PMHNP MBA Free to read

Every question, by the stage you're in.

56 recurring questions, blended from the operator rooms so no one's own post is here, grouped into the four stages, and each one anchored to the business concept that turns it from an argument into arithmetic.

Stage 1

Deciding

8 questions

Employed, running the numbers at night. Should I leave, and for what?

Two offers on the table

A 70/30 Split Is Not a Business →
  • I have two offers: 70/30 at one place and a flat hourly at the other. Which is actually better? constantthin
  • Is 70/30 normal for my experience and my state? constantthin
  • They offered the same split as W2 or as 1099 and said to pick whichever I prefer. Is there a catch? commonfalse

Is the platform worth it?

A Take Rate Is Not a Marketing Department →
  • Is joining the platform worth it, or should I get credentialed directly? constantthin
  • What does the platform actually pay per visit in my state? very commonthin

Interviewing for a private-practice role

A 70/30 Split Is Not a Business →
  • I keep being told they want someone with more experience. How do I interview better for these roles? very commonpileOn
  • I've never worked in private practice before. What should I be asking them? commonthin
Stage 2

Building

21 questions

Launching. Entity, credentialing, contracts, the gates between here and the first paid claim.

I have my NPI — what now?

An NPI Is Not Permission to Get Paid →
  • My NPI came through and the LLC is registered. Can I start seeing insurance patients? constantthin
  • What order should I do all of this in? Everyone gives me a different list. constantthin
  • How long until I actually get paid for the first visit? very commonsilence
  • I practice by telehealth only. What address do I use for enrollment? very commonsilence

What should a collaborating physician cost?

You Paid $18k With No Alternative →
  • What's a reasonable monthly fee for a collaborating physician? constantthin
  • I already pay a collaborator and I think it's too much. Can I renegotiate? commonthin
  • Who do I even ask? I don't know a single physician who does this. very commonthin

Do it myself or pay someone?

An NPI Is Not Permission to Get Paid →
  • Should I hire a credentialing service or do it myself? I started an application and it was fifteen pages. very commonthin
  • Everyone recommends a different tool, service or membership. How do I know what's worth paying for? commonpileOn

What does it actually cost to open?

Profit Is Opinion, Cash Is Fact →
  • What does it really cost to start? Did you count malpractice, the EHR, e-prescribing, all of it? very commonthin
  • I take insurance now but I want to go cash-pay only. What changes? commonthin

Which EHR, which tool, which vendor

A Vendor Tour Is Not a Decision →
  • Which EHR should I use? Everyone names a different one and I can't tell what actually matters. constantthin
  • Does anyone have a contact at this vendor, or a rep who can help me? very commonthin

LLC, PLLC, S-corp — and what it really costs

An LLC Is Not a Tax Strategy →
  • LLC or PLLC, and when do I actually need an accountant? very commonthin
  • What's a realistic monthly cost to run this once I'm open? commonthin
  • Everyone says an S-corp beats an LLC and I already filed my LLC. Should I dissolve it and start over? very commonfalse
  • When should I set up the bookkeeping? I'm already spending money and I don't know what to track. commonthin

One more state — and the address nobody has

A License Is Not a Market →
  • Does anyone have an address in another state I could use for my DEA application? Happy to swap for mine, or pay for it. constantsilence
  • Do I need a separate LLC in every state I practise in? And does a new state mean a new tax ID? very commonthin
  • If I'm credentialed in my home state, can I bill for patients in the other states I'm licensed in? very commonthin

Do I need a lawyer for this?

A Vendor Tour Is Not a Decision →
  • Does anyone have a lawyer they recommend, and what does it cost to have consents and policies reviewed? commonthin
Stage 3

Practicing

9 questions

Open. Coding, documentation, the first patients, the first denials.

Can I add the therapy code?

90833 Is Not a Growth Lever →
  • Can I add the therapy add-on to every medication follow-up? Someone in a group said it's free money. constantfalse
  • The claim paid. Doesn't that mean it was billed correctly? commonfalse
  • An audit letter arrived asking for records. What do I actually need? commonpileOn

Which scoring method for this visit?

Two Report Cards for the Same Visit →
  • Should I level this visit by time or by complexity when therapy is involved? very commonthin
  • My EHR keeps suggesting a higher level than I think I earned. Should I trust it? commonthin

Required supervision you did not expect

You Paid $18k With No Alternative →
  • I have years of experience in an independent state, and my employer still requires ongoing chart review. Is that negotiable? commonsilence

Labs, testing, and the bills that come back

A Vendor Tour Is Not a Decision →
  • I ordered routine labs and my patient got a bill for hundreds of dollars. Now they're upset and I'm on the phone with the insurer. How do I stop this? commonpileOn
  • Is it worth adding cognitive or lab-based testing to the practice? The kit and the subscription aren't cheap. commonthin
Stage 4

Operating

18 questions

Running it. Cash, utilization, the funnel, a second provider, a second state.

Booked, but nothing has landed

Profit Is Opinion, Cash Is Fact →
  • I'm booked out weeks ahead and the bank account doesn't reflect it. What's wrong? constantpileOn
  • A denial and a recoupment request both arrived this month. Where do I even start? commonpileOn

Full calendar, flat money

A Full Calendar Can Still Be Underpaid →
  • My schedule is nearly full and revenue hasn't moved in two quarters. Do I add hours? commonthin
  • Attendance is running well below what I expected. Should I overbook or charge a fee? commonthin
  • What should I charge per hour? very commonpileOn

Bringing on the first provider

A 70/30 Split Is Not a Business →
  • I'm bringing on my first NP. W2 or 1099, and what split do I offer? commonthin
  • If I bring someone on as a 1099, can I ask them to work only for me? commonthin
  • Should I enroll under my individual NPI or set up a group NPI if I plan to hire later? commonsilence

Leaving the platform

A Take Rate Is Not a Marketing Department →
  • Has anyone left the platform and gone direct? What actually happens to the patients? commonthin
  • They changed my directory profile and I get no referrals from them. What am I actually paying for? commonthin

Paying yourself, and the bill nobody withheld

An LLC Is Not a Tax Strategy →
  • How do I actually pay myself? Do I just move money to my personal account and call it a distribution? very commonthin
  • My tax bill this year was brutal and I didn't see it coming. How do people plan for this? very commonthin
  • Self-employed now. What do I do about retirement? None of the usual accounts apply and I don't know where to start. commonsilence

The rules changed again

A License Is Not a Market →
  • The federal flexibility was extended but my state just ended theirs. Which one applies to my patients there? commonpileOn
  • Should I wait to expand until the rules settle? commonthin

Should I add a new service line?

90833 Is Not a Growth Lever →
  • Should I add a new service line? The equipment and training are significant. Is it worth it? commonthin
  • Everyone at conferences is doing this. Should I be worried I'm missing out? commonpileOn

Every question is a composite. None is any member's words, and none describes any member's situation. The pattern is real; the person isn't.

These are the questions. The lessons are the method for answering them yourself, one a week, free.

Every number in the business fellowship is a composite. Not your contract, chart, bank, or state. It isn't legal, tax, billing, or clinical advice. Your payer, your MAC, and your state board are the source.

The lessons are free to read, on purpose. The Sunday case review and the Psychology Today brief are for members.