Successful Private Practice in Neuropsychology and Neuro-Rehabilitation

Table of Contents

• Dedication
• Foreword to the Second Edition
• Preface
• Chapter 1: The Challenges of Practice in Neuropsychology: Overview of Key Issues and Effective Solutions
  • Abstract
  • Pros and Cons of the Institutional Setting
  • Maintaining High-Level Skills
  • The Interdisciplinary Network
  • Do Not Go Gently into That Research Decline
  • Creating Educational Opportunities
  • Productively Managing Anxiety: Income
  • Protectively Managing Anxiety: Malpractice
  • Personality Factors in Private Practice
  • Ego Needs and Decreased Prestige
  • Ongoing Consultation: Are You Willing to Seek It? The Buck Stops Here
• Chapter 2: Other Potential Indignities
  • Abstract
  • No Paid Sick Leave or Holidays
  • No Additional Reimbursement for Professional Fees
  • No Guaranteed Salary or Health-Care Benefits
  • Overhead Expenses
  • Billing, Collections, and Taxes
• Chapter 3: The Good News
  • Abstract
  • Integrating Skills and Interests in Patient Selection
  • Creating the Optimal Schedule
  • Design Your Own Contracts
  • Setting Your Own Fees
  • Determining Salary
  • Choosing Your Own Support Services
  • Office Location, Space, and Atmosphere
  • Developing Your Own Letterhead and Brochures
  • Personalized Report Formats
  • Test Selection
  • Tax Advantages
• Chapter 4: Getting Started: Practical Preliminary Questions
  • Abstract
  • Are You Experienced Enough to Be on Your Own?
  • Individual or Group Practice
  • Interdisciplinary Practices
  • Full-Time or Part-Time Private Practice
  • Consultation or Supervision Practices
  • Teaching
  • Medical–Legal Work
  • Neuropsychological Evaluations and Expert Witness Work
  • Hospital and Clinic Affiliations
  • University or Medical School Positions
  • Adjunct Appointments
  • Part-Time Clinical Faculty
• Chapter 5: A Practical Guide for Opening Your Business
  • Abstract
  • Don’t Burn Bridges
  • Clinician, Know Thyself
  • A Moveable Feast: The Menu of Practice Options
  • Maintain a Part-Time Practice with Your Previous Employer
  • Developing a Safety Net: Starting with a Group
  • Offering Contract Services to Inpatient Rehabilitation Units
  • Offering Contract Services to Private Clinics
  • Membership in Managed Care Panels
  • Obtaining Adjunct or Clinical Teaching Appointments
  • How to Determine Fair Fees
  • How to Find Good Help
  • Developing a Business Plan and Practice Management Statistics
• Chapter 6: Marketing and Other Matters
  • Abstract
  • First: The Other Matters
  • Next: The Marketing Piece: The Introductory Letter
  • Develop Seminars and Workshops
  • Give Guest Lectures
  • Offer a Memory Course to the Public
  • Contact Local Physicians and Fellow Neuropsychologists
  • Contact Independent Nurse Case Managers
  • Contact Private Vocational Firms
  • Attend Weekly Hospital Teaching Rounds
  • Supervise Residents, Interns, and Postdoctoral Fellows
  • Obtain Graduate Student Help for Research
  • Conference Participation: Yours and Other Related Professions
  • Publish
  • Final Comment
• Chapter 7: Creative Approaches to Financial Issues
  • Abstract
  • Next Steps
  • Trading Consultation Time for Office Space
  • Sharing Testing Materials
  • Advice on Billing and Collections
  • Obtaining Basic Data from Your Patients
  • Obtaining Insurance Authorization
  • Contract and 50% Down for Private NPE
  • ICD-9 and CPT Codes
  • How to Bill and Collect for Legal Work
  • Reduced Cost Malpractice Insurance
  • Contract Assistants
  • Tax Deductions, a Good Accountant, and Type of Business
• Chapter 8: Medical–Legal Work
  • Abstract
  • The Problems with Legal Work
  • True Believer Polemics in the Absence of Strong Scientific Data
  • Integrity and Reputation—Are You a Plaintiff or a Defense Expert?
  • Potential War of the Clinical and Legal Worlds
  • Subtle Influence and Examiner Drift
  • Inadvertent Promotion of a Litigious Zeitgeist
  • The Benefits of Forensic Work
• Chapter 9: Consultation and Supervision Practice
  • Abstract
  • Clinical Psychologists, Primary Care Physicians, Nurse Practitioners, Physician Assistants, and Neurology or Rehabilitation Nurses
  • Neuropsychologists Who Wish to Augment Their Training
  • Therapists in Social Work, Counseling, or Pastoral Counselors
  • Rehabilitation Therapists, Occupational Therapists, Physical Therapists, Speech Pathologists, Vocational Counselors, Rehabilitation Specialists, Recreational Therapists, and Case Managers
  • Consultation with Psychologists Preparing for Licensure
• Chapter 10: Psychometric Concerns
  • Abstract
  • The Interview: Who Should Be Present and Why?
  • The Collateral Interviews: When, Why, and with Whom?
  • Preparing the Patient to Be Tested
  • Test Selection
  • Selective Additional Testing: Divided by Specific Areas of Concern
  • Evaluating Personality in Neuropsychological Assessment
  • Cross-Cultural Issues
  • Use of Psychometrists
  • Report Formats
  • Review of Test Results
  • Dictation Versus Typing it Yourself
  • Dissemination of Reports
  • Preservation of Testing Files and Raw Data
• Chapter 11: Treatment Practices for Neuropsychologists
  • Abstract
  • Your Training Background and Future Training Needs
  • What Kind of Practice do you Want?
  • Other Parts of Good Clinical Practice Development: Outpatient Psychotherapy
  • Establishing Short-Term and Long-Term Groups
  • Individual Treatment in a Neuropsychology Practice
  • Billing and Reimbursement Issues
  • Other Practice Options: Employee Assistance Program Contracts
  • Other Practice Options: Case Management Services
• Chapter 12: Nuts and Bolts of Your Evaluation Practice
  • Abstract
  • Referrals
  • Educating Referral Sources
  • Purpose of Testing
  • Mechanisms of Feedback to Referral Sources and Patients
  • Insurance Preauthorization of Services
  • Timely Billing and Collections
• Chapter 13: Neuro-Rehabilitation Program Treatment: Principles and Process
  • Abstract
  • Introduction
  • What Is Milieu-Based Treatment?
  • The Value of Work in the Lives of Humans
  • Why Is the Traditional Versus the Milieu-Based Rehabilitation Distinction Important
  • What Is Traditional Outpatient Rehabilitation?
  • Why Is Milieu-Based Treatment Needed for the “Medium-Severe?”
  • Guiding Philosophy and Principles of the Milieu Model
  • Some Implications of Psychological Factors in Evaluation and Treatment
  • Practical Considerations for Neuro-Rehabilitation
  • Key Practical Program Components
  • Fundamental Relationship Between NPE and NRP Treatments
  • How Can the Milieu-Based Model Be Modified for Your Practice?
• Chapter 14: How to Design and Implement a Cognitive Group
  • Abstract
  • Introduction
  • Which Patients?
  • Basic Clinical Rules and Procedures
  • Basic Billing and Documentation
  • One Model for Cognitive Group Treatment
• Chapter 15: The Value and Use of the MMPI in Neuropsychological Practice
  • Abstract
  • Introduction and Background
  • Challenges to Providing Balance: Identifying Personality Strengths
  • MMPI Profile Case Examples
• Chapter 16: Designing and Implementing a Clinical Neuropsychology Fellowship
  • Abstract
  • Introduction
  • Design of the Fellowship: Three Key Components
  • Implementation of the Key Components
  • Training Content to Meet General Knowledge Requirements for Our Fellow
  • Specific Skills to Master per Houston Guidelines
  • Our Practice and Training Components
  • Organizing the Training Schedule
  • Feedback from the Fellow After Return to Active Military Service
  • A Final Word on Selection of Trainees
  • A Final Comment on How to Make This Happen in Your Locale
  • Supervisor Time Required for Fellowship Training
• Chapter 17: Research as a Daily Reality
  • Abstract
  • What Are Your Research Interests?
  • Grants
  • Conference Presentation
  • Journal Articles
  • Chapters
  • Journal Groups
  • Collaborations
• Chapter 18: Summary and Conclusions
  • Abstract
  • The Importance of Relationships and Mutual “Best Interest”
  • What Sort of Work Do You Want to Do?
  • Where and How Do You Want to Begin?
  • What are the Best Ways for You to Minimize Costs and Maximize Income?
  • What Sort of Financial Floor Do You Need?
  • How Will You Monitor and Promote Growth of Your Practice?
  • What Do You Do If Plan A Isn't Working as You Expected?
  • What are Your Short-Term, Intermediate, and Long-Term Goals?
  • Practical Ways to Vary Your Practice
  • Periodic or Long-Term Contract Work
  • Clinical Faculty Appointments
  • Be Alert to Clinical, Teaching, and Research Opportunities
  • Enjoying Your Practice
• Appendices
  • Appendix A
  • Appendix B
  • Appendix C
  • Appendix D
  • Appendix E
  • Appendix F
  • Appendix G
  • Appendix H
  • Appendix I
  • Appendix J
  • Appendix K
  • Abodes
  • Note-Taking Strategies (Cognitive Group)
  • Appendix L
  • Appendix M
  • Appendix N
  • Appendix O
  • Appendix P
  • Appendix Q
  • Appendix R
• Index