinking that old cliche. Build it and they will come. I think that’s dead now because there’s so much competition out there with the Internet and social media. You can’t just throw up a clinic and put some chairs out there and buy a bunch of fancy equipment and hire a bunch of employees and borrow a bunch of money from the bank. Because if you do that too quickly without any patience you’re going to fail and you’re going to go belly up and you’re going to sink just like a ship with a hole in the bottom of it. So we have to take small steps. You don’t want to be on the hook for a lot of money because I’ve said it in those first three podcasts you’re going to be working for the bank and that is just no fun. If you really stop and think about it to get what you want, it’s going to take about three to five years and once you have that in your brain add another year to it because this takes a long time to get established. Because you have to work out your referral base, you have to work out your payer sources or your contracts and your credentialing. And you have to save up money at the same time that you may have to borrow a little bit of money from the bank. But you want to do that slowly and gradually. It’s a long game and if you listen again to episode number 12 you’ll realize that Speech therapy private practice and in the startup process it’s a long game so you want to be in this for the long haul and it takes a certain personality and someone who is very driven and very motivated. Now one of the second biggest mistakes that I see is relying on others too much. As humans we’re all fearful and we get nervous, we get scared, we get anxious and sometimes we want to cling on to somebody else but because of fear some people just think they need a business partner. Now I’m not saying that people shouldn’t or should have a business partner. That’s not my decision. I personally didn’t want any advice from other people. So I started my Speech therapy private practice by myself. I didn’t want any partners so I just chose not to do that. And if you do want to have a partner or multiple partners you want to make sure that the personalities fit the clinic and the partnership you want to make sure that everyone gets along. There’s nothing worse than having friends and I’ve seen this and this is why I wanted to put this out there. I have seen and spoke to people who went into business with others who they loved and respected. And it tore their friendship, it tore everything up. So at the end of the day make sure you get this part right if you’re going to have partners. Also too you want to make sure that you seek the advice of an attorney because if you do have a partner in your business you want to make sure everything is legal and legitimate. So that’s what I wanted to say about that. Also again I chose to go into Speech therapy private practice by myself but it wasn’t until I hired a team. That’s when I started seeing the growth. Now again a lot of people think that if you have a lot of employees you’re just making a ton of money, right? Wrong. Don’t forget with employees you have a lot of expenses, payroll taxes and things like that. So again a sole provider a one person show can do well in Speech therapy private practice but you have to remember it takes a team to really grow it to the next level take it to the next level and scale it. So don’t forget about that. Now the third biggest mistake that I see new Speech therapy private practice owners make is they forget to invest in knowledge for themselves. Now don’t reinvent the wheel. I’ve seen so many people out there and spoken with so many people out there who are isolated and who just don’t take the time to invest in themselves and to network and get help. That’s one of the big reasons I started this Speech therapy private practice All Access Community forum. So people just like you can connect with people others who are just like you in the community. So you can find that at privateslp.com/coaching. Another problem that I see people were just wasting too much time with insurance contracts and credentialing and billing. Again if you are a one person show and you are seeing every single person, you’re doing this scheduling, you’re doing the referrals, you’re doing the follow up phone calls, you’re doing the billing, credentialing and contracting. Don’t forget in order to get paid so you can be sustainable you’ve got to do your billing at the end of the day and that takes time. So if you’re seeing a full caseload 8-9-10-11-12 hours I mean that’s what it takes to be a private practice owner sometimes right. We have to work more than others so we can be successful. You have to have help. And when you start getting some payments you want to save those payments so you can pay your team to help you bill and collect more so you can get paid and continue to grow. So I mean it’s a very simple process you want to free up your time to do what you do best that’s provide Speech therapy services not spin your wheels with credentialing, billing and collections. So I didn’t know if you guys knew this but we do provide a billing and credentialing service at privateslp.com/billing. So if that interest you you can always go there too. So these are the four biggest mistakes that I see that private practice startup owners are making right now so I hope this has been helpful. And if you have any questions about anything in relation to your speech therapy private practice just reach out to me and I’ll help email@example.com. And as always thank you for listening. The post 35. More Mistakes to Avoid When Starting Your Speech Therapy Private Practice appeared first on PrivateSLP.
11 Mar 2018
13: What You Need to Know: Scheduling Essentials In Speech Therapy Private Practice
We really aren’t trained in graduate school to create boundaries for ourselves and say “no” sometimes. When scheduling clients, we need to be clear and have expectations for clients and families so that we can do the best job possible. Treatment is a 2-way street. We have to value client’s time and they must value ours. In this episode, I discuss scheduling strategies that I feel are helpful in a speech therapy private practice. Whether you are just starting a speech therapy private practice or have an ongoing operation, there is something to learn in from recording. In this episode: 01:26 – Beautiful Tucson, what A beautiful place to live 01:41 – What are you doing to better yourself – Are you in action? 02:45 – What would you like to hear on the podcast 03:18 – 1 Summer position left – The Perfect Student 04:30 – Email me if you want to be mentored 05:03 – Thank you Christina for the email 06:49 – Thoughts on obtaining your own contract 08:01 – Get incorporated, UPS Store, EIN, NPI, GL and PL 09:41 – Scheduling – have boundaries – 11:31 – Hard conversations 12:28 – Scheduling and calendars Download PDF Transcription Transcription of Episode Thirteen: So those are kind of conversations we don’t like to have with people, but its necessary because you don’t want to sit around and wait on people. You don’t wanted be taking advantage of. We have a service and we have to provide that service. We can’t provide that service unless the family works in conjunction with us. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 13. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. I want to always start out and say Thank you for all the follows on Twitter, emails and Tweets. It’s just really cool I have this kind of feedback because when I am sitting here behind this microphone, I am kind of staring at this wall. I got a whiteboard here. I am in my office at home. I am kind of here on edge of the mountain here in North Tucson. Its really beautiful area and I got a shadow in here; sun coming through and birds are outside. It’s a gorgeous day and I am talking into this microphone. I always wonder are you guys doing anything with this information? Are you following these instructions and are you taking action? I am kind of curious because I get this emails, “Hey, I want to be mentored by you”. Sometimes people just don’t get back at me; some people say “Thanks” but I never hear back. It’s nice to know here you guys doing anything with this information. I really think its valuable information. This is the kind of stuff that I wanted when I started my own Private practice. I couldn’t find it anywhere. I downloaded some PDF and I went on some websites but I couldn’t find the good solid information like checklist, do this, do this and do this and then you can have this. I just didn’t find that so that’s why I am throwing this out there for you guys for free and I just wanted to know, Hey leave some comments for me at the bottom. If you go to PrivateSLP.com you’ll see this blog post and at the bottom they’ve got a place for comments. Shoot me some comments, let me know what you guys are finding valuable so I can kind of steer this Podcast which now as like over 3300 listeners (Its really cool) from all over the world. I can steer this thing the way you guys wanted to go because I got the microphone right here. I also wanted to tell you I have one space left for the “Perfect Student”. I have one time slot this summer to work one person in. So the Perfect Student is going to work with me weekly it’s a minimum of a 6-month commitment (and its not free but it is affordable) and I really think that the person who gets this spot is going to learn so much information. You’re not only going to get the ability to fly in to Tucson and work with me for a week for seven straight days. You’re going to see the clinic; you’re going to see the home health agency that we have. You’re going to see how we bill it, how we collect it, how we schedule it, how we get the referrals, how we fax it, how we answer our calls, our systems, everything that we do, you are going to get that information too. I will personally work with you one-on-one to make sure that you get the best information. You’re just going to be blown away if you can do it. I got a lot of emails from people, “Hey I want to do this.” And I throw right back catch you and no body does anything with it. I don’t hear anything from people any longer, once a while I get a Thank you and I appreciate response. This stuff is kind of hard and this is not easy stuff. This is a long game and on the last podcast I talked a lot about that. This is a long game and when you start a monster like a Home health or a Speech therapy private practice business, you’re in for the long hold. You can’t get flaky; you got a show up, shoot up and get it done. And for the right person if you’re listening right now, I want you to send me an email at firstname.lastname@example.org and I want you too to put The Perfect Student in the Subject line of that email. I want you to tell me about yourself where you are in this Journey for Private practice and what you wanted to accomplish. I will help you and if its a good fit between you and me, I will personally help you. But you got to take the first step; you got to get into action, send me an email. Don’t be scared, don’t be shy, come on do it and I will help you. For the right person you’ll see that this will change your life. And I’ll tell you it’s going to happen. Also I want to read an email that I received from a lady named Christina. She’s up in New York and I send her a reply recently and I just got to thinking about this email that Christina send me recently this month, May 2016. I sit down and do a Podcast on this because this is really good. This is a great email. So let me read it to you, “Hi Kyle, I recently relocated to New York city to live closer to family. And now I am working at a big Home care agency. I’m considered it Independent provider which means I pay my own Taxes and Insurance. I do my own scheduling and paperwork. The Agency takes care of payment processing through early intervention and Insurance for patients and they just refer cases straight to me. I’ve thought about going into private home care a lot as I’ve recent especially as an Independent provider I feel as I’m doing half the administrative work already and I am excited to learn more about the financial aspect of the business and I have not yet experienced too much of that. As such I really enjoy your podcast and all the valuable information you offer to so many of us as an SLP. A big question I have at the moment is whether or not you use any type of special Software to manage your appointments for Home health care or if you have tips to better manage location-based services; I would love to hear how you do it. (and there was a big smiley face there.) and all the best. Thanks again for all the great tips and pointers” Thank you Christina. Well Christina, that’s an excellent question. I know you already get my email reply but I actually slept on this and thought of a lot of information for you. I wanted to make this into a Podcast. Here it goes, you’re doing all the work anyway. Why don’t you just go ahead and get your own early intervention contract in the state of New York. I can’t really speak for your State but I know in Arizona it’s a process. You can go ahead and carve out about six months for that process but start Google-ing – special needs, early intervention New York, developmental disabilities New York. And start looking on those Government websites and find some contact information, just throw it out there and put in that email, “I am a Speech pathologist and I have done this for so many years. I want to help kids and adults. Please give me the information that I need so I can obtain a contract to provide services in Speech therapy.” That’s how I did here in my state. You would be amazed finally after sending out few emails failures out there, you’ll get somebody that will just say, “Hey, this is the person you talk to, this is the man or woman you want to reach out to.” You can pickup the phone or call them. They might give their number or direct email, but do it. Go ahead. Also follow these steps too. What I suggest is getting incorporated. You can go and talk to a lawyer and pay few thousand bucks. We’ve done this three times now. I use the services of a good paralegal here in Tucson and she is wonderful. She is very inexpensive; the last time I incorporated, it was actually few months ago, it was under four hundred bucks like Three seventy I believe. It was so inexpensive. It took about two weeks. I had my name already picked out and the paralegal just gave me a questionnaire. I filled it out with my name that I wanted, the address. And also when you do your address for your business, don’t use your Home address because when you use your Home address, you’ll going to get all kind of solicitations through the mail and stuff like that. Go ahead and get a UPS box. Use that address as your point of contact when you register your business. So it gives kind of buffer between you and the public too. Its kind of privacy thing. Use that address and get incorporated. After you get incorporated what you should do is go ahead and apply for Tax ID number. And when you get that Tax ID number you can do that online. You want to get NPI number. You take all those articles of incorporation and Tax ID number to the Bank. You get a Business checking account. You want to get some general liability, some professional liability insurance. And once you get all those things you can apply for that contract. Once you get the contact person in your state’s information, you can apply for a contract under your business because you already got it done. Once you get the contact you can go ahead and start saying people like I said in the first few podcasts I started in the Home settings. You can kind of start working in the Homes and certain areas. And you wanted to know about scheduling. There is nothing really magical about scheduling but I do know one thing you have to do to that we don’t learn a lot about in graduate school, that’s clarity. You have to be very clear about scheduling your patients. When you have a list of patients that you need to choose from in certain area you want to work in areas. For us we work within 5 square miles from a data on the Map. And once you work from that data on the Map, you speak to patients in that area and you say, “Hey I’ve got two opening in your area.” You give them a choice of two and you say, “I‘ve got a One O’clock or Two O’clock, would you like one of those appointments? And then you wait and the family might say, “Well, I cant do that. I am available on Wednesday but just don’t have anything available on Monday.” You can simply say and again we don’t learn this in Graduate school, “I am in only your area on the Monday. But I’ll keep your name and details and if something opens up on that day I’ll call you back. Sometimes the family will go “I can’t make it work on Monday and I can’t take that One O’clock” and you want to be very clear, “I have seventeen people waiting for an appointment but I will give you this appointment and its going to be weekly appointment and if there is any no shows or excessive cancellations, unfortunately I’ve got many people who want this appointment I’m going to have move on.” Conversations that we don’t like to have with people, but its necessary because you don’t want to sit around and wait on people. You don’t want to be taking advantage of. We have a service and we have to provide that service. We can’t provide that service unless the family works in conjunction with us. So that is either you’re on board with us on you’re not on board with us. Those are the conversations that are kind of hard to have because you are creating a boundary there. You are creating the opportunity to give that family way out or they can keep the appointments. So that’s how we do. I basically go far out on my Five square miles from a data on the Map and I work my way back towards home. If I am starting at point A and I’ve got six patients schedule that day. I try to go all the way to the top of that list to the furthest distance away and then I am working my way back home. Right Outside my Home Office Window It’s really nice when you get those families when they work with you and they know that you are busy and they do respect your time and you respect their time as well. It’s a two-way stream. You have to respect their time, show up, shoot up and be there on time and they’ll respect you too. That’s my answer for that part of the question. Also as far as Calendars, we use Office Ally calendar in our Clinic and it’s a great program. We use that for billing. But the calendar part of it is good too. I have heard people use Google calendar, it is secure as far as HIPAA I am not sure about that. If you have information on Google Calendar and HIPAA compliance please leave a comment below and let us know about that. I really suggest that Kristina at least go ahead and start working and learn the process of getting people on board, scheduling, building a case load, managing that case load and then overtime go ahead and do this suggestions that I am putting out there for you. Go ahead and get incorporated, get your Tax ID, get your Insurance, get the NPI number, get all that ready. So when it comes time to slowly work in your own Private practice, you’ll be ready for that. I hope this is been a good episode. I hope this giving you guys some very good information and as always I would appreciate if you go to iTunes and leave some good quality feedback for me, some five stars. That way other people when they are looking for Speech therapy private practice podcast they’ll find it too. And they can get the same valuable information for free that you are getting. I hope this is been helpful. This is Kyle Meades and Thank you for listening!! The post 13: What You Need to Know: Scheduling Essentials In Speech Therapy Private Practice appeared first on PrivateSLP.
20 May 2016
17: The Foundation of a Successful Speech Therapy Private Practice
I’ve said it before and I’ll say it again: If you want to have a successful speech therapy private practice, then work on your relationships with your clients, referral sources and employees. In our profession, we really get to know others. That’s what happens when you work with a family or co worker weekly for over a year. In this episode, I talk about relationships as the foundation for a successful speech therapy private practice. Driving Across Texas In this episode: 01:04 – Thank you for for all the emails, tweets and questions on the show 02:12 – The Perfect Student 04:05 – Southeast Louisiana 05:01 – Livingston Parish, Louisiana flooding – Walker and Denham Springs, LA 70726 07:01 – Over sixty thousand homes affected by flooding 07:15 – Hurricanes and flooding 08:35 – Dealing with mold 09:45 – Volunteer fire department from Alabama – Cooking GREAT FOOD 10:30 – Making relationships is the key to successful business growth 13:26 – Relationships – Clients, referral sources, physicians, etc Download PDF Transcription What really matters when it comes to speech therapy private practice, it’s about relationships. And relationships are the foundation of what we do. Relationships are what help us grow not only our business but our client-base, employee-base, it grows everything. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 17. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Welcome back to the show, Thanks again for all the emails, all the tweets, all questions are really appreciated. I got a question on Friday from someone who just said that they were happy with the Podcast; they were interested in being THE PERFECT STUDENT, and I emailed that person back and gave them some more information. So if you are interested in becoming THE PERFECT STUDENT as well send me an email email@example.com and I will get back to you. When you send me an email let me know some specifics. Where are you in your private practice journey? Are you just starting out or are you growing your private practice? Do you have employees? How many patients do you see a month? Give me some information so I can help you better. This service is not free but it is very affordable and I will personally help you one-on-one, it’s like a team. I’ll be your mentor where you can ask me all the questions, you can get my feedback, and you can just have direct access to me for at least a minimum of six months where I can help you grow your business. I would be more than happy to work with you but it has to be a good fit because relationships have to be a two-way street. So if you are interested in becoming THE PERFECT STUDENT email me firstname.lastname@example.org I’ve got one space available right now. The other space has been taken and I’m starting with that person. I’m not going to mention her name but you’ll hear about this person and their growth, their business soon. I guarantee that because this person is highly motivated. This person is ready to go and we’re going to start September 1st and I’m going to help her grow her business just like we’ve done here in Tucson. She’s looking at plane tickets coming down to work with me in Tucson. I’m going to show her how to run not only a clinic-based business but a home health private practice as well. So it’s going to be really a lot of information, but she’s going to love coming down here to Tucson. She’s going to have a great time and I’m looking forward to work with her on an Individual basis. I can’t wait to share this information with her. I did have a couple of PERFECT STUDENTS lined-up but at the very last minute I think it was too much information and it’s got to be the right person. I know this lady that’s going to be starting September 1st will do well. I know it and we’re going to make it happen. I wanted to take some time and talk about in this episode what really matters when it comes to private practice, it’s about relationships. And relationships are the foundation of what we do. Relationships are what help us grow not only our business but are client-base, employee-base; it grows everything and the reason I’m talking about this because I’ve had a rough eight to ten days. I’m going to be very honest. I am going to be little vulnerable right now. I will tell you guys a story and I love telling my stories because you can interpret what you want out of my story. And the whole story deals with where I’m from, where I grew up and my history comes from Southeast Louisiana. I grew up in a very small town called Walker, Louisiana and it’s a Parish called Livingston Parish. Now a Parish for you out there who don’t know what a Parish is, its related to the Catholic Church. It’s a Catholic thing and we are the only state in the United States that has Parishes instead of Counties. So my state that I grew up in Louisiana, the Parish that I grew up in is called Livingston Parish and the Town is Walker, Louisiana. Headed Home To Help Family And the next town over is Denham Spring Louisiana, zip code 70726. You’ve probably heard that in the news lately because that’s where all the flooding has been happening lately. I was talking to my family last Saturday and my Mom said everything was fine. I saw all the news about the flooding and I was really worried. I called her and she said everything was fine but that Sunday morning, they woke up to about 3 feet of water, not in their house but my Grand parents, their house had 3 feet of water in it. My Maw Maw & Paw Paw have deceased, they died and my brother and his family have been living there. So unfortunately they got a lot of water in their house. And because of that I felt the desperate need to get down to Louisiana to help them out. That’s what we do. Its my family, I love my parents, I love my brothers, I love my family and I wanted to help them out in this time of need. Its really nasty down there. I just got back today. Today is August the 22nd. I’m looking at my phone while I’m talking to you. So I was talking to my Mom on August the 13th and 14th, that’s when all this weather started happening down there. Water on Joe May Road, Denham Springs, LA 70726 Where I’m from there’s a river called Amite River and its flood stage is about 28 to 29 feet in my area. The water level got up to 46½ feet in that area. All that extra water just ended up in thousands of people homes. These areas were not traditionally a flood area. So a lot of people just didn’t have flood insurance because we were require having flood insurance. As long as I have been alive I know some people on my street, or my road that I grew up that’s called Joe May Road. We know a lot of people who’ve lived there from many years and their grand parents and their families have lived there from many years. No ones have ever seen flooding like this and it just really made me sad when I saw all these people and this area photographs and live pictures from helicopters just flying over all these homes. The number were staggering, its over sixty thousand people’s homes that have been affected. Pulling Out Insulation and Dry Wall So because of that and because I have a history of living New Orleans and moving to Tucson after Hurricane Katrina (If you go back to the first few episodes of this podcast you’ll hear all about it and I am going back to that now), I have a lot of experience with Hurricanes and flooding. I remember after Hurricane Katrina it was hard to get building materials. So what I wanted to do to help my family to give back is, I wanted to take some sheet rock. Now sheet rock, I don’t know if a lot of you people know about it. I am going to give a quick lesson in home building. Sheet rock [noise], you hear that noise, that’s the wall in my office. In 9 out of 10 times if you are living in an apartment or home, chance are you’ve got sheet rock. Sheet rock is what makes the walls in your house. And behind that wall is a stud. Stud is a 2X4 beam that goes out from the ceiling to the floor. Floor is called slab, it’s a concrete slab and floor. And between those walls a lot of times you got insulation especially if it’s a exterior wall, the wall that separates inside of your house from the outside of your house. Gutting Maw Maw and Paw Paws House and Carrying Trash to the Road When my Maw Maw & Paw Paw house was flooded with three feet of water we had to go in (and I am going to put pictures on the podcast down here so you can see it on the website) and we had to rip all that dry wall out up to the level of about four feet. And then we have to rip out all of the insulation behind that because if you don’t get stuff out of there quickly it’s going to mold and that’s a whole different ball game when you are dealing with mold. And you’ve got to go in there and take out the carpet and underneath the carpet between the slab and carpet is padding. You’ve got to take out all that stuff; You’ve got to put it in the wheelbarrow and you got a haul it about 2 tenths of a mile down this driveway to the end of the road, and you dump it. And you just repeat and keep doing that. And you take all that stuff out of the house and gut it. Gutting Maw Maw and Paw Paws House If some of you is listening from Louisiana/Texas area, trust me if you deal with flooding – gutting houses. It’s a lot of hard work and we have to bust out walls, bricks, we discovered my calves and pecks and just working hard and a lot of adrenaline going on. Its just so nice to be with family to be around the people I grew up with — friends that I haven’t seen in many years coming out of the wood work to help my family and to give back. At the end of our road, Joe May Road, we have this station of volunteers from Alabama. It was a volunteer fire department from Alabama cooking for thousands of people, just giving away food and I am talking really good food. I’ll send a picture of that too. We had Jambalaya, white bread and sausage was a good stuff. I am so grateful for the people who volunteered and came in from other states, and just helped the community that I grew up in Livingston Parish. And I am so thankful that I have friends, family and relationships, and that’s what is important when you’ve started your own private practice, when you are growing your own private practice, you want to make relationships because relationships is the foundation of your clinical business. Food Cooked by a Volunteer Fire Department from Alabama You’ve got to make relationships with your patients, your employees, your staff and doctor’s offices and referral base. That’s what it is all about and when you have a relationship its not about money, that’s secondary we’re talking about giving. Giving our time and giving what we’re trained to do in life. We’re speech pathologist. We’re trained to help other people and when you’re good at that, and you can have a relationship. This is again not about money; this is all heart. That’s what I want to convey in this Podcast today. Its because of relationships take your business to next level. Just like the relationships that I’ve had with these people on Joe May road, my family has lived there for a years. People that I’ve haven’t seen for years just drive in up in our driveway after the water went down helping my Mom, Dad, brothers and his wife and their kids, just everybody helping. MREs from the Military I am so lucky my nephew works in the Health department and he was able to test my parent’s well. They had E Coli in their well because all this extra water flooded their well and we’re get that taking care of. And here I am hauling all these dry wall and I’ve got a car. I don’t know if you guys remember but in the first few episodes you might have heard me mention my Volvo. Why I get rid of my Volvo? I gave it to my family because they need a car. All their cars were flooded and we even jacked them up and put them in these big blocks. They still get water in it. Its just really sad to see your family down on out like this. It’s the southeast Louisiana spirit, people just come together and they do what they got to do and they make it good. That’s what we did this past week. Helping out family and friends, regain what they lost from this flood. I hope you can get something out from this podcast. That’s why I like to tell this story because this is really important to me. I don’t have the script; I don’t have all this written down. This is from my heart; I am being a little bit vulnerable right now but its good, its good to get this out. When I grew up everybody is going to be like the marble man. I don’t know what age group you’re in listening right now but when I was a kid, you aren’t supposed to cry, show your feelings. I remember my dad say, “I’ll give you something to cry about” time is changed. It’s nice to have feelings and its nice to have family. Flying Home Back to Tucson Guys, thanks for being a very big part of my life. This is not just a podcast this is my life. I love doing this shows for you guys and I thought about this podcast. This particular episode just driving across Texas, get in stuck in traffic for two and half hours. But anyways I’ll be get something out of this. When you’re building business don’t forget about the relationships because its about the relationships that’s going to make you successful. Thank you for listening. The post 17: The Foundation of a Successful Speech Therapy Private Practice appeared first on PrivateSLP.
5 Sep 2016
22: A Few Thoughts About Taxes and Speech Therapy Private Practice
Welcome to the first episode of 2017! When a new year starts, the subject of taxes usually comes up. When you own a speech therapy private practice, you are responsible for making timely income tax and employee withholding payments to Federal and State governments. In this episode, I discuss 1099s, employee withholding, quarterly filings, quarterly payments, account reconciliation, profit-loss statements, and a simple solution that can make make the whole process easier for you. In this episode: 01:12 – Over 9447 listeners 02:08 – Only one space available for the Perfect Student 03:20 – Tax Time 03:48 – Xpense Tracker 05:22 – The 1099 shuffle 07:04 – Certified Tax Preparer 08:01 – Monthly meetings with a Tax Preparer 08:14 – Quarterly Payments to the IRS and State 08:34 – More about filing withholdings DOWNLOAD PDF TRANSCRIPTION Don’t forget when you have a Speech Therapy Private practice and you take insurances or access plans or Medicare, when you get payment from those insurance companies, you’re going to get a 1099 in the mail at the end of the year. And it’s your job to make sure that the IRS knows how much money that you have coming in. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 22. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Welcome back to the show everyone, Happy New Year. As of today, today is January 8th 2017 we have over 9447 listeners to the show. I really appreciated it because when we first started a little over a year ago we only have two listeners. And you two listeners know who you are. And I appreciate you guys hanging in there and telling your friends and colleagues because we have listeners all over the world now, from the United states, United Kingdom, Australia, Canada, India, Israel, Philippines, South Africa and Turkey. Now when it comes to the United States breakdown. The biggest and highly listened states are California, Texas, Arizona, New York, Florida, Illinois, Pennsylvania, Massachusetts and it goes on and on. I am grateful that you guys are out there and I appreciate the opportunity to help you and give you that valuable information so you can grow, scale and develop your own Speech therapy private practice. Also I wanted to tell you I do have one space available for the Perfect student and the Perfect student is where you can come in to Tucson, you can fly in at your own expense and learn from me and work side by side with me. I’ll show you everything you need to now about an Outpatient clinic or a Home health agency or both. And that’s where you have direct access to me. We can work weekly via Skype or GotoMeeting and have calls. I can show you all the things you need to know to grow, scale or even start your own Speech therapy private practice. But its got to be a good fit because I get a lot of emails from people who want to start their own Speech therapy private practice but they’re just not ready yet. So when you do contact me please go to privateslp.com/contact there you can reach me and I wanted you to give me as much information as possible about you and where you are in your Speech therapy private practice journey. Are you just starting out? Do you have employees? About how many patients do you see per month? Do you take insurances? Give me all that information so I can help you better. Now today I wanted to talk about something that’s probably on you guys mind, it’s about Taxes. I look at taxes as a privilege; I like paying my taxes because if I didn’t have taxes to pay, I wouldn’t be doing well. So I wanted to talk to you about how it used to be with filing taxes and kind of how it is now. So I’ll give you a little bit story, when I was just starting out I used to keep all of my expenses on this app called Xpense Tracker, and if you go back to earlier episodes you’ll see I have a whole podcast about that app and how you can set it up. And basically run your Speech therapy private practice clinic on your smartphone as far as your expenses. That’s a really good podcast to listen to. Go back and check that out. But I used to run everything through my Xpense Tracker application, so when I would go to Costco and get paper and pens for the clinic, I would take a picture of that receipt and loaded into the application there, and then at the end of the year I would take all of my expenses and email it to myself and the application would generate a PDF report. And I would give that information to my CPA and with a big manual folder full of receipts and then she would do my taxes. Now what I used to do when I was on the farnes clinic, for example I’ll tell you a little story about that, I used to go in on a Sunday when it was very quiet, there was no one there obviously because were closed. I remember this one particular time I had the hallway door at the very end of the clinic open and I was just letting some fresh air move through there and I had some music playing and I was just coming in my work zone, and here comes a dog running through the hallway and it was a dog that got out and I was able to get the dog and bring the dog to its owner. So that was kind of neat but I still had my taxes to do right, so what I would do is I would gather all my 1099s, because don’t forget when you have a Speech Therapy Private practice and you take insurances or access plans or Medicare, when you get payment from those insurance companies, you’re going to get a 1099 in the mail at the end of the year. And it’s your job to make sure that the IRS knows how much money that you have coming in, so I used to take all these 1099s and add them up and here I am at the end of the counter there at the office and I’ve got my calculator and a big piece of white paper and a pen and I just got all these little notes and I’m going through my expense reports on my application there on my smartphone and then I’ve got all these 1099 and I’ve got two companies, so I’m adding all these 1099s and making sure they add up with my bank receipt and it was just a lot of pain. I got it done but I think you guys know what I’m talking when you are an SLP we tend to analyze and overanalyze, “Oh man, I wonder if I forgot something I think I did this back in June, maybe I just didn’t write that down are ruthless check what was this check for, I didn’t put something in the memo section to wonder what that was about, and I would just obsess over everything and to the point where you know it took a few hours but I wonder how I forgot this and I want if I didn’t do this and what if I. Oh man I’m going to get audited and oh my gosh”, and it was very stressful. Tax season and can be extremely very stressful. So I did this for a few years and I would turn all this report to my CPA and get my taxes file, but nowadays what I’ve done recently started a couple years ago I found a certified Tax preparer and she goes through my books every single month, now when I say book she has access to our checking account and our savings accounts and she reconciles everything that’s in every account, every month and we will meet one time a month, so we can strategize for the month and that year and we can talk about deductions and ways to save money and how much tax we’re going to have to pay and so it’s a nice thing to sit down and talk to a tax professional every month and get what’s called a PL report that’s a profit and loss report, it shows you how much money is coming in and it breaks things down by expenses; for example payroll and health insurance and office supplies everything is in that report. So that’s what I do these days is I have those monthly meetings with my Tax preparer and we go through the profit and loss statements and see how much money we’re going to have to write to the IRS every quarter. And don’t forget when you’re in Speech Therapy Private practice, you going to have to write these quarterly payments to the IRS and to the state where you live, for example, for me its Arizona. So every quarter I have to write a check to the IRS for income. Every quarter I have to write that check so you have to save for that. Also if you have employees you’re going to have to file what’s called withholdings, so not only do you have to pay your employees, we pay our employees twice a month here in the clinic, but now twice a month we also have to pay what’s called withholding, so the money that you take out of the employees check for taxes for Medicare for Social Security, all of that has to be given back to the government. So you can’t just go spend that money you have to save it. If you go back to some of the early episodes you’ll see that I am a big saver and I don’t spend a ton of money. I spend a lot of money on health insurance, for the employees, free healthcare, the free vision and the 401k and match. Yeah I spend money in the right places but I don’t go out and waste money but you’ve got to give that money back to the government. So I just wanted to give you a little idea of taxes and if you have your own Speech Therapy Private practice and kind of what it was like back a few years ago and what it’s like now because since I have the certified tax preparer, I don’t really have to go to the office now on Sunday and obsess with a piece of white paper and a pen and a calculator and try to remember everything I did, because all those reports are ready to go the taxes are going to be ready to go by the end of January early February and I’m done; I’ve already paid the taxes for 2016, so I’m already paid up, so it’s really a big relief. If you add that level in your own Speech Therapy Private practice, if you can afford to have a CPA or a tax preparer go through and get you what’s called monthly reconciliation report, that’s advisable. I hope this has been a good Podcast for you guys today about Taxes and as always if you need something or have questions about your own Speech Therapy Private practice, just shoot me an email email@example.com or privateslp.com/contact and as always, thank you for listening. The post 22: A Few Thoughts About Taxes and Speech Therapy Private Practice appeared first on PrivateSLP.
9 Jan 2017
28: Ten Percent of Something is Better than One Hundred Percent of Nothing
In Episode 28, I talk about the cost of doing business. When I was very young, my dad (who was a hard-working plumber with an 8th grade education – he had over 100 employees in his plumbing contracting company) made me work hard. I hated all of the physical labor at that time, but reflecting back now, I see how it was a very important time for me. As a private practice and real estate owner, I still use these lessons today. It’s important to remember that I can’t keep all of the profits. In speech therapy private practice, the owner will have expenses, but these are necessary for everyone involved to succeed and get what they need: 1. The patient gets the treatment, 2. The employees get the job and benefits of employment, 3. The IRS gets their tax payments and 4. The landlord gets the rent payment. Everyone involved is a winner when this simple rule is followed: 10% of something is better than 100% of nothing. In this episode: 01:00 – Seventeen thousand four hundred and twenty eight listeners 02:02 – Value of money 03:38 – Something that ties in the Private practice 03:50 – In business there are expenses 05:11 – There is always a cost of doing business 06:40 – Ten percent of something is better than a hundred percent of nothing 08:10 – You’ve got to suit up, show up and not be flaky and get that job done DOWNLOAD PDF TRANSCRIPTION This is something that ties in the Private practice as well. You’ve to understand its not what you get paid that makes you successful. Its what you retain and what you keep and what you save. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 28. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Welcome back to the show everyone. Today is July 22nd it’s a Saturday and its raining here in Tucson which is a very rare event. As of today we have well over Seventeen thousand four hundred and twenty eight listeners to the show and I am so grateful to have you guys on the program. Welcome back to all you listeners out there, if you are new to the podcast welcome aboard. I was going back through some of the old podcast episodes one, two, three, four, it was just amazing how things have changed, how the formats changed and how the quality has changed but you know the content is still there so I hope you guys are getting that good valuable information. You know me I got to say it at every single podcast, “Value is what you get in the absence of money”. So these podcasts are free for you so if you wouldn’t mind go ahead and go to the iTunes store and leave some five star feedbacks. That way other people can get the same valuable information that you’re getting. I just wanted to say again welcome aboard and thanks for being a listener to the show. And if there is anything or any need just reach out to me at the website www.privateslp.com/contact. Today I want to talk about the Value of money. My son recently got a new game station. He got a play station 4, so obviously we have to get rid of the Xbox one. And he came up to me the other day and he says, Dad we can just go right down the street and get rid of that Xbox one, and GameStop will give us eighty bucks. And am thinking that thing doesn’t cost eight bucks, that thing cost a lot of money. And I said, “Goggies your camera son. I am going to give you little lesson and value.” So what we did, I’ve got a great feedback on ebay. So I said lets put this thing on ebay. And he has never done an auction or anything like that. He is eleven. So I said, “watch this, take some pictures”. So he took the pictures. I said lets load that thing upon a listing and we are going to put it there for a dollar reserve. He says “Wow wow, Dad we can’t give it away. They are going to give us eighty bucks at GameStop.” I said, “No, watch this, we are going to hit the Greet button. We are going to put a nice Xbox one with a external two terabyte hard drive, two headsets, eleven games and all the bells and whistles, camouflage controller and black controller, all these extras.” And I said, “We are going to put Free shipping and we are going to do this. We are going to put it on there for a dollar reserve on a five-day auction.” And he was kind of freaking out and he said, “No, you’ll see by the morning time.” This was 10 at night and I said, “By the morning we are going to have at least 50 or 60 bucks on this auction”. He says, “Okay Dad”. So we went to the bed and woke up the next morning. He was so fired up. Anyway make a long story short. We got Three hundred twenty five dollars for the game system. So I wanted to show him a lesson but this is something that ties in the Private practice as well. You’ve to understand its not what you get paid that makes you successful. Its what you retain and what you keep and what you save. But also remember in business there are expenses, just like on this Xbox on Ebay. What we had to do? We had to pay some fees. Ebay got a listing fee. They always get their cut. And then PayPal took almost 10 bucks in fees to transfer the money. So they got their cut. So for the free shipping option we had to take that to the UPS store. And for those of you who know me the UPS store that’s where we get all of our mails for our clinic. So I brought it over there, and I got a discount. But still it cost twenty-five dollars to box this thing up correctly who had a double box it and insure and then another fifty-one dollars. Anyway long story short to make it even longer, we spend about eighty-nine to hundred dollars in fees. So that three twenty five minus a hundred, we walked away with two hundred and twenty five dollars. And my son he was saying something like this, he said, “What’s the point? We could have saved this this headache.” I said, “Son you have to realize when you do business, its part of business.” You’re going to have expenses like with the Speech therapy private practice you’re going to have taxes, payroll, even you would lose some money once in a while when you don’t get reimbursements from Insurance companies. Lets say you don’t get your proper Authorization or you don’t do your benefits check when the Patient come in. You may not get that money. So there is always a cost of doing business so never forget that. I remember when I was a kid my Dad, he was a plumber. He had a very big plumbing company, about 100 employees at one time. And I remember I was at my son’s age, my Dad always used to take us to work and I used to bock, I hated it. My mom would pack out lunch. We had to get up at four thirty in the morning. And I just remember asking my Dad, “Can I have a break here?” I just want to sit around and watch some cartoons at that time. I am older than forty-seven so we had cartoons, we didn’t have all the content that twenty and thirty years old have today. But I said, “Could I just sit around, just relax and enjoy my summering season?” “No sir you need to go to work. But I am going to pay you.” And so when I was nine, ten and eleven I was making hundred to hundred and twenty bucks a week and getting taxes taking out. But my Dad always had his digging ditches, running sewer pipes, sweating copper and installing water heaters building apartments. He kept his busy. And I remember one time he had me connect some gag pipe in one of the Offices out back. It was hot, typical southeast Louisiana, sweat and humidity, august or late July, like this in Tucson. And I said, “Dad, can I come in and sit in the Office with you and just hangout the Air conditioner?” He said, “Son, if you want to hangout the Air conditioner go to college but until then you need to get out there and get that work done.” And so that was my lesson and value. My Dad always said ten percent of something is better than a hundred percent of nothing. And so that’s what I told my son. I said, “Yeah, we could have taken the easier and softer way, go down the GameStop, give all these games and components and walk away with hundred bucks.” But no, somebody is going to get good value, some child out there or some adults is going to get good quality, gently used system, they are going to enjoy that and we may little money that, Persons going to get good value. Also I told my son, “This is a lesson for you in marketing. Remember when I asked you to write the description.” He said, ”Yeah Dad.” I said, “What did you write?” He said, “There was a camouflage controller and a black controller, console, cable, Bluetooth headset and eleven games. He listed all that out. It was really cool watching him do that. And then I put a little fluff-fluff in there. I said, “Watch this son ‘gently used’ or how about ‘manufactured in twenty fifteen’ or how about ‘never moved from room’ or how about this one ‘smoke free environment’. He got to see some of those marketing aspects and how you sell a product. So that’s what I wanted to show to my kids. Its really important with Private practice you want to correlate everything that you learn throughout your career. And you’ve got to give good value, give good treatments, and give good customer service. And you’ve heard me say it time and time again, you’ve got to suit up, show up and not be flaky and get that job done. Have an offer that converts and that’s therapy services at a reasonable price and you can take insurance. We were just talking about that in the Alex’s forum. If you go to www.privateslp.com/coaching, you’ll see how you can join the forum. We have six members in there right now and we’re just all having a good time having our monthly webinars and all the contents in there. And people are asking questions and their getting answers. If you are looking for something and you can’t find it just let me know and I’ll make it for you, and I tell people that all the time. So we’ve been recently talking about credentialing and insurance plans. And we’re talking about your first patient and what are the proper steps to get that person in the door and paper work, and all that stuffs in the forum. So if that interests you, www.privateslp.com/coaching. As always I hope this is been a valuable podcast for you and if you need me, reach out to me firstname.lastname@example.org, and Thank you for listening. The post 28: Ten Percent of Something is Better than One Hundred Percent of Nothing appeared first on PrivateSLP.
23 Jul 2017
Speech Therapy Private Practice Is a Long Game
When I am working with others, I always stress the importance of dedication and persistence. You have to remember that success in anything that we do happens over time. So many people think that making a few changes in their life will automatically lead to a successful outcome. In business, we must be cautious and take appropriate steps over time so that we can become successful. We shouldn’t act in haste. It’s also important to seek help from others. Let’s be honest, we cannot do this alone. We have to learn how to trust and delegate so that we can continue to grow and improve. In this episode, I share some insights on speech therapy private practice and how a successful business is built on long-term commitments, financial honesty and integrity. In this episode: 01:32 – Home health avenue for Perfect student 02:50 – THANK YOU for the emails, tweets and feedback 03:32 – Success 04:03 – Mines on Pontatoc ridge 05:20 – Establishing relationship with your patients 06:31 – Supportive and Sustaining 06:45 – desire to work and to do everything yourself 08:25 – You can’t quit before the miracle 08:46 – You can’t keep co-payments 09:51 – This is a long game and you can’t cut corners Download PDF Transcription Transcription of Episode Twelve: Someone was asking me the other day about being successful. And they asked me “What’s the most important thing about being successful” and I really thought about that question because the answer is really simple – You got to be in this for the long call. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 12. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Hey, thanks again for all the tweets, emails and also wanted to thank those who are emailing me about the Perfect Student. I still am looking for two students to mentor. And you are able to fly in to Tucson and come spend a week with me in Tucson. You are also going to have access to me on weekly calls and those can be either Skype or telephone. And you’ll have access to me via my personal email. You can come and learn the way we do our business here in Tucson, Arizona. Also it is not just a brick and mortar outpatient clinic that we have, we also have a Home health agency. So you can come and learn both aspects of that too. That always sparks some interesting people who want to try the Home health avenue as well. Its got to be a perfect fit, so I want to make sure when you do email me please tell me a little bit about yourself and let me know what you’re up to, what you want to accomplish, if you are just starting out or you’ve been into the game about 2, 3 or 4 years. Let me know some background because I do email people back and I never hear back from them. So I just want those people to know this is not a free service but it is valuable information and again it is something that will change your life but its got to be the right fit. Just like gaining relationship you want to have a successful two-way relationship so that’s why am asking all these questions back and forth when people do email me. So let me know what you’re up to so we can work it out and make it happen for you because I would love to help you get your practice up and going. Even if its just starting out and getting you setup this is totally doable. And again for the right people its great value. Hey, and also thank you for the emails, tweets and feedback on iTunes. It’s really nice to have good 5 star feedback on iTunes because just like you out there listening when other people want to find is, you find the feedback and you find us easily on iTunes. Please do your part and help us, help others by leaving some good quality feedback on iTunes so people know that we are real. I do this for free and all the blog post that I put out its no cost and I want to help as many people as I can. I really truly like doing that. Today I want to speak about Success. This is a long game, this is not something that you just start out doing and you strike it rich kind of back in days, digging for gold, mining for gold. As a matter of fact where I live here in Tucson, I live in North of Tucson. It’s a place called Swan Road, and if you take Swan Road all the way to the top, where dead ends into the Mountains there, there’s a ridge called Pontatoc ridge, and if you go up in that ridge area there are mines back from the 1800’s. Am actually got online and look at these maps, and there are really cool mines, where they use to mine for minerals, coppers and all up in this neighborhood ride live here this old mine places where they were digging. My Property is actually is next to an old mine area. Its actually 14 acres you can’t build on it. And we have an acre land that borders that 14 so my son used to play on this land and its really fun out there. But there are some cool areas where you can see back in the day where people would start digging and mining for copper because this part of the country is known for its copper mines and producing copper. And that’s a slow process, if you’ve ever looked at the mining industry those companies don’t just go in and live there for 4, 6 or 8 months. They are there for long time and they do their research and they’re constantly looking at the geography, images and trying to find where the best place for mine is. And that is so true when it comes to business. Business specially is what we do; it’s a relationship that you establish with your patients. That relationship doesn’t last for just 6-8 visits. This is not like a general practioner offers where you go there once every three or four years or you see your GP for your annual check up. This is something that takes work, when you’re changing speech and language skills and working on far motor skills, we see these kids and adults weekly sometimes for 6 or 8 months, or 52 weeks in a year. So we might see these kids sometimes 52 visits in a year and so we are building relationships. And our business needs to be supportive and sustaining so we can provide that service. If you have listened to my other podcasts, you’ll see that you can’t be flaky. You’ve got to provide a very good, very solid customer service business where you can meet those wants and needs of your patients. This is at just something you’re going to start, your private practice is not going to be started and up and running and going in 6 months or 8 months. You can get it going and start working; this is a very long game and you’ve got to have that desire. I’ve spoke about that, I believe it was episode number 11, this last podcast. That inward motivation, that intrinsic motivation and you’ve go to have that power, you’ve got to have the desire to work and to do everything yourself. If you listen to other podcast it goes down to – taking the phone calls, doing the referrals, sending off reports to the Doctors when you’re finished. All that is part of the business and you’ve got to do it. You have to do everything in your power to make sure that you do the best job possible so that Doctors looks good; your patients were doing better; your employee are getting paid and everybody is happy. That’s what it is going to take to be successful. It’s not a quick easy fix; there is nothing easy about it. I’ve said it before and I’m saying it again, if it were easy everybody and their mom would be doing it. When you make that commitment, you’ve got to stay in it for the long call. We are talking years folks years, years, years, years; and you will see that it will pay-off. You’ve go to do this. If you are sitting there thinking I’m sick and tired working for the Boss, I cant take off time on Holidays. I’m just going to nursing home and doing my nursing home gig. If you are just being sick and tired then be sick and tired. Start your own private practice and I’ll help you. Another thing too, someone was asking me the other day about being successful. And they asked me “What’s the most important thing about being successful” and I really thought about that question because the answer is really simple – You got to be in this for the long call. I think a lot of people stop too early and they don’t give themselves the opportunity to be successful. You can’t quit before the miracle because sometimes the miracle is financial freedom sometimes it’s having more time with your family. Its freedom kind of come and goes you please. But that miracle takes time and you’ve got to do the right things and be honest in business and in with your checking account, with your money. You can’t keep co-payments; you’ve got the right that refund cheque because sometimes those families don’t know that they have a refund coming. You can’t keep that money. You’ve got to give it back; you’ve got to be honest. And that is what will set you apart from other people in the community because when they get that refund cheque they’ll know you didn’t have to do that, but they will be thankful you did. I had a lady one time I gave her $800 cheque and she said “what’s this?” I said, “this is your money. You pay this co payments and we also got he insurance from the insurance company.” It was months later, almost a year. We just ding, ding, ding, ding, ding, these insurance company everyday just refer months, months and finally we got paid. That mom she looked at me, she had tears in her eyes. She said, “I needed this money so badly.” And I said, ”Its your money.” And because of that she still comes to our clinic today and she brings her kid, the kids are getting better and everybody is happy. That is really what its all about, helping other people, being honest and doing the right thing. This is a long game and you can’t cut corners, because if you cut corners now, you’re going to cut corners in the future and your business will fail I promise you that. Hey, thanks again for all the listener support and if you have any questions hit me up on twitter at privateslp and if you want to them email – email@example.com. Thank you for listening!! The post 12: Speech Therapy Private Practice Is a Long Game appeared first on PrivateSLP.
27 Apr 2016
36. Do This FIRST Before Making a Big Move
Big moves in your therapy practice come in many shapes and sizes: New hires, a new lease, expanding additional clinics, paying taxes, the list goes on and on. In this episode, I discuss some things to consider before making these big moves. DOWNLOAD PDF TRANSCRIPTION In this episode: 00:38 – Cash Flow – The Heartbeat of Your Clinic 01:58 – Health Insurance Deductibles 03:01 – Healthcare Landscape in 2018 03:15 – Increased Co Pays and Planning Hey this is Kyle with PrivateSLP.com. I wanted to give you some information today that you probably won’t read in any book or find online or find on a PDF somewhere or you probably won’t hear this from many gurus or on a podcast. But I wanted to give this information to you when you are dealing with Insurances and you’re dealing with third party payers like Blue Cross Blue Shield, Tri Care, Humana, Aetna all those big insurance payers. Now it’s important to remember the cash flow of a clinic. In one of our private SFP All Access Community trainings recently I was talking about K.P.Is or Key Performance Indicators. And I was mentioning this exact thing on that training so I’m going to share that with you today in the listening community there on the Speech Therapy Private Practice Startup Podcast. So don’t forget when you’re dealing with insurances and you’re dealing with a big move in your clinic, for example, you’re opening up a second location or you’re just starting to lease a new location or you’re adding one or two more employees. Those are big jumps those are big leaps. That’s going to cost you money. So when you are doing something like that of course you’re going to need as much cash flow in savings as humanly possible. So what you want to do is make sure that you take that leap maybe wait until May or June or July sometime after April. Why is that so? Because let’s think about this, most insurance plans have some sort of deductible. Now a deductible can be a calendar year or it can be a benefit year. Now a calendar year is simply January through December of that given year. Now a deductible year would be maybe from June 2018 through May, 2019. So that’s the deductible year that the Insurance company is going to make up. But for this discussion most of the deductibles that we see in our clinic and probably you as well in your clinic, you’re probably dealing with a calendar year deductible January through December. Now most patients don’t meet their deductible until May late April or May of any calendar year. So let’s think about that when it comes to cash flow in your Speech Therapy Private Practice. You want to be mindful of that. You want to make sure that you have cash flow when you make your move. Also too don’t forget in the healthcare landscape in 2018, if you’re watching this in 2018 in 2019 you know what I’m talking about, the healthcare landscape is very crazy right now. So we’re finding in our business that Patient copays are going up from 13 dollars for some payers all the way up to 30 dollars. Now if if some of those families have one-two-three kids or loved ones in therapy you know that for three children that can be 150 a week for therapy services. So you may find some of these patients may drop off of your schedule in January, February and March until they meet their deductible. So again think about this when you’re making big moves hiring employees or signing a new lease. And when you take insurance plans as forms of payment for your Speech Therapy Services. Keep this in mind and I hope this has been helpful. If you have any questions reach out to me firstname.lastname@example.org and thank you for listening to the Speech Therapy Private Practice Startup Podcast. The post 36. Do This FIRST Before Making a Big Move appeared first on PrivateSLP.
15 Mar 2018
Distractions are everywhere. In today’s world, companies left and right are competing for just 2 seconds of our time in order to sell us something or capture our details. As a business owner, we have to remember that staying focused is very important to business growth and development. In this episode, I will share some strategies that will benefit you so that you can keep your eye on the prize, which is speech therapy private practice start up and growth. In this episode: 01:05 – Listener gratitude 01:22 – Emails, comments and Tweets 01:45 – On Location in Manly, Australia 02:07 – Thanks to SuperFastBusiness 03:38 – Wasting time and not following through 04:23 – Devices can distract us too much 04:37 – Take time for ourselves to journal and reflect 05:21 – Clean out the inbox – UNSUBSCRIBE 06:03 – Disable push notifications on devices 07:17 – We are checking and rechecking our devices 150-250 daily 08:02 – Stay focused and not wasting time 08:33 – Take 2-3 hours for yourself (remember that person?) 09:10 – Please leave some feedback on iTunes so that others will benefit 09:29 – Need help? Still looking for 2 students – email me with “The Perfect Student” in subject line Download PDF Transcription Transcription of Episode Nine: Everybody is fighting for our attention but the reality of this is we need to stay focused, work on ourselves and try not to be so distracted. Because distractions I believe are what can really kill the desire to start your own business. Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 9. My name is Kyle Meades and am a speech and language pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Hey I want to say Thank you for listening to this Podcast, its been really need to have you guy listen and without you I wouldn’t been around and I just want to say Thank you for allowing me to communicate monthly with you because it absolute pleasure to get the emails, comments, tweets and all that stuff. Its really nice to have you guys out there and I really want to help you to start your own Speech therapy Private practice and so I am trying to always improve my vibe as well get valuable information so I can pass it on you. Right now I am recording this podcast Episode in Manly Australia. Now you might say “Hey Kyle why are you in Manly Australia?” Well its an easy answer, I am a member of SuperFastBusiness.com it’s an online community of Top Internet Marketers and Business Owners. There is an annual live event every year in Manly Beach. Manly beach is a little bit North of Sydney so you simply up on a Plane, you fly to Sydney, you get on a train, you go to the fairy, right there is a upper house, you take a 30 minute ride to Manly and boom you’re right here in the heart of Manly beach. It’s just a beautiful place. People are so wonderful here in this part of the world and it’s such an honor to be around of this Top Notch Marketers and Business owners. People of like-kind mind and just sitting there swiping ideas and information, its just a privilege. So you guys are going to getting good value out of that too because I am going to implementing some of the things I’ve learn this week here at SuperFastBusiness live event. This was the eleventh event so I just want to give James Schramko shot out for hosting a wonderful annual event. It’s just privilege and honor to be associated with James and his community. Also I want to say Thank you for listening and all the wonderful feedback we’ve received on the Podcast and because of the feedback that we’re getting it’s allowing other people on iTunes to find the podcast easier so if you wouldn’t mind to, please give us some feedback on Apple iTunes so we can help other people to find the podcast. I want to get that out of the way and I want to talk today about – Wasting time, and its something that I think since the invention of Smartphone, I think its something that getting more and more difficult to stay present. I just want to talk about this today on this Podcast because something that is close to my heart and something we had some speakers here at the SuperFastBusiness live event talk about. So I just want to bring that to light and share with you. With our Smartphones and Apple devices and Android devices we have this things on us all the time. We bring them into our bedroom and you sitting there next to the one you Love. They are on their Smartphone and you’re on your Smartphone. Sometime we don’t even hug and kiss to the one we love good night. We’re sitting there to closing out email and shooting off texts. These Tablets and Smartphones are just such an integral part of us that we are going to forget that there is a real world out there that is not electronic. That is one of the thing that I am going to talk about today i.e. How to not waste time getting so distracted with your Smartphone, because as a Business Owner, as a Clinic owner we have to stay focused. We have to take time for ourselves to do things like Journaling, reflecting and meeting our goals so we can be successful. So I want to give few strategies and share few tips on how to minimize the distractions that are caused by all these applications, tablets and smartphones. One of the first thing I would recommend you do if you want to seriously take back some of your time is to start cleaning out that Inbox. When I say cleaning out the Inbox, I mean start unsubscribing to everything. I mean just go in their when you get those marketing emails or if you get those coupon emails, stop and think if this going to benefit me? Am I going to act on this email? If you’re not just simply unsubscribe and delete that email and that way you can start cleaning out your inbox and gaining control. Another thing you really want to think about doing is get rid of all those Push notification on your Smartphone and tablets. Is it really to know that your Amazon.com product was just shipped 2.5 minutes ago or that the Cat food that you ordered yesterday is in Boise, Idaho and in direct route to you and its going to arriving hopefully before 10am tomorrow? Is it really that important or can I just allow other people to their Job, do it well and I don’t need to know about it. That’s another thing that we really want to start focusing on, get rid of the push notifications, turn off all that stuff and try not to look at that phone and check it 250 times a day because on average we check our phone 150 to 250 times a day. So if you really think about it we are training ourselves to be distracted. From a marketing standpoint think about all of the companies who are just trying to get 1 or 2 seconds of our attention. We have all this little dings, bells, whistles and lights; everybody is fighting for our attention. But the reality of this is we need to stay focused, work on ourselves and try not to be so distracted. Because distractions I believe are what can really kill the desire to start your own business. A lot of people they want to do this and they want to do that but they just don’t take 2 or 3 hours a day and plan, implement goals, Journal and do some really nice things for themselves like go get a massage, haircut, grocery shopping or take a walk. I know that sound really simple and easy but its not. It’s really difficult to stay focused and to not waste time. I am guilty of it; I sit there sometimes on my laptop at night. I’ve got my beautiful partner Stefanie, she’s to my left and she’s on her thing, and I am doing my thing. She is a business Owner too. Sometimes it’s just hard because I click this link and I am in the black Internet funnel. So we all do it but there always a solution in that. Solution is to take 2 or 3 hours per day and not check your phone, and Journal, and reflect, make a gratitude list, stay grateful. You know those are some action steps you can take to not waste time, not be distracted. I hope this is really helpful for you. It’s something I heard a little bit of here at Super fast business live event here in Australia. I’ve got a little bit of cold too so apologize about that. It’s just the way it is, when you’re on a plane in other country, lots of people around. I hope you found this podcast beneficial and if you did, would you please go to iTunes and I would really appreciate some 5 star feedbacks on iTunes. Also shoot a tweet out to ‘privateslp’, it would really mean a lot to me and thank you for getting in touch with me those who have emailed me already about The perfect student. I still am looking for 2 students who are willing and able to change their life. This is not a free service but all you have to do is reach out to me and we can talk about it. If it’s a good fit then absolutely I will work with you personally one-on-one. You can fly out to Tucson, Arizona. You can come out to the clinic and see how a nice, productive real clinic operates. You are more than welcome to pick my brain. The Perfect student will have direct access to me for a minimum of 6 months. You have access to my personal email or you can text me and I will do my best to help you in any way I can to improve your business and your life. I really want 2 students to shoot me an email and in the subject line say “The Perfect Student”. Shoot me an email to email@example.com. Thank you for listening and I will talk to you soon. The post 9: Managing Distractions In Speech Therapy Private Practice appeared first on PrivateSLP.
8 Mar 2016
47. Private Practice Management Software with Beata Klarowska, M.S. CCC-SLP
Today’s episode is all about practice management software with Beata Klarowska, M.S. CCC-SLP. Beata is a speech and language pathologist who started working on practice management software and apps after listening to a professor speak about telehelth services in graduate school. Today, TheraPlatform has grown into a robust practice management and EMR software for SLPs, OTs, PTs and mental health providers. Its features include: scheduling, documenting, billing, secure video conferencing, teaching tools, reports and homework. In this episode: 02:32 – Building a Speech Therapy Empire 03:05 – All-in-one practice management software platform 06:50 – Your own Business and Flexibility 09:40 – Telepractice software 10:59 – Specific Features 13:06 – Multi Modality Learning Approach 14:35 – Open Ended Built-in Tools 20:23 – Practice Management Features 22:15 – Additional Option 30:29 – Special Promo Code for PrivateSLP Listeners DOWNLOAD PDF TRANSCRIPTION It kind of all started for me when I was in grad school, so we had to take a technology class and this class mainly focused on AEC devices. It also covered all over button of practice management and therapy software. And at some point and during this class our professor briefly mentioned that ASHA approved Tele practice and that one day we’ll be just doing therapy online. And so he really kind of planted this little seed in my brain and since that point I was doing a lot of research. I was taking CEO classes about a Telepractice. I did a lot of market research and I finally decided to build a Telepractice software. [Commercial] Well, Hello everyone you’re listening to the Speech Therapy Private Practice StartUp Podcast. This is episode number 47. My name is Kyle Meades and I’m a Speech Pathologist since 1993. And these podcasts are designed to help you improve your business and your life one Podcast at a time. Welcome back to the show everyone. Thanks again for all the emails and all the questions and as of today, today is Sunday February 17th 2019. We have well over 45691 listeners to the show and I’m super glad you guys are out there getting good valuable information, and I said every single episode, “value is what you get in the absence of money”. And these podcasts are free for you so if you wouldn’t mind can you please go over to the iOS or Android platform of your choice and leave some good five star feedback. That way other people just like you can get the same valuable information that you’re receiving. Also if you are interested in joining in all access community where you can learn how to grow scale your Speech therapy Private Practice, look no further if you go to privateslp.com/coaching you’ll see some options there. I’m not really talking about working from home or just working on the side, I’m talking about a speech therapy empire. I’m talking about having employees, paying taxes and being independent. I’m not really talking and really trying to help people just have a few clients on the side or something like that. I’m talking about the real deal so if you want help you’ve come to the right place privateslp.com/coaching. Now today we are talking to Beata Klarowska and she is a Speech and Language Pathologist and the Owner of TheraPlatform, and what she has done is created an all-in-one practice management software platform. Now TheraPlatform.com is a practice management EMR software for Speech Therapist, OTs, PTs and Mental health providers. Its features include scheduling, documenting, billing, secure video conferencing, teaching tools, reports, homework and more. So let’s take a listen to today’s interview. And today we’re talking with Beata Klarowska and she is one of the co-founders of TheraPlatform and the Virtual speech center. Kyle: Hey Beata, How are you today? Beata: I’m good. How are you? Kyle: Oh, I’m doing great. We’re in Tucson and we’re just enjoying the 65 degree weather. I think it’s a lot different from our listeners up in the Michigan area. I was speaking to a gentleman recently from the state of New York and he said it was freezing cold. Do you guys have the same problem there and on the west coast? Beata: Not freezing cold. I’m in Los Angeles in Burbank area, so February was very nice for us. We got a lot of rain which we highly appreciate given that we had a really bad two years of dry season and the fires, which really appreciate the rain here in February and it looks nice. I enjoy it and I miss the Four Seasons so I’m definitely enjoying the rainy weather today and planning to have a pizza party with my boys. We have tent put out in our living room and after this podcast we will make our own Pizza and have Pizza party. So it’s been nice. Kyle: Oh that’s great. I remember my son used to like to make tents out of the sheet, we’ll get the clothes, pans and I get the broom handle and make the Center for the tent. And then we would go to the camping store and we will get used camping equipment and we used for sleepovers he would have a sleeping bag in the tents and now everything is just dirt bikes, fortnight and YouTube. So those times are going for me. I miss those days. Beata: Yeah it’s fun. I love it. My boys are young so they’re 3 and 5, and such a beautiful imaginary. So I’m definitely enjoying them and camping, cooking, pretend play every day. It’s definitely fun. But they grew up way too fast. Kyle: What a great age and obviously your accent, you’re from Texas. Right? I’m just joking. Beata: No Kyle: Where’s that accent from? Beata: What accent? Kyle: Yeah right. What accent? We’ve got a group of speech pathologist listening in and I’m sure everyone’s trying to guess the accent it’s not New Zealand it’s not Australia, it’s definitely not Southern Texas or Louisiana, that’s for sure. Where are you from originally? Beata: I was born in Poland. So I have Polish accent. Yeah, I usually have people telling me Oh maybe you’re from Russia maybe you’re from Germany. I actually had one person who thought I was from Texas so I was kind of interesting. My accent is Polish. Kyle: Yeah. My other half. Her mother’s name is Timinsky so I know about the Polish. I know about that. I know perogies and all that good food. Beata: Yeah. My mom is here too. She’s visiting us from Poland too. So she’s treating us perogies, kyompki and poarst, good polish food. Kyle: Gotta have it in. You’ve got your two boys. Are you able to stay home with him now that you’ve got this new business or are you doing speech pathology work and working with your businesses. How do you do both of those careers? Beata: Well I’ve been in speech pathology for over 11 years in an medical setting so when I started of my career I didn’t have any children. But after we launched our software company I did get some somehow from family and friends. But having your own business gives you this flexibility and I’m not running a private practice so it’s a little bit easier for me I can kind of arrange my own schedule to meet both needs – the company needs and my kids needs and then it gets easier. They’re growing and are going to preschool now. So I definitely have more time. My working hours are longer. I work five hours in the morning and I have a year break with my kids and I we play and then I work from 6 p.m. to midnight sometimes. But it’s nice to be your own boss and to kind of have this flexibility for sure. It’s not always easy to combine the two but you just do your best. Kyle: So you mean you’re working five hours in the morning and like a local hospital or something like that and then working 6 to midnight. Beata: For our company. Kyle: Oh, So you’re not even practicing any longer. Beata: I am still in the clinical wards. I go to the hospital just twice a month just to keep in touch. It’s hard for me to quit the clinical setting completely. I love both. I love technology and I’m very dedicated to our software company and again our field is so flexible so I’m really blessed that I can focus in our company full time and then still be in touch with our speech word. So it’s nice. Kyle: Yeah that’s awesome. Yeah it’s great to be your own boss. I mean that’s one of the reasons I started my own Speech therapy private practice was just so I could have free time with my son. I mean unfortunately he was sick the other day. He was home Monday and Tuesday because of this god awful flu thing going around but I was able to just text the office manager and say, “Hey I’m working from home today” and he was in bed and it’s just a nice benefit to have when you’re your own boss. How did you get from the Speech therapy world with direct treatment for 11 years to just saying “Hey, I want to start Thera platform or the Virtual speech center”? How do you do that? Did you have help or did it hit you like a bolt of lightning one night when you’re going to sleep. I mean how had that happen? Beata: Well it kind of all started for me when I was into the grad school, so we had to take a technology class and this class mainly focused on AEC devices. It also covered all over button of practice management and therapy software. And at some point and during this class our professor briefly mentioned that ASHA approved Telepractice and that one day we’ll be just doing therapy online. And so he really kind of planted this little seed in my brain and since that point I was doing a lot of research. I was taking CEO classes about a Telepractice. I did a lot of market research and I finally decided to build a Telepractice software. So in 2010 me and my partner we built a prototype video platform but technology back then was not there for what we wanted to accomplish. And the video conferencing technology back then was changing and moving away from all dirt to new technologies. And so we decided to put the video conferencing piece of our business on hold until technology matures a little bit more. So we started developing apps in 2011, which we planned to incorporate later on in our Telepractice software. And when it comes to TheraPlatform we are just so blessed because over the few years we built a nice user base. We had a lot of SLPs using our apps at schools and private practice and so we had a lot of a SLPs who really helped us with launching TheraPlatform. We had over 300 SLPs who contacted us and they helped us of Beta testing of TheraPlatform. And we were just so overwhelmed with their response and we were just very thrilled. A lot of them were very thankful and appreciated. And they thanked us so we built something very specific for Telepractice and I spoke of a few of them on the phone and they told me I always wanted to implement Telepractice in my private practice but we didn’t have the tools and I met one SLP who told us that she tried to provide Telepractice in the past too. But she was unable to compete with larger companies because she didn’t have a platform built for Telepractice. She was competing with a general video platform but she wasn’t winning the bids. And so if you are listening to us now and if you did help us with launching Theraplatform and testing I just want to say thank you so much and we highly appreciate it. So it was a team effort. I mean I have a really great team of Software engineers, graphic designers, customer support and also SLPs who were very helpful during this journey. So that’s how it’s kind of all started. Kyle: That’s great. Yes, Speech therapist they’re just a great group of helping professionals and you hit something right on the head too, you said you have to have a team. And I wouldn’t be where I am today without my team and it sounds like you’ve got to have your team to survive. I just don’t see how you could do it all in one day really. Beata: It takes a village. Thera platform is really comprehensive and very complex so you do have to have a team. You have to have a strong team to provide a reliable and nice platform. So I know my goal as a therapist was to empower SLPs of an open ended platform that would help them conduct therapy online. And before we launched our platform back in 2011 there was not a single platform for Telepractice that was built for Speech therapists. I mean there was Skype, but it wasn’t HIPPA compliant and the general video conferencing platforms were very limited. So my goal as a therapist was to build a software that is open ended and allows us therapists to apply Multi modality learning approach. When it comes to speech therapy I’m very eclectic and I know that we all are. We like to incorporate a little bit of everything when addressing a goal. So we made use flashcards, worksheets, books, toys and I think there’s eclectic approach really helps children to stay motivated and it speeds up the progress. And we all know that when we address these small goals we always keep in mind the big picture or the ultimate goal. So we know for example when we work on the sequencing we might pull up pictures so kids can put them in order but we don’t stop there because we all know that sequencing is not all about putting pictures in order. We need sequencing to tell a story, we need sequencing for life skills and executing functioning. So we made use pictures to address sequencing but then we can take it to the next level. Right? We can move to the more natural or real life activities like dressing up the doll or cooking with Plato and we made at the end ask the child to verbalize different steps of different activities. So I really wanted to build a software that would help therapists to do what I just described to be eclectic and to be able to take the activity to the next level. And we achieved this by incorporating different teaching tools and AIDS in therapy platform. So we are not a general video conferencing platform. We do have a lot of building tools that you can utilize and they’re very open ended. So for example you can upload your own resources. So if you have PDF worksheets or handouts you can organize your own library and set up platform and then you can present these worksheets during life session or you can even the sign them for home practice too. But we also have built in whiteboard which has endless possibilities for us too. I mean you can type, draw, follow directions, and you can paint. We also incorporated our ups, so we have absolutely no target articulation, phonology, memory, problem solving, sequencing. We also have in addition to our building apps, building games to motivate the kids, so we have like a basketball game or a dentist game which you can implement for therapy itself too. And we also allow our users to screen share so again our goal is to give you this open platform which you can utilize different resources like worksheets whiteboard apps and also whatever is available to you online through our screen sharing feature. And what makes us unique to is that the apps that we have in TheraPlatform they are interactive on both ends. So you’re not just mirroring our built-in apps. They’re interactive on your clients ends too. So they can touch the objects on the app they can manipulate the game on their end too. And our screen sharing feature is also unique because it’s two way. So it means that you the clinician can interact online playing a game and your client on his or her end as well too. So let’s say you have like online puzzle game that you like kids can play the online game in TheraPlatform and you’re going to see what they’re doing with their mouse too. So that’s why we did incorporate all of these tools to help you be eclectic and to be able to move the goals or activities through different levels and you might make it fun and very interesting to kids. Kyle: Wow it sounds like you guys have it covered. You can use PDFs, apps and games and you get that built in whiteboards, screen shares and major corporations, schools and therapists using your Teletherapy platform right now? Beata: So our clients base is very diverse. We are a multidisciplinary platform. We have solo therapists using it so we have Mental health providers, Speech occupational therapists, few doctors and they are all vary in sizes. We have Solo therapists, private practices and staffing agencies. We have quite a bit of university clinics who are using TheraPlatform to teach graduate students to be Teletherapists. And so it’s just a very rewarding experience for us to know that we are helping practitioners run their business smoothly. And also helping to build up the case a little bit more and to provide services to locations where Speech therapy wasn’t option because of the geographic location. So it’s just amazing and very rewarding to us to be part of those and TheraPlatform is a centralized platform. So if you’re now ready to provide Tele practice services yet you can still use our platform. I mean we have customers who are not there yet or they don’t even consider Tele practice services and they still use our platform to run their practice because we allow you to schedule both office and Telehealth visits. You can document in TheraPlatform on your online clients and your office clients too. So we have a lot of practice management tools built into it. So as I mentioned scheduling, appointment reminders, documentation, we have reports too so you can kind of view the progress of your clients or students in a graphical format. We have a built-in consent and intake forms which are interactive and you can send them via our secure client portal and then your clients can fill out your intake forms at home and submit it through our system and we are very flexible too. We offer a lot of built-in templates and intake forms but you can modify anything in our platform. So if you like our intake form but maybe you have some additional questions you can add to it. You can modify it according to your needs. And we also have this very core builder that allows you to build pretty much anything you can build an old template with it, you can build an intake form with it. I know some of our customers use our builder to build questionnaires or surveys or screeners and you can build all sorts of different core resources of it too if you want and then share these with your clients. So it’s a very flexible tool to have for sure. And we also allow you to organize your resources too and there is homework section too. So even if you don’t have Tele practice services in your practice you could use our homework section to share your handouts or worksheets and then your clients will get an email notification that you did share resource with them they can securely log into our platform and download it and even print it out too. So a lot of nice comprehensive features not only for Tele practice but also for regular office practice if you will. We have a few customers who are moving to our platform too because they used to have three different systems for everything. I met a few SLPs during ASHA convention and they had one software for scheduling and documentation, then they had to subscribe to another software for billing and now they’re looking for a video conferencing to add to the practice too. So they really liked the idea of having everything in one location and we also offer billing too. So you can collect credit card payments you can create invoices and send them to your clients. We have super bills and e-claim is coming soon too so we are a very centralized platform that’s very user friendly too. And we also have a few customers who are using our platform primarily for EMR and Practice management. But we do have this video conferencing built into it with no additional charge. It’s just for you to use in case you have a situation or a client can’t get to your office like last week we had a lot of sign ups from Seattle because they had a lot of snow and speech therapists were not planning to necessarily implement Tele practice services in their practice but because of snow their clients couldn’t get to their offices. So clients actually were calling SLPs asking, “Hey, do you offer video conferencing because I can’t get to you”. It’s very cold and it’s just overwhelming. So they were able to hop on and the online therapy and keep up the business. And I mean you may live in a state where you had some bad weather conditions every year and it will affect your business. So having those additional option bells into your practice management platform is a big bonus. And we don’t charge you extra for it. It’s just built into the Practice management software. Kyle: That’s insane. This is a huge system. This is beyond telehealth. This is a complete Practice management system and Tele practice if you want that too. It sounds amazing. Now you were talking about invoices it sends out credit card invoices you can personalize your invoices. You were talking about super bills which is a big deal for billing insurances. Now you said you’ve got e-claims coming soon. You guys are working on that? Beata: Yes, so we are working on that. We are integrating of clearing houses so sometime in spring you’ll be able to submit e-claims through the insurance companies too. That’s a big one and its coming soon. Kyle: Yeah, absolutely when we first started I was using Office ally and practice made for our clearing house but recently we switched to a pretty large EMR system and we’re using just a massive clearing house and that stuff is not cheap but you have to have it. I mean primarily in our clinic we do private insurances in Medicaid and Medicare, so we’re constantly billing insurances. All of our computers are cabled into the Ethernet system, so we can get the fastest speed possible because we’re on these massive systems so we can get paid. And it’s just nonstop we have a complete billing and A.R. department that does all of our work but it’s very very important for practices if you want to stay in business you’ve got to get paid. Beata: Yes. Kyle: Do you guys notice from around the United States all these clinicians using your software, are people getting reimbursed through insurance companies when it comes to Tele health and Tele service? Beata: It all depends on the state. Tele practice, the policies and regulations and insurance. It’s not a global thing. So it will vary from state to state but we definitely see a huge change in comparison to 2011. There are more states who did pass Tele health and Medicare doesn’t cover Tele practice for Speech therapy yet as of today. I know that mental health providers do get paid through Medicare but SLPs not yet. But it will change but more and more insurance companies they do pay for services. The best practice is to call. So if you have a client who’s reaching out and asking questions about Tele practice I would call the insurance company first. And another tip that I have if you call the insurance company and from a colleague that they do cover and someone tells you on the phone that we don’t. I would ask for a supervisor because it’s a new addition to health insurance too. And some of their representatives may not have the adequate information either. So if you can ask for the supervisor to get the valid answer but definitely pick up the phone and ask if they do cover. Kyle: I know we have 38 employees in our private practice and right now I’m offering 100 percent health insurance for all of our full time employees and dental envision and things like that. I was reading through our policy we have to renew every February every calendar year. And I was going through our policy and there is Telehealth if they’ve got a call they can log in for free to the United HealthCare Website and talk to a nurse practitioner with no cost. And if you have a common cold or an infection then they’ll have that online meeting with you and send the prescription request to your local pharmacy for you all at no charge. So it’s changing I remember when I first started 26 years ago in this field. It was amazing how far computer technology has come in. Like you were saying even in 2011 it’s a huge shift from the online platforms and just the video software and the cameras. I’m looking right now my Logitech camera and it’s amazing the quality in the sound and there’s no buffering and there’s no lag anymore. I mean it’s just incredible. Beata: And it’s not expensive either. You’ll have to invest a lot of money in nice headphones. I’m also actually wearing Logitech. Its like $20 but the quality is amazing. Kyle: Yes it is. Do you find that like on your platform if you’ve got somebody using a P.C. in the clinic and the client’s got like an iPad or an iPhone? Is there any problems with communicating with two different platforms and different IOS systems or Android systems? Does it communicate just fine? Beata: It communicates just fine because we are a web based platform so you can access our platform from anywhere. As long as you have access to internet and browser, you’re good to go. So it’s very easy and convenient. Kyle: Gotcha. And it works on all the major browsers like the Chrome and Firefox. Beata: Yes. I personally I recommend Google Chrome browser if you can only because it’s one of the fastest browser. Kyle: Yeah, its quick. What’s the difference you’ve been talking about TheraPlatform and you also mentioned Virtual speech center at the beginning of the show. What is the virtual speech center website? Is that where the apps were at one point and everything is integrated or is it two different sites or how does that work? Beata: So a Virtual speech center is our mother company if you will. So we developed over 40 iOS apps so you can purchase our apps on the App Store too. But we incorporated our apps in TheraPlatform as well. They’re not iOS apps in TheraPlatform we basically had to reprogram every single iOS that we developed but it simply built into TheraPlatform and ready for you to use. Kyle: Got you. And if you’re paid member of TheraPlatform you have pretty much access to all the apps that were on the virtual speech center as well. Beata: So we offer different plans with different pricing and features. So our Pro Plus plan includes practice management features and Telehealth. And this plan has our built-in apps and games. And now if you maybe work with adults or maybe you’re just a voice you may not even need our apps. We also offer a Pro Plan, so Pro plan has all the features that I mentioned except for our apps and games. And we also offer the enterprise account for larger companies. We have API and we can do some professional services too. But most SLPs they go with Pro Plus because they like the idea of apps and games. Kyle: And when you have that Pro Plus plan, can you also just download as well to your devices. Beata: So that’s a separate. So the apps are simply built into TheraPlatform and these apps have nothing to do of the apps or they’re just part of the platform. So if you want to download apps specifically just one app you would have to go to a Virtual Speech center. But if you do your online session and you have a kid for example who has iPad at home then they will have access to the app that we have in Pro Plus. But we also have clinicians they don’t provide Tele practice services, they still use the Pro plus because they can log in to the meeting in their office and they can have a child or students sit next to them in front of the desk and they can pull up our apps or pull up our whiteboard or pull up their own resources, so they use our tools not only for Tele practice but for office therapy too. So we could definitely utilize these apps even if you don’t do Tele practice. Kyle: That’s great. Do you guys have anything special for our private SLPs listeners out there. Beata: We do. Of course we do. So we’ll be more than happy to offer 50 percent off on our first month if you subscribe to TheraPlatform. Kyle: And how would they get that subscription and then that discount. Beata: So we did share a link with you so they can just go to this link and we included a Special promo codes so when you’re ready to subscribe you just enter this promo code to our coupon field. Kyle: That’s awesome. Yeah, if you go to TheraPlatform.com/privateslp there will be a coupon at the bottom there and you can just simply click on the link there and you can get your discount. Beata, this is great. Thank you so much for being on the podcast. It is or anything else you’d like to share before we say goodbye. Beata: Thank you so much for having me. And enjoy your Sunday. Kyle: Thank you so much. Beata: My pleasure. Thank you. The post 47. Private Practice Management Software with Beata Klarowska, M.S. CCC-SLP appeared first on PrivateSLP.
20 Feb 2019
20: Avoiding Burnout in Speech Therapy Private Practice
When you are starting, growing and scaling a speech therapy private practice, you have to pace and take care of yourself. This can be difficult, especially in the early years of your private practice, because often you are taking care of all aspects of the business: Scheduling, referrals, accounting, cleaning, compliance, marketing, supplies, etc. In this episode, I discuss actions that we can all take to avoid burnout so that we can continue to help our clients and employees. In this episode: 01:30 – Over seven thousand listeners 02:36 – Space available for THE PERFECT STUDENT 05:59 – How to combat burnout as a Speech Pathologist 06:19 – Daily exercise can help 07:15 – Diet is important 08:48 – Acupuncture can assist with stress and other ailments 10:02 – Always have reservations 10:55 – Delegating task to others 13:10 – Avoid toxic people 13:42 – Have a spiritual connection with a higher power 14:08 – Spend more time with animals 14:58 – Have a schedule and stick to it DOWNLOAD PDF TRANSCRIPTION As the owner of two Speech therapy businesses here in Tucson, Arizona; I do have that experience and it’s nice to share that information with others, because when I started you’ve heard it time and time again on these podcasts I looked and searched for things to do, things to read, people to talk to, everybody that I wanted to speak to who had this big successful clinics, they wouldn’t talk, they wouldn’t share that information. I want to do that, I want to share this information with you so you guys can improve your business and improve your life. [Commercial] Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 20. My name is Kyle Meades and I’m a speech pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time. Welcome back to the show thanks again for all the listeners out there who were giving me comments, tweets and e-mails, I really appreciated it. As of today, today is 18th October twenty sixteen. We have over seven thousand listeners to the show and for those of you who have been there since the beginning, it’s a big deal we started out with two or three people. It’s just growing every week and it’s nice to see when I log on to the show data and look at the statistics, I look at it on a monthly trend and it’s just growing and growing and growing. It’s so nice to help other people like yourself to build, start, grow and scale a Speech therapy private practice. As the owner of two Speech therapy businesses here in Tucson, Arizona; I do have that experience and it’s nice to share that information with others, because when I started you’ve heard it time and time again on these podcast I looked and searched for things to do, things to read, people to talk to, everybody that I wanted to speak to who had this big successful clinics, they wouldn’t talk, they wouldn’t share that information. I want to do that, I want to share this information with you so you guys can improve your business and improve your life. Also on that note I have another space available for THE PERFECT STUDENT, now the perfect student is where you’re going to be able to come in to Tucson, Arizona at your own expense. You have to spent some money, get on a plane, fly in to Tucson and you’re going to work with me hand in hand and we can work together I’ll show you all the primary aspects of a Outpatient speech therapy clinic, I will also show you how to run a Home health practice if you wish. And I will show you how we do our referrals, how we schedule our referrals, how we build the referral base, how we collect it. I’ll show you all the aspects of a thriving Private practice. I was just doing payroll the other day and I noticed we have over thirty people on our payroll between two businesses, and we see well over fifteen hundred patients per month so we have the experience to help you grow your practice. Now this is for someone who wants to supercharge their growth, this is not for someone who wants to think about starting a private practice, this is for that person who wants to really just dive in and cut to the chase and get it done. Because if you are looking to grow and scale a business this is the way to do it so if you are interested in becoming a perfect student, email me firstname.lastname@example.org and subject line put THE PERFECT STUDENT. And again tell me about yourself, tell me about what you are up to, give me some information, are just starting your private practice, are you just growing it, do you have employees, how many patients do you see per week, do you accept insurances, are you credential with all the carriers in your area. So let me know that information so I can help you better and I might just pick up the phone and call you, so leave a number on there too, that’s not a guarantee but I want to ask you questions, I am definitely going to email you back. So again this service isn’t free but for the right person I think you will get a great ton of value out of this, so it’s called THE PERFECT STUDENT, email me email@example.com if you’re interested. Also I wanted to talk to you today about BURNOUT. I was talking to a few colleague friends of mine and I said, “Hey, I need another topic for the podcast” and she said, “You can talk about burnout”. And you know I was really thinking about that this morning before I got dressed for work and burnout is something that affects all of us, it’s true, it’s real, it’s out there, and we have to manage burn out, we have to manage ourselves because as a Speech Pathologist I know for a fact that when I go, I go I don’t stop. I have one speed and that’s on and it’s really fast and throughout the day I just go so fast and I look down at my watch and it already like 4 o’clock, so it’s like “Wow, where the time go”. I am always getting up early around 4:30 or 5 o’clock. I do my exercises I stay active, and when I go to work I work, I go-go-go and it’s just nonstop. I know employees they are busy too. Their schedules are full, it’s a busy a busy job. You know what I am talking about, our profession we help other people. When you help and give and give and give, we need to recharge ourselves and so it’s a part of life that we have to take care of. We have to take care of ourselves, we have to take care of our health, we have to control burnout and I wanted to talk about 9 different things we can do as a Speech Pathologist to help with burnout. I hope that this is a good topic for you and as always down below you can look at the comments. So give me some comments how you manage your burnout, when you get tired, when you just over board, what do you do to help yourself. The first thing I want to talk about is Exercise. Exercise is probably one of the most important things in my life I like to run, I love to run on a treadmill, I am not much of a runner when it comes to outside. I am going to be 47 here pretty quick and it hurts my knees so I like to go to Jewish community centre. We have a nice JCC here in Tucson, they have a beautiful area where you can run upstairs and you’ve got this glass around you and you can look at all the beautiful landscape here in Tucson, Arizona. It’s gorgeous and I would love to run on that treadmill. After that I hit the steam room, and after that I hit the Jacuzzi, and I can stretch. So when you are in your late 40s you got to do that stuff. So but really exercise, walking, hiking, running, that’s what I do, and it keeps my heart rate down, it keeps me from getting frustrated and angry all the time, I mean it’s true I’ve got to exercise. Another thing I want to talk about is Diet, my other half she’s a vegan and she has been trying to get me to go this whole vegan thing. I haven’t gotten there yet. I do admit I like to sneak of once in a while and go of to Five Guys and get a burger. That’s not cool with a vegan, but I still am there every morning when I wake up she’s got her white tea and steamed soy with two honeys and I got my latte on with whole milk and, I know but I am just not there yet. At home sometimes I would have a nice PG tips tea with a little bit of sugar and milk, and I know I am working on it. But I try not to drink all the coca colas, for those who know me look I don’t even have to eat. I keep three things in the work fridge, I keep palm juice, that pomegranate juice, I have got that Ayesee, I think that’s how you say it that juice that you get at Costco and then Mexican cokes. Those three things I can live off, but I am trying to change my diet, I don’t eat a lot of red meat. I try to eat more vegetables, brown rice etc. I am not perfect but I am trying to change my diet. I do go to the doctor every year and he says to me that I am in pretty good health, my heart rate is good, and my cholesterol is good. So I do watch it, and being from South East Louisiana its one of those things that I do have to watch, because I swear if I still lived in South East Louisiana it would be a problem. Another thing that I want to talk to you about is Acupuncture, now Stefanie my other half she is a licenced acupuncture, she trained in china, she has got allot of cool skills when it comes to acupuncture so I am a lucky recipient of acupuncture needles. When I am all stressed out and freaked out it will be, there’s a needle right in between my eyes, and there’s another needle right in my calf, or she puts them all over the place and it really does help. And I have noticed I get a really good sleep when I am a recipient of an acupuncture needle. I don’t know you might even want to look into that, that does kind of calm me down and I know for a fact as an employer who hires many speech pathologist, and assistants, and therapists in general I know there’s a personality type to us therapists, and its generally type A, very dedicated, stressed. I mean you know the profile type right. Any way check out some acupuncture that will help us destress. Also there is an acronym called HALT Hungry, angry, lonely, and tired. When I get stressed, when I get into HALT, I need some acupuncture. Another thing I wanted to mention is a Vacation or a Stay-cation, those things are awesome. Those listeners on this podcast when you look at some images, you will see that some of those pictures come from Hyatts, Hiltons here in the Phoenix area. Sometimes there might be pictures of Hawaii, when I take my son over to the North shore Hawaii, we stay in a little tool shed its gorgeous. It’s the nicest tool shed you will ever see because it’s on the beach on the north shore Oʻahu gorgeous right across from Teds bakery where you get that nice chocolate cream pie. That’s the place right around sunset beach and that’s a beautiful location to have a vacation but we like to take a lot of staycations. So up here in Phoenix which is about an hour and a half north of Tucson, we have the ability to stay in some pretty cool resorts, some nice resorts with all kinds of beautiful amenities. It’s just nice to have a break like a Thursday-Friday-Saturday-Sunday kind of a deal so I can recharge my brain, clear my head and continue to run this company. And it’s just nice to have that luxury to spend time with my family Stephanie and my son Conner who is also nonstop. He is a soccer player and he is just so active. He is 10 and he is just go, go, go kind of like his dad. It’s nice to have a vacations or a staycation. When I was working in a nursing home one time, I was speaking to this elderly lady she was about 96 years old, she was always up and going and just all over the place and I said, “How do you do it?” And she said, “Reservations, that’s how I do it”. You always have to have reservations somewhere reservations at a hotel, reservations on a plane, really stuck with me so I try to do that. Another thing that will avoid burnout is delegating task. This is something that can be pretty scary when you are starting out in your own business and if you have listened to my earlier podcast you will know that I do not borrow money from banks. I don’t like to borrow money. I want to fund everything myself and so when you start getting payments from patients and insurance companies you want to take care of that money and hold onto it so you can afford to hire somebody to help you. It’s kind of like gears in a car. When you get into a car and shift it into first gear you can only go up to about 2500 RPM then you have to shift into second gear and then you will see the RPMs go down to about 1000. That’s what you want to do, when you get up to about 2500/3000 rounds per minute on your engine there, when it comes to work it’s time to shift into second gear or hire an employee to help you and when you do that when you delegate those tasks, you will find that you have less burnout, less headaches and that person you hired will pay for themselves over and over and over again. Also don’t forget that payroll is an expense in a business and that can decrease your overall tax liability. Another thing is avoid Toxic people, I am going to say it again avoid toxic people. If you have people in your life who are toxic or who are sucking the life out of you who you feel that you have to baby sit, don’t settle for that. Why do I have to settle for toxic people? That can be one of the largest things that will cause burnout in your life is having toxic people in your immediate life style. You don’t want toxic people in your life. Another thing is, and again I am not going hippie on you or all religious but meditation and have some kind of spiritual connection with a higher power. Now when I say this it really helps. When I wake up to meditate or have some quite time so I can reflect and plan that whole piece is very important when it comes to avoiding burn out. Another thing is spend time with animals. Now Stephanie she is the other half and she brought this one up actually. In the last podcast, you’ve heard me talk about we just adopted another wiener dog. We have now two wiener dogs and four cats. It’s really nice when I come home and I have got all these little wagging tails looking at me, and they all want attention. It feels good to have animals around and when I am not at home or when Stephanie is at work we drop all the animals off, not the cats. The cats are another thing we don’t own the cats the cats own us but we drop the dogs off over at Stephanie’s mom house and she watches the dogs. But it is such a blessing when I come home to have these cute little eyes and little wagging tails looking at me. Spending time with animals definitely helps avoid burn out too. Also the last thing I want to talk about to avoid burnout is Have a schedule. When you have a schedule, you tend to put boundaries on yourself. Now this is very important folks. You don’t want to sit around at your office and wait until 6 o’clock for people to show up for speech therapy. Create some scarcity and I have mentioned in other podcasts. But it’s very important to remember if you want to have a schedule, stick to the schedule. If someone says, “Hey, I need my speech therapy.” You can say, “Look, I have a Monday available or Wednesday available, I have a 2 o’clock or a 4 o’clock, otherwise I am full or I just don’t have that availability”. That’s what you want to say and when you stick to your guns, have some boundaries, put a schedule in place, you will find that you are less frustrated because you are not sitting here waiting for people till 6 o’clock and they call you at 5:15 saying, “We can’t make that appointment. I am so sorry”, and you are like GRRRR, because it happens all the time. That’s when you have to cut people off, that when you have to say, “You have done twice unfortunately we are going to put you on the waiting list and we will call you when something else opens up.” So don’t forget that, creating a schedule, sticking to your schedule whatever that is. It might be getting up at 4:30, going to the gym, going for a walk; Sticking to your schedule will avoid burn out as well. So those have been Nine tips on how to avoid burn out, so I hope this has been helpful and as always if you have any questions about your private practice or if you want to grow and scale your private practice and work with me, email me firstname.lastname@example.org. Again if you’re interested in the perfect student put THE PERFECT STUDENT in the subject line, and as always thank you for listening. The post 20: Avoiding Burnout in Speech Therapy Private Practice appeared first on PrivateSLP.
31 Oct 2016
38. The Speech Therapy Private Practice Mindset
In this episode, I discuss the speech therapy private practice mindset and how it’s important for private practice success. I also list strategies that help you acquire and maintain this mindset so that you can start, grow or scale your business. In this episode: 01:59 – One space available for the Perfect Student 02:51 – Need billing and credentialing help? 03:12 – Private Practice Mindset 04:46 – Pushing Boundaries 06:36 – Risk versus Benefit 07:56 – Learning from your mistakes 08:56 – Curiosity and a hunger for more 09:47 – Recognizing others and helping others 11:00 – Staying Positive 12:15 – Physical health DOWNLOAD PDF TRANSCRIPTION Again you’ve got to be prepared and have funds for a rainy day so to speak. So again taking healthy risks, pushing the envelope and making things happen. [Commercial] Hello everyone you’re listening to the Speech Therapy Private Practice StartUp Podcast. This is episode number 38. My name is Kyle Meades and I’m a speech pathologist since 1993. And these podcasts are designed to help you improve your business and your life one Podcast at a time. Welcome back to the show everyone. Thanks again for all the emails, questions and comments. And as of today, today is Saturday, May 12 2018. We have well over 32,674 listeners to the show. And I’m super glad you guys are out there getting good valuable information and you know me every single episode, I say value is what you get in the absence of money and these podcasts are free for you so I would appreciate if you just go to the iOS or Android platform of your choice and please leave some good 5 Star feedback. That way other people just like you can get the same valuable information that you’re receiving. And if this is your first episode welcome to the podcast and I hope you find everything that you’re looking for here and if there’s something that you are looking for and you’re not finding it. All you have to do, the solution is simple, shoot me an email email@example.com and I’ll help you. I mean it can’t get any easier than that but you have to do one thing and that is get into action and send me that email. Also too, I wanted to say we have one space available for the perfect student and I get a lot of requests for the perfect student. You can find that at privateslp.com/coaching and you’ll find two different types of coaching that I offer at the moment. One is the all access community that’s where you can have access to me online and we have monthly webinars, we have an online community of people that we help each other out, we answer questions, there’s forums systems, training, everything is on that platform. If you’re looking for something more in-depth and something a little bit quicker pace, then you can fly into Tucson and work with me hand in hand. That’s called the perfect student. I have one space available. And again you can find this information at privateslp.com/coaching. Also too, if you are looking for help with your billing or you need some help with credentialing, for instance taking Insurance’s. If you’re just starting out and you need help. All you have to do is reach out to me at firstname.lastname@example.org. Or just go to privateslp.com/billing and there’s help there as well. Now today I wanted to talk to you about the Private Practice Mindset. What is the Private Practice Mindset? So when you start a Private practice or grow or scale your own Speech Therapy Private Practice, there is a certain mindset that one has to have in order to achieve certain goals and it’s not the same type of mindset. Like an employee, I remember when I worked at the nursing home I had to be there pretty early so we could work with the dysphagia patients at 06:30-07:00 in the morning. We had to do our breakfast and get all that stuff taken care of and we had to be there early and I have to clock him. Got to see all my patients, figure out how many patients I had for the day. Trying to roll that documentation time in so we could meet our Rug levels and get off the clock. So you don’t want your productivity drops because you didn’t want to get in trouble by the manager. I mean that was my mindset when I was working for the nursing home. And I’m sure a lot of you guys out there what I just said you totally get. That is a different mindset compared to Private practice where when you have your own Private Practice you see what you want to accomplish and you can project it out into the universe and not get on hippie here. I’m just saying you have to be able to visualize this stuff and so when you can see your building or your employees are helping patients I mean that’s when you get into this mindset. And I’ve kind of broken this thing down into seven parts so you have to have a mind set for growth. Number one – you’ve got to be able to push boundaries and you’ve got to dream larger than large and you’ve got to have a vision. Again you’ve got to see this thing. You have to know deep down in your soul beyond that deeper than that, that this thing that you want to create will work. And for those of you who are listening right now to what I just said deep down if it’s going to work or not because some people they want it and they want it badly. I’ve talked to a lot of people and they want this thing they can taste it. They want this Private Practice but they’re not ready for. They’ve got tons of debt tons of debt. Because when I speak to people when people reach out to me on the Contact page privateslp.com/contact people e-mail me all the time and I surprise people because I pick up the phone and call them and ask them these questions, what kind of debt do you have? And some people say, “I’ve got ten fifteen-twenty thousand dollars.” and they’re not ready yet because what happens if they get a bump in the road and they need more money. And people say my credit lines maxed out. I always say to someone if they’re high in debt, “Get out of debt first” because again Private practice, you want to work for yourself. You don’t want to work for the bank. So that’s something you’ve got to be able to do. You’ve got to push boundaries. Dream larger than large and have that vision but you can’t be in debt. Another thing I’ve talked to people who have substance abuse problems. Those things will stop you dead in your tracks debt substance abuse people. It’s just very real. Some people won’t say it but I’m going to say it it’s very real. And you have to take care of that before you start out. So you got to get your own house in order if you know what I mean. Number two Risk versus Benefit. I mean you’ve got to take healthy risks. You’ve gotta push the envelope you’ve gotta make things happen. But just like I said for number one you don’t want to borrow a ton of money because then you’re working for the bank. But let me say this there’s nothing wrong with borrowing a little money. I had a 10,000 dollar line of credit that I used to jack up and then pay it off and jack it up and pay it off but never went over that ten grand threshold because when I started out with my own Speech Therapy Private Practice I had some money saved up it wasn’t a ton of money but it wasn’t cheap to start out. I mean I’ve seen people say you can do it for this amount and that amount. I think there’s any set way to start that Private Practice. I don’t think there’s a dollar sign out there but for me I know that I just didn’t want to assume a bunch of rent. I recently spoke to a private practice owner who had to shut their doors because they had high dollar rent and they had some patients but little to no reimbursement. And a big staff of people this is going quickly belly up floating to the top. And now the person is in serious debt, repeat to step number one is what we’re just saying again, you’ve got to be prepared and have funds for a rainy day so to speak. So again taking healthy risks, pushing the envelope and making things happen. Number three – Learning from your mistakes. Well we’ve all heard that right but also learning from things that work successfully. As a private practice owner, I can only push so much. I can only make things happen so quickly. So when things work well I want to do that over and over and over rinse and repeat. But when things don’t work I don’t want to do that ever again. I’ve had many conversations with Esther, she’s our office manager and for those of you in the All Access Community you’ve probably heard Esther’s voice on the videos. Because we do a lot of the webinars together because they have to do with billing and collection and credentialing. And you’ll hear Esther and I talk about we don’t want to do this ever again. We tried this once and it didn’t work. So again you have to learn from your mistakes and also learn from your successful parts of your private practice too. Number four – Curiosity and a hunger for more. That’s a big quality and that’s a big mind set that you just have to have. You want to stay curious and you want to stay hungry for more. For example, if you’re curious about more Speech therapy patients, what about maybe adding another discipline like Occupational therapy. Did you know a certain percentage of Occupational therapy patients need Speech therapy as well or what about moving into a whole different branch of services that help your patients. So again this doesn’t have to be disciplined specific. It just doesn’t have to be Speech therapy over time. As you grow and as you save your revenue you can move into other disciplines and help more people. So that’s a mindset that you definitely have to have. Being curious and hunger for more. Also number five – Recognizing others and helping others. This is a really big part of this I really believe deep down that when I recognize other people and the more people that I help the better off the business will be. It’s kind of throwing things out there to the universe. Some people call it Karma. I’m not getting all hippie but it’s a big part of it, it’s called energy and it moves. It’s just like money when you take money out of your wallet and you spend it, It helps everybody. When you go out to eat. You want a tip and you want to tip well even if somebody says oh that was the worst service in the world I’m not going to tip. Why? I mean waiters and waitresses in this country in the United States they work for tips and you can’t just stiff people. When you vote with your wallet it still helps everybody. You’re getting a service. The person who waited on you gets the tip. It just makes the whole economy move. You don’t want that money energy to stop with you. It’s the same with recognizing and helping others. The more that I can help other people the more the business will be helped and the better off everybody will be. So just think about that. Number six – Staying Positive. I can’t tell you how often I speak to private practice owners and they’re down because things aren’t going their way or they didn’t get what they wanted or the rates weren’t good enough in Speech therapy or people say how am I supposed to survive on these reimbursement rates. I mean you’ve gotta stay positive. You have to look at the big picture because staying positive is going to ooze out of me and ooze out to other people. That doesn’t mean that I’m just going to be up 100 percent of the time. No I mean this time of the year right now in Tucson it’s hard. It’s over 100 degrees. We’re in late May moving into June. There’s tons of allergies out there. People are sick and everybody kind of grows walking around in Tucson but you have to stay healthy and maintain a positive attitude because again you can’t show fear. You can’t do that in a private practice. You can’t show that. Because when people see the owner is scared and frail that’s going to ooze out into the business and also ooze out into the patients as well. Everybody picks up on that. So you’ve got to stay positive. That’s one of the biggest Private Practice mindsets to remember staying positive. And lastly something that I think is very important is Physical health and I touched on this. And number one, Physical health exercising taking care of your own house, not drinking too much alcohol and not using prescription medication too much. I’m not sure I don’t take medications I don’t drink alcohol. I actually have been on a Vegan diet now for over 12 months I feel great. My cholesterol went from 215 to 170. The reason I did it was because my doctor. It’s a long story about the vegan thing but I lost a bet with my other half and she said you gotta eat Vegan. And it’s a long story but I made that decision I made that choice it’s the hardest thing I’ve ever done. But my health is a lot better for because of the vegan lifestyle. The plan based diet and I’m on I feel better my cholesterol went from 215 to 171. My doctor said you’re going to have to understand medication one day. Now here I am 47-46 when he told me that I’m like I don’t want to take these pills. So I exercise every single day, I eat the right foods with the exception of Coca-Cola and Oreo cookies. I mean hey Oreo cookies are vegan too. Don’t forget. But I love my Coca-Cola and I love my Oreo cookies so that’s two things that I will never go without. I don’t drink too much coke and I don’t eat too many cookies. But I exercise every day I go to the JCC I hit the treadmill. I do my steam room. I got my jacuzzi on. I feel good about it and I’m able to be a better person. I can joke a little bit more. People want to be around me when I’m happier right. So exercise take care of my body, take care of my mind, take care of my spirituality all that stuff goes hand in hand. So again the Private Practice mindset. Number one, pushing the boundaries. You know dreaming larger than large and having a vision. Number two, Risk versus Benefit. Taking healthy risk pushing that envelope and making things happen. Number three, learning from the mistakes and successes. Also number four, being curious and having a hunger for more. Number five, recognizing others and helping others. Number Six, staying positive. And number seven, physical health. So I hope you guys get some really good information in today’s podcast, and if you need help with your private practice, go to privateslp.com/coaching and I’ll help you there. And as always thank you for listening. The post 38. The Speech Therapy Private Practice Mindset appeared first on PrivateSLP.
14 May 2018
40. Insurance Companies Pay on Their Own Time
When we have our own speech therapy private practice, we work for our patients. In order to stay in business, we must receive patient co-pays, deductibles and co-insurances as payment at the time of service. If claims are to be billed out to TPL, Medicaid or Medicare, these claims must be timely and clean in order to adjudicate appropriately. However, in this podcast you will discover that in spite of doing things correctly, insurance companies continue to be notorious for denying and delaying claims, and generally use tactics so that your business won’t get reimbursed for services that you provide. In this episode, I expose some of the reasons why insurance companies delay or deny claims and offer suggestions on how to mitigate these delays. In this episode: 02:00 – Shout out to the California listeners! 02:25 – The Perfect Student 02:45 – All Access Membership community, 03:35 – Insurance Payment times differ from Payday time, 03:47 – Hurricane Katrina and insurance nightmares, 06:22 – Cash and the lean machine, 07:15 – Decreasing debt, expenses 08:02 – HCFA 1500 forms DOWNLOAD PDF TRANSCRIPTION In order to stay afloat and to stay profitable, you must run a lean business and stay out of debt and make your expenses on a monthly basis. What are those expenses? Electricity rent if you have insurance, Professional general liability those are expenses and whatever you have left over is a profit. [Commercial] Hello everyone you’re listening to the Speech Therapy Private Practice StartUp Podcast. This is episode number 40. My name is Kyle Meades and I’m a speech pathologist since 1993. And these podcasts are designed to help you improve your business and your life one Podcast at a time. Welcome back to the show everyone. Thanks again for all the emails, all the questions and as of today, Today is Saturday June 16 2018. We have well over 34,178 listeners to the show. And I’m super delighted you guys are out there getting good free valuable information and I’m going to say it every single podcast. Value is what you get in the absence of money and these podcasts are free for you so if you wouldn’t mind please go to the IOS or the Android platform of your choice and leave some good 5 Star feedback that way other people can get the same valuable information. Now when you go to the demographics and look at the world view most of our listeners a majority of our listeners are coming in from the United States. Then secondly we have Japan, Australia, India, the UK, Canada, Germany, the Republic of Korea. And then lastly is South Africa. And when you break the demographics of the United States as a whole you’ll see that California topping the charts. Then we’ve got Texas, Florida, New York, Arizona, Illinois, New Jersey, Georgia and then Pennsylvania. If this is your first podcast welcome to the show, if there’s anything that you would like to talked about on the Speech Therapy Private Practice startup Podcast, shoot me an email email@example.com. Also want to tell you guys I have a space available for the Perfect student. That’s when you can fly in and work with me hand in hand and we will get you credentialed, ready to Bill and help you set up. You’ll have coaching calls with me, work with me here live in Tucson, Arizona. We will help you grow your own Speech Therapy Private Practice. But a lot of people reach out to me and they say they just simply don’t have the time. So I do have an all access membership community and that’s where you can log on and you have direct access to me. There’s a private coaching section in there, there’s tons of threads on billing, collections, How to Start grow scale your own Speech therapy private practice. We have monthly trainings, webinars, those are transcribed into PDF format. They have audio formats for you to listen to, video formats or you can watch those. So there’s a lot of information in there and that’s available at www.privateslp.com/coaching. Now when you go to forward slash coaching you might see an “Apply” button there or the membership may be open or close but you can go ahead and click that button and leave me your name & details and I’ll review your application. So today I wanted to speak to you guys about Insurance time. Now what is insurance time? I can guarantee you that your Insurance time is different than your Paycheck time. Now what do I mean by that? Insurances have their own set of rules. They have their own time that they pay you on. So here’s an example I remember after Hurricane Katrina. We had some leaks in our roof and we just didn’t have time to sit down and call the Insurance company. The insurance companies were inundated with phone calls. I remember the guy who came out to adjust our home and look at our home for our insurance company. He was called out of retirement. He was retired Airline pilot and he was also an Insurance adjuster on the side so I remember climbing the ladder and getting on top of one of these big duplexes in New Orleans. I don’t know for those of you who grew up in New Orleans or been around duplexes. The duplexes in New Orleans are kind of like a shotgun house but they have two stories and then this huge roof. And it’s way high up but I got on the roof with him and walked the roof and I was talking to him and he was just telling me they’re so backed up on these insurance companies. They just simply couldn’t handle the volume of calls. People who were calling in distress it’s Hurricane Katrina. People’s homes were flooded, their roofs were destroyed, their houses were gone and here I am just trying to get my roof taking care of. But I remember when Hurricane Katrina happened the very next day I was able to call a friend of mine. He was a contractor and I said “Hey, I need two roofs. What can you do for me?” He says how you pay and I said cash. And he said “I’ll be out there next week” and I said “I appreciate it”, and I’ll never forget we had a team of roofers on one house and then two days later they’re on the second house and it was ready it was a done deal. I think the total for each roof was about twenty seven hundred dollars each and I had cash in the bank and I was able to deal with the insurance company later. And so again think about what I just said, when you’re dealing with insurance companies you’re going to have to wait. Think about a natural disaster such as Hurricane Katrina you got all those people trying to call insurance companies, they’ve got a skeleton crew answering the phones and they got people who they’re hiring temporary employees to go adjust homes and it was really crazy. But the takeaway that I learned as I was looking when I walked that roof I saw all those people waiting. They had blue tarps I don’t know if you google “Blue tarps New Orleans Hurricane Katrina”, You’ll see what I’m talking about. Tons of blue images just people who wanted to keep the rain out of their house they put tarps over their roof. And I didn’t have to do that because I was able to pay cash and get my service immediately. So what’s the takeaway from here. The takeaway here is have cash in the bank for a rainy day. Go figure “Hurricane Katrina Rainy day”, you get that. So have cash in the bank so you can stay operational. Insurance time is completely different than your Payday. When you’re employed you’ve got a paycheck every two weeks or every other week or by monthly you might be a salary employee or an hourly employee or you might have a contract but you’re going to get paid. But with insurance companies it’s not set like that when you work for yourself you’re employed by your patients and ultimately their payments to you whether that’s a cash rate or it might be a copay towards their insurance or a deductible towards their insurance or it might be that actual payment from Insurance companies. But in order to stay afloat and to stay profitable, you must run a lean business and stay out of debt and make your expenses on a monthly basis. What are those expenses? Electricity rent if you have insurance, Professional general liability those are expenses and whatever you have left over is a profit. Now in order to maximize your cash flow you have to realize that insurance time is different from your time or your pay time. So you’ve got to have money in the bank so you can get paid and so you can sustain your business. You’ll get your payment hopefully if you do it right with insurance companies and we do talk a lot about that in the All Access Community, how to bill and collect from insurance companies. But when you deal with Insurance companies you have to put all the information for each claim on a form and that form is called a HCFA 1500 form. CMS – The Center for Medicaid services, they have an official standard form that’s used by physicians or speech occupational physical therapists. When you submit a bill or a claim for reimbursement to Medicare, Medicaid or even private insurance companies, that form is called a HCFA 1500, and HCFA just stands for Health Care Financing Administration. It’s a standardized form and when you fill that form out it’s got to have other appropriate patient demographics, that diagnostic codes, CPT codes or pick codes all those codes go on that form and then it’s sent to the Insurance company for payment. Now you have to submit a clean claim in order to get paid or let’s say someone has Medicaid for instance, if they have Medicaid and then they have a third party payer like a private insurance company like Cigna, UnitedHealth or Blue Cross you still have to submit a clean claim to the Medicaid company in order to get payment or you have to submit a clean claim to the third party liability company. Normally when it comes to Medicaid though the state always wants to be the payer of last resort. So you will bill the private insurance company, first submit that clean claim, get the denial then send that denial. If you still need to get paid to the Medicaid companies. So it’s a tricky process but you’ve got to have cash in the bank in order to avoid delay. Now when I talk about delay I mean delay. We’ve seen it all with Speech therapy private practice and our company therapy group of Tucson in Tucson, Arizona. We see a lot of kids and adults for treatment with communication disorders and we bill all day long. But that doesn’t mean we get paid all day long either. We call and follow up on the claim a couple days to a week later and they’ll say, “Oh, we didn’t receive it”. Even though we filed electronically or sometimes we send certified mail to the insurance company because some of these companies they want documentation they want certain things. Different payers require different items to get a clean claim and so sometimes we’ll send a big stack of notes with a certified mail so we can track it and they’ll say, “Oh, we never received it”. So some of those insurance companies they make it up. They have their delay tactics to avoid making that payment. So again go back to the Hurricane Katrina and the Blue roof theory. You’ve got to have cash in the bank and if you’re borrowing that cash from the bank you’re working for the bank you’re not even working for yourself. So don’t forget Insurance time and Payday time are two totally different things. Talking about clean claims, denials, insurance, billing and HCFA 1500 forms that’s something that we do all the time in the Speech therapy All Access community at www.privateslp.com. So I hope this has been a good informational podcast for you guys and if you have any questions, below this podcast you’ll see a place for questions. So please don’t hesitate to ask if there’s something that you’re looking for that you’re not seeing on our podcast simply shoot me an email firstname.lastname@example.org and as always thank you for listening. The post 40. Insurance Companies Pay on Their Own Time appeared first on PrivateSLP.
17 Jun 2018