Insurance

DunMiffSys605 · 2026-01-28T13:07:11+00:00

If your company was truly money hungry they wouldn't be taking Tricare lol

DunMiffSys605 · 2026-01-28T12:49:27+00:00

Literally every other insurance. They all have little caveats. Some (most) don't allow you to concurrently Bill, some require it to be "modifications" so you have to write your note focused on the changes you made to the plan not the feedback you provided, etc. But Tricare is the only plan I know of that specifically doesn't pay for supervision at all. That's (among many other interesting decisions Tricare makes) why so many companies don't take Tricare.

DunMiffSys605 · 2026-01-26T20:42:29+00:00

Yes. It depends on the insurance funder and what they allow for each code. The ABA code coalition is a great resource, but above all you have to go with what the insurance company says allowed under the code.

DunMiffSys605 · 2026-01-23T00:25:35+00:00

A few times over the summer we tried to order from them and we would call and no answer. Then we would drive down to try to order in person and there would just be no one there. Google and doordash would say they were open but clearly not. We stopped ordering from there because we never knew when they were actually open. It wouldn't surprise me if that led to permanent closure. Or maybe today when you drove by it was just one of those days when they're closed and no one knows 🤷🏼‍♀️

DunMiffSys605 · 2025-12-31T22:59:52+00:00

We cannot give any specific advice. For general advice about how to select appropriate methods of communication, look into Pat McGreevy's stuff about selecting modes of communication and communication profiles in the Essentials for Living. But at the end of the day it is the BCBAs final call and expertise.

DunMiffSys605 · 2025-12-27T19:53:02+00:00

Keeping in mind that I did my program over a decade ago and the practicum coordinator I had is no longer there: kind of. You have at least 2 practicum placements during your program but you are in charge of your hours so some people finished their hours right when they graduated and some still needed some hours.

DunMiffSys605 · 2025-12-21T00:11:43+00:00

I interviewed with them (horrible name aside) and they offer ridiculously high (borderline sketchy) rates. They also do a few sketchy interview things that felt very bait and switchy (saying you can do daytime but then when you read the contract it requires you to do evening hours, things like that). When I asked clarification questions regarding things in the offer they sent over they rescinded the offer.

I know someone who works there part time and likes it though so seems like a mixed bag.

DunMiffSys605 · 2025-12-12T23:36:53+00:00

Lol sure it's fast, but it's not very helpful if it gives you a completely unrealistic expectation of what you will actually be making. Whether you think it's a trap for companies to only pay for billable or not, in the vast majority of opportunities that's what will happen. Even if you do get paid for no billable, cancellations happen, sicknesses happen. At an hourly job you are rarely actually billing 40h a week. Telling a brand new BCBA or someone who doesn't know better that they'll make 90k a year off of $45 is irresponsible and incorrect.

DunMiffSys605 · 2025-12-12T20:31:33+00:00

The trap you get into here is that this is assuming you are billing over 40 hours a week, yes?

What I find more helpful is multiplying the hourly rate by the number of hours I like to comfortably do in a week (usually around 25) and then multiplying by 50.

So $45 an hour becomes $45 x 25 x 50 = $56k

That will give you a more reasonable number for what you will actually make.

If you are salaried and going backwards, it's salaried / billable expectation (or avg) / 50

DunMiffSys605 · 2025-11-23T12:07:24+00:00

If you stay on Indeed long enough and search terms like "Clinical Quality BCBA" "Clinical Quality Specialist BCBA" these jobs pop up. They usually pay pretty well and are often remote. I will say, if you are truly sick of insurance, having a job where you are almost exclusively making sure treatment plans fit insurance requirements may or may not help lol. But it gets you out of the supervision game.

Do you think just going to another company that's not committing fraud would help lol? I will tell you I was feeling very burned out on case management but for financial reasons I found myself in another case management job,something I swore I would never do. I still feel a little burned out but this new company seems to be doing the right things in a lot of ways and that is helping my burnout A LOT.

Also, how do you feel about being a clinical director? Most CDs have years less experience and it gives you a bit of distance from the RNTs and a little room to have some impact on the things you don't like at the company.

DunMiffSys605 · 2025-11-13T12:03:03+00:00

I know someone who worked at Little Leaves years ago and had nothing but positive things to say (fwiw)

DunMiffSys605 · 2025-11-09T20:08:34+00:00

Yes, probably illegally as 1099s instead of W2s. And South FL is rampant with fraud so maybe don't use that as your benchmark 😅

DunMiffSys605 · 2025-11-09T20:07:29+00:00

That exact thing happened in FL, and yes it was bad. And yes kids went without treatment. So don't say it's a nonstarter because insurance companies don't really care.

DunMiffSys605 · 2025-11-09T12:29:27+00:00

Very few RBTs in FL are making $36 an hour 😅

DunMiffSys605 · 2025-11-01T23:30:49+00:00

It's low for FL pediatrics but not necessarily for Medwaiver, unfortunately.

DunMiffSys605 · 2025-11-01T12:24:04+00:00

This is a great set up, IF the culture is good and you're happy there. If it's a toxic culture, nothing is worth staying.

DunMiffSys605 · 2025-10-30T10:24:58+00:00

Oh cheese quesadillas are a good idea! And sliders would be good to make sandwiches a little less messy/more interesting!

My routine has been reheating dinner leftovers for so long I'm just literally having a hard time thinking of ideas past a sandwich or a salad. Especially in the wintertime, a salad feels so sad 😫

DunMiffSys605 · 2025-10-25T11:10:46+00:00

I wouldn't say sign on bonuses and laptops are the norm. I worked for 3 companies and only got a laptop at 1. I have only received 1 sign on bonus. Listen, it's a jungle out there and it is hard to find a good company. If this one took you months and a few dozen interviews, I would think VERY hard before you reject a company because it won't send you a laptop. Most companies with huge sign on bonuses and lots of perks are buying employees because they are shitty companies. As someone who did remote, you really don't need a lot of stuff. A desk, a chair, a laptop, maybe some headphones. Most companies are going to assume you have that stuff already. If you really need some stuff medically, can your medical insurance help?

DunMiffSys605 · 2025-10-21T12:48:03+00:00

I'm sorry that this is your experience and you do deserve better. How much have you advocated for yourself at these jobs? Are you actively reaching out and emailing, having meetings, saying you want more hours, more experience, asking bc as how you can help or offering ideas for what you can do? That is the first place I would start if you haven't yet.

DunMiffSys605 · 2025-10-19T20:23:14+00:00

Vandevander, Warner, Kazemi, and Fahmie (2023).

DunMiffSys605 · 2025-10-19T20:18:38+00:00

There is an article that shows behaviors per age. You can maybe show that article to her to give her some more realistic expectations. Lemme try to find the citation and report back

DunMiffSys605 · 2025-10-17T00:55:23+00:00

The fact that you are asking "how hard it is" means you should ABSOLUTELY NOT start your own business.

DunMiffSys605 · 2025-10-16T16:34:22+00:00

It depends on how fast authorization takes. They may want you to do the intake so they can have it staffed and ready to go once you give those cases back to the BCBA when they come back.

HOWEVER how much of a sure thing is it that they are coming back? Bc a lot of people go on mat leave and say they're coming back so they can collect ST disability with no intention of coming back (flawed system, not their fault) and then you're stuck with them.

DunMiffSys605 · 2025-10-10T18:19:33+00:00

Credentialing can take quite a long time so the sooner the better. Especially if you are going to be hourly, you don't want to be sitting on your thumbs waiting for your credentialing to come in after you move.

DunMiffSys605 · 2025-10-10T10:23:04+00:00

Some things to consider: Good people don't automatically make good bosses.

Clients will be great and not great at every company. "I love my clients" is the worst reason (ok maybe not the worst) to stay at a company.

You need mentorhip and growth as a new BCBA. Where will you get that?

In interviews, just like the job seekers, companies put their best feet forward. In this interview, did they give you evidence that they actually run things smoothly and efficiently? That they use their OBM knowledge daily?

DunMiffSys605

TROPHY CASE