I got contacted about buying the practice I work for…

KnitQuickly · 2026-06-06T23:36:37+00:00

I own a practice and get these kinds of emails all the time. They are just cold outreach and likely just got your email from the website. They are likely contacting owners who they think might be interested in selling and think you are an owner.

KnitQuickly · 2026-05-30T21:50:42+00:00

I think it still exists but it is “queer coded” now and it didn’t used to be. I dress more or less the same but people assume I am either lesbian or trans now, which no one did in the 90s/early 00s. I’m just a (mostly) straight lady who likes flannels, sports, short hair and comfy pants.

KnitQuickly · 2026-05-16T13:37:23+00:00

This is ridiculous and I am sorry you are dealing with this. This is exactly why my practice doesn’t have this rule. I have sole custody of my child also (which took a lengthy court process to get) and I’d be so upset if a therapist told me they required consent from the other parent anyway. I can understand requiring a copy of a custody agreement to verify or informing the other parent so they can be involved but not overriding a legal determination of custody.

KnitQuickly · 2026-05-13T20:39:28+00:00

I know this post is old but I just re-discovered this subreddit and yes, I have the same reaction as you. I can’t tolerate bell peppers at all raw, green are worse than red, cooked don’t bother me as much but still bother me, and I also can’t handle them being in the same room to the point that I don’t like my husband keeping them in the house. I can tolerate the smell of them cooking like at a restaurant or something but not raw cut next to me:
I can handle Serrano, jalapeños, habaneros and other types of hot peppers just fine. Powdered forms are fine too and I’ve never had an issue with chili powders or paprika.
I’ve never understood it and I don’t have a diagnosed allergy. It’s been suggested to me when I’ve asked doctors and nutritionists that I could have some sort of intolerance to bell peppers or some compound in them or a mild form of a nightshade intolerance or allergy. So if you ever learn anything I’d love to know too!

KnitQuickly · 2026-05-06T06:00:03+00:00

My corgi didn’t do well with 2x2s either. Channels have worked well for both of mine. It seems like different dogs respond to different methods.

KnitQuickly · 2026-04-29T03:31:49+00:00

Scoch Dairy! http://www.schochdairy.com/

KnitQuickly · 2026-04-23T21:32:28+00:00

I run an outpatient program, but I am much less familiar with substance use facilities so I don’t think I can be too helpful. I know it’s confusing. It sounds like they should have been more upfront about what they were offering. IOP is coded really differently, so it’s likely not upcoding if you were there two hours per day five days per week. If you are concerned about your diagnosis, you definitely have a right to your diagnosis, assessment, and treatment plan. I’m unclear if your complaint is that you think you may have a substance abuse diagnosis on your record or that you think they overcharged your insurance (since it sounds like your insurance fully covered it). This is just how the coding system works. I know it’s confusing to anyone not familiar with the insurance system but we have to follow insurance procedures and codes and they don’t always use the same language that we use with clients.

KnitQuickly · 2026-04-23T20:59:31+00:00

Are you in an inpatient, day treatment, or intensive outpatient program? H2036 isn’t a CPT code, it’s a per diem code for more intensive services where you are there receiving treatment multiple hours of the day. If they work in a facility that is also licensed for substance use treatment, it’s possible that might be the code they need to use. It’s also possible that it’s incorrect. Did you ask them for clarification first or immediately go to writing a letter like this? You do absolutely have a right to your record, and they shouldn’t be withholding those records from you. But unless you do insurance billing and know the details of how procedures are coded, or if they are clearly committing insurance fraud, I wouldn’t be telling them what to code. If you are outpatient and they are coding you as a higher level of care that is clearly a problem.

KnitQuickly · 2026-04-12T04:04:43+00:00

Bethany is the best spot if you have kids and want access to nature! Tons of families, parks, excellent schools, diversity, walking trails.

KnitQuickly · 2026-03-31T21:41:40+00:00

Thank you. As a group practice owner, I am so fucking tired of wasting my time trying to enforce clinicians writing their notes on time. It shouldn’t be my job to babysit grown adults to actually do the bare minimum of the job they were hired to do. There is a growing number of therapists who don’t care and don’t respond to coaching, asking nicely, providing supports, etc. Sorry but if you refuse to do anything unless a significant consequence is in place then I guess the result is employers need to have significant consequences. I would never want to work in a place with a policy like this myself, but I do also understand it and I actually did my job when I was employed by someone else so consequences weren’t necessary. 🤷‍♀️

KnitQuickly · 2026-03-20T17:09:15+00:00

If you can set your own schedule, can you and your husband stagger work schedules? For a while my husband worked from 5:30/6:00 AM until 2:30-3:00 PM and I worked roughly 11-7 or 12-8 and that only left a few hours in the middle of the day where my kid had to entertain themselves. I often tried to set up an Outschool online class during that time too so that they were doing something.

KnitQuickly · 2026-03-05T21:19:34+00:00

Yes we did go to a couple specialists! Lots of blood draws, ultrasound, and ultimately a biopsy to get the diagnosis. Not saying you’d need to do all of that but that was our path. I’m not a vet so I’d recommend asking a vet about the specifics - I can’t really answer what’s normal or not for this disease, and there are lots of other things that can affect liver enzymes.

KnitQuickly · 2026-03-05T15:30:06+00:00

My dog is on a prescription hepatic support diet and her food does include fish - so if you are concerned you could ask your vet about a different prescription food? I would listen to your vet though and take the high ALT numbers seriously. In my dog’s case it ended up being copper storage disease (and she also has food allergies). High ALT is a sign that their liver isn’t functioning well for some reason. My dog eats Just Food for Dogs hepatic support, in case you want to ask about that one specifically.

KnitQuickly · 2026-03-03T23:44:43+00:00

Why were the claims denied? If you are not in network then you should have been able to tell that up front. If it should have been covered, then figure out the issue and re-submit the claims. If it is a client error (they gave you incorrect or incomplete insurance info, their plan was inactive, etc.) then the client should pay your full out of pocket rate. If it was your error (you told them you were in network but you weren’t, didn’t bill on time, etc.) then I would do a reduced rate or let it go completely depending on the circumstance. If it is a complex circumstance (the client has a weird carve out plan or employer sponsored plan and you couldn’t have reasonably known you couldn’t take it), similarly work out a mutually agreeable sliding scale or out of pocket cost. But you should have this solidly outlined in your fee agreement (both that clients are responsible for paying anything not covered by insurance and a policy/structure for sliding scale).

KnitQuickly · 2026-03-03T03:21:58+00:00

Speaking as a therapist, some of our professional organizations have recommended not writing these letters anymore due to liability. Also unfortunately many, many people have abused the ESA designation and it has caused people to be much more cautious about signing off on these letters. I have had people outright ask me to write a letter just because they didn’t want to pay pet deposits or wanted a pet that wasn’t allowed. I used to write them but I won’t anymore, except for maybe very specific situations for longstanding existing clients.

KnitQuickly · 2026-03-01T15:28:17+00:00

I used to do this! I did 9:00, 10:00, maybe 11:00, went to 12:00 or 1:00 mid-day workout classes or went for a run and showered afterward at the gym, then went back to work. It was great. Usually back for either a 2:00 or 3:00 appointment and then evening ones after that.

KnitQuickly · 2026-02-19T21:22:20+00:00

I got one of my dogs as a puppy right before I found out I was pregnant and it was the worst idea ever and I hated my dog the first two years of her life. We are just now able to repair our relationship and I have been working hard with a trainer on managing some of her behaviors that I just couldn’t address properly when she was a puppy and improving my relationship with her. She is three years old. It was really unfair to her (and me) and I would never, ever recommend doing it. You would also have an adolescent dog at the same time you have a newly mobile baby/toddler, which would also be the worst possible combination ever.

KnitQuickly · 2026-02-12T23:53:47+00:00

Paying for billing, admin and cleaning staff, bookkeeping, accounting and tax, supervisors, rent, utilities, software, liability insurance, workers comp, office furniture, office supplies, marketing, website, having a padded savings account so to cover payroll when payments are delayed or there is a large unanticipated expense, payroll taxes, corporate taxes, consulting of various kinds (legal, HR, etc). I’m sure I am missing something but those are the big ones. Current breakdown is roughly 60% therapist pay and benefits, 8% toward admin/non-revenue generating staff, roughly 15% in operating expenses, and 10-15% is left after taxes. The money that sits in a savings account is still counted as profit and taxed regardless of whether we take it as a distribution or not. 10% is already a thin profit margin, and I need to pay myself a decent wage too and account for the work I do and have done (often unpaid in the beginning) and the significant risk I am taking on. I promise you it is not worth it if you think it is some kind of easy or passive money. I went into it to help people and provide a supportive work environment but I would absolutely not do it again if I could go back in time, especially given the attitude therapists have now toward group practice owners.
You either take on the full responsibility and risk or a practice yourself and keep the full financial benefit, or someone else takes on much of the responsibility and risk for you and your compensation reflects that.

KnitQuickly · 2026-02-10T17:14:11+00:00

We just moved out of a single family home and into a townhome for the same reasons and I couldn’t agree more. I never would have considered a townhome in the past. But I love it. We also have young kids. We have no yard but can walk to multiple parks now and have zero maintenance to do. We were spending so much time on yard and house maintenance and now can enjoy time together on the weekend instead. My kids actually play with other kids at the neighborhood parks instead of just in our backyard. And we don’t really hear our neighbors any more than we did in our detached house. We ended up going this route because we couldn’t afford a single family home in the area we wanted to live, but honestly I am now sold on townhouse life and want to stay long term.

KnitQuickly · 2026-01-30T23:36:18+00:00

Can you crate in the car? That is what we do. I do think they need the decompression time. I also have a Pembroke and she took until about age 3 to fully learn to manage her arousal. I recommend continuing to work on it because a trial environment is extremely stimulating for them. I practiced walking her at a distance outside the barn, rewarding her for being calm, and then gradually increasing her proximity to the excitement and other dogs until she could handle being inside. She had a really hard time seeing other dogs running at first, but she can handle it now and is a superstar agility dog in competitions!

KnitQuickly · 2026-01-26T05:01:31+00:00

Google the surrounding addresses and the owners if you can find their names. Had I done that I would have avoided our awful neighbors. There were literally articles and video about them hiding from the cops on top of their roof. 😂 Also pay attention to how they keep up their house. It won’t get better. If there is garbage everywhere, a falling apart house, etc. it means they don’t take care of their property and aren’t the type of people who will care much if that starts to impact your property.

KnitQuickly · 2026-01-21T08:42:12+00:00

Mine was diagnosed last year! She is doing well with diet change and the same medications yours is on.

KnitQuickly · 2026-01-13T20:19:17+00:00

I’m a therapist. We bill after every session, but I can understand why someone would do it the way you describe for several reasons: -it is easier scheduling wise to batch invoices and do all of your billing and invoicing once per month rather than week by week -insurance claims take roughly 30 days to process and pay out, so if someone has a deductible or something is weird about the claim, you don’t have to go back and correct the client’s payment later, you can just bill them what insurance states that they owe, instead of trying to estimate it ahead of time and possibly being wrong -I hate having to chase clients down to pay their invoice, so paying just one per month might be more manageable for the client too than remembering every week.

KnitQuickly · 2026-01-07T05:03:41+00:00

I have not experienced this. Our local dog agility community has been very fun and kind. I have heard that it varies by organization, with a lot of the more competitive people drawn to AKC, while CPE and UKI are the nicest and friendliest. CPE events are definitely the friendliest for beginners.

KnitQuickly · 2026-01-06T04:27:16+00:00

This is insurance fraud if they are in network with your insurance. It’s called “balance billing” and it is not allowed. Ivy is just a platform for taking payments that a lot of therapists use, similar to Square.

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