Can you do a video on how to determine if you are qualified to work with a particular client. I mean what are the qualifiers that determine if a particular client is outside of your scope or ability?
I’ve had very firm boundaries around no shows. If you no show once and we talk openly about it, but you do it again, I refer out. I’ve been burned trying to manage compliance issues and it just doesn’t fall into my niche. I actually barely get no shows now which is great ! I do ofc get cancellations and late cancellations tho. I had 27 people booked this week and saw 24. It’s definitely hard to do this job and be autistic because your routine is contingent on if clients show up or if they ask to reschedule. I have a couple reschedule slots I use too. Thanks for the info!
Good for you!!! I've found that after I extended grace & understanding with the first no show, several turned around and did it again!!! It's frustrating because I wasn't backed or supported by my employer. You're right that we should be able to deny a client who isn't the right fit and multiple no shows. It's so inconsiderate of our time. That last minute late cancellations can be just as much of an issue.
@@molly2frodo222 I haven't experienced that specifically but my place has policies I place but they don't back providers and follow through like they should. They used to have 150$ fee for no shows/not canceling in 24 hrs which now is 60 but ppl can cry wolf and lie. Also your pay is session based dependent on them coming and people can just blow it off no show to first assessment apt and then you don't get paid. It's really screwed up and I'd never tolerate it!!! I feel the policies are very relaxed not held up then ppl take advantage. There's lots of favoritism, awful communication, worthless nonexistent real supervision, and bs too. I don't feel supported and very taken advantage of.
@@anitaknight3915 Unfortunately this seems to happen everywhere no matter what state you live in. I have worked at 5 different counseling practices they all have money issues. The worst is when you do a session and you do not get paid for the session because the client refused to pay or the insurance will not cover the cost. I understand this if you are self-employed but not when you are an employee.
@@molly2frodo222 I agree. Here we are providing a service helping others but we aren't supported or properly compensated. I don't have paid time off or benefits. The insurance I pay into is very expensive and not good. The whole field is broken. People have misconceptions we make/get lots of money when we don't. The agencies, insurance companies, CEO, psychiatrists and psychologists make tons of money. This should be unacceptable & not tolerated by clinicians and employees. They take advantage because no one is advocating us and are tolerating it brainwashed into thinking it's our duty to heal society at the expense of ourselves.
Newer independent therapist here. Been in private practice for months without a no-show. Then all of a sudden got two in the same day. This video was exactly what I needed with plenty of information to move forward with. Thanks!
That's the biggest issue when you're forced to just work with whoever especially when they aren't the right fit, mandated, or not within your skill level.
@@anitaknight3915 update: I'm now with a private practice. Unlike the non-profit I did my practicum with, this site is very strict about no-shows. Two no-shows and they refer the client back to their insurance carrier. I'm finding that it's best to have a strict standard around that.
@@AR-bv9hx Where I work they give two no shows and then they charge them a fee. If the client does not pay they fee they cannot continue services with us. They end up waiving the fee after 180 days.
At our practice we allow clients to do it but it gets messy and clients who change their schedule frequently book over regular clients and that makes it difficult to filter in new clients with available times so I now do it for the client mostly until I’ve built a rapport and regular reliable schedule with each one.
I cant say for sure for every type of insurance but from what I understand we can't bill insurance at all for a no-show. Instead, we charge the client's credit card. I always let me clients know if they dont show up, there will be a fee and insurance wont pay for it.
Unless you mean if a client has Medicare or Medicaid even the client can't be charged the fee. I dont know about that. I dont know enough about Medicare or Medicaid.
Here in CA, medicaid clients are charged a fee for no-shows for therapy. There's also a fee for late cancellations. The insurance charges the client and they pay it out of pocket because it's not covered. It may depend on the area.
Can you do a video on how to determine if you are qualified to work with a particular client. I mean what are the qualifiers that determine if a particular client is outside of your scope or ability?
I’ve had very firm boundaries around no shows. If you no show once and we talk openly about it, but you do it again, I refer out. I’ve been burned trying to manage compliance issues and it just doesn’t fall into my niche. I actually barely get no shows now which is great ! I do ofc get cancellations and late cancellations tho. I had 27 people booked this week and saw 24. It’s definitely hard to do this job and be autistic because your routine is contingent on if clients show up or if they ask to reschedule. I have a couple reschedule slots I use too. Thanks for the info!
Good for you!!! I've found that after I extended grace & understanding with the first no show, several turned around and did it again!!! It's frustrating because I wasn't backed or supported by my employer. You're right that we should be able to deny a client who isn't the right fit and multiple no shows. It's so inconsiderate of our time. That last minute late cancellations can be just as much of an issue.
@@molly2frodo222 I haven't experienced that specifically but my place has policies I place but they don't back providers and follow through like they should. They used to have 150$ fee for no shows/not canceling in 24 hrs which now is 60 but ppl can cry wolf and lie. Also your pay is session based dependent on them coming and people can just blow it off no show to first assessment apt and then you don't get paid. It's really screwed up and I'd never tolerate it!!! I feel the policies are very relaxed not held up then ppl take advantage. There's lots of favoritism, awful communication, worthless nonexistent real supervision, and bs too. I don't feel supported and very taken advantage of.
@@anitaknight3915 Unfortunately this seems to happen everywhere no matter what state you live in. I have worked at 5 different counseling practices they all have money issues. The worst is when you do a session and you do not get paid for the session because the client refused to pay or the insurance will not cover the cost. I understand this if you are self-employed but not when you are an employee.
@@molly2frodo222 I agree. Here we are providing a service helping others but we aren't supported or properly compensated. I don't have paid time off or benefits. The insurance I pay into is very expensive and not good. The whole field is broken. People have misconceptions we make/get lots of money when we don't. The agencies, insurance companies, CEO, psychiatrists and psychologists make tons of money. This should be unacceptable & not tolerated by clinicians and employees. They take advantage because no one is advocating us and are tolerating it brainwashed into thinking it's our duty to heal society at the expense of ourselves.
Quick question! How do you decline working with clients that are not your ideal client? Is it ethical to simply say it would not be a good fit?
You can let the client know you are not a good fit but I do not think you can prevent them from scheduling.
Newer independent therapist here. Been in private practice for months without a no-show. Then all of a sudden got two in the same day. This video was exactly what I needed with plenty of information to move forward with. Thanks!
As an intern therapist, I don't get to pick my clients. They kind of are just assigned to me.
That's the biggest issue when you're forced to just work with whoever especially when they aren't the right fit, mandated, or not within your skill level.
@@anitaknight3915 update: I'm now with a private practice. Unlike the non-profit I did my practicum with, this site is very strict about no-shows. Two no-shows and they refer the client back to their insurance carrier. I'm finding that it's best to have a strict standard around that.
@@AR-bv9hx Where I work they give two no shows and then they charge them a fee. If the client does not pay they fee they cannot continue services with us. They end up waiving the fee after 180 days.
Really helpful. Thanks Marie!
So glad to hear it!
Do you do consulting? Coaching?
Very helpful. Thanks as always.
Thanks for watching!
Thank you !
Great tips.
Thanks!
I don't know if you're already addressed it but do you allow clients to schedule their own appointments on your website or do you do it?
At our practice we allow clients to do it but it gets messy and clients who change their schedule frequently book over regular clients and that makes it difficult to filter in new clients with available times so I now do it for the client mostly until I’ve built a rapport and regular reliable schedule with each one.
Seeing clients every week is too much and too much chance for no shows and late cancels to happen. I’d rather see clients every other week.
It is my understanding that you cannot charge no-show fees to clients with Medicare or Medicaid. Do you have suggestions?
I cant say for sure for every type of insurance but from what I understand we can't bill insurance at all for a no-show. Instead, we charge the client's credit card. I always let me clients know if they dont show up, there will be a fee and insurance wont pay for it.
Unless you mean if a client has Medicare or Medicaid even the client can't be charged the fee. I dont know about that. I dont know enough about Medicare or Medicaid.
Here in CA, medicaid clients are charged a fee for no-shows for therapy. There's also a fee for late cancellations. The insurance charges the client and they pay it out of pocket because it's not covered. It may depend on the area.
@@AR-bv9hx That is great. In Georgia they are not charged a fee.