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Work

Everything we have written on Work, in one place.

Single Case Agreements (SCA): How to Get Out-of-Network Coverage at In-Network Rates
Off Script · 15 min read

Single Case Agreements (SCA): How to Get Out-of-Network Coverage at In-Network Rates

Here is the situation almost nobody tells you about. You finally find a psychiatrist or a therapist who actually fits, who actually has openings, who actually understands what…

Aug 27, 2025
Why So Many People Are Rethinking Their Careers Right Now
Off Script · 6 min read

Why So Many People Are Rethinking Their Careers Right Now

Most people do not decide all at once that their work no longer fits. It usually starts smaller than that.

Aug 25, 2025
ACA Marketplace Plans: Picking One for Mental Health Coverage
Off Script · 14 min read

ACA Marketplace Plans: Picking One for Mental Health Coverage

If you’re self-employed, between jobs, contracting, running a small business, or stuck with an employer plan that costs more than your rent, the ACA marketplace is where you…

Aug 24, 2025
ICD-10 Coding for Psych: The Crash Course Nobody Gave You
Off Script · 13 min read

ICD-10 Coding for Psych: The Crash Course Nobody Gave You

Most billing denials come down to one thing nobody drilled into you: the diagnostic code on the claim is the whole thing.

Aug 21, 2025
Documenting Medical Necessity in Psych Notes
Off Script · 14 min read

Documenting Medical Necessity in Psych Notes

What "medical necessity" actually means, legally Medical necessity is not a vibe, it is a legal standard, and the people who decide whether you met it are…

Aug 19, 2025
ERISA vs State-Regulated Plans (Why It Matters When You Appeal)
Off Script · 13 min read

ERISA vs State-Regulated Plans (Why It Matters When You Appeal)

If you have ever fought a health insurance denial for a psychiatric medication, an inpatient stay, or a residential program, you have probably noticed…

Aug 16, 2025
Ritalin and Methylphenidate
Medications · 10 min read

Ritalin and Methylphenidate

Methylphenidate has been around since 1944 and is still, in 2026, one of the most reliable molecules in psychiatry. Ritalin is the original brand.

Aug 14, 2025
Beating Prior Authorization Denials in Psych (The Clinician’s Survival Guide)
Off Script · 13 min read

Beating Prior Authorization Denials in Psych (The Clinician’s Survival Guide)

Why prior auth exists, and why your psych patients get hit twice as hard Prior authorization (PA) is the process where, before an insurance company will…

Aug 13, 2025
HDHPs, HSAs, and Mental Health Coverage
Off Script · 11 min read

HDHPs, HSAs, and Mental Health Coverage

What an HDHP actually is, in plain English Every fall during open enrollment your HR portal lights up with a plan called something like "Choice HSA 3000"…

Aug 8, 2025
Getting On Insurance Panels: The Credentialing Game
Off Script · 15 min read

Getting On Insurance Panels: The Credentialing Game

If you’re a licensed clinician and you’ve been circling the question of whether to get on insurance panels, you’ve probably gotten a lot of advice that’s either cheerleading…

Aug 6, 2025
Propranolol
Medications · 11 min read

Propranolol

Propranolol is a cardiology drug that wandered into psychiatry by accident and stayed because it does one specific thing well.

Aug 3, 2025
Adderall
Medications · 10 min read

Adderall

Adderall is amphetamine.

Jul 29, 2025