MOST SOLO THERAPY PRACTICES RUN ON FOUR SPREADSHEETS AND A MEMORY.
The caseload list is in one place, the calendar in another, who owes what in a third, and the paperwork chase in a notebook that leaves when the person does. This pack is the operating handbook for that business, written for a solo US therapist, counselor, LCSW, LMFT or LPC carrying private-pay clients and some out-of-network superbills.
WHAT IS IN THE PURCHASE
Primary document: a 197-slide PowerPoint handbook, built in a consulting layout, that stands on its own as the operating reference. It covers the caseload roster, sessions and the money trail, the twelve fields a payer needs before it can pay, denial reasons and what each one actually means, payer credentialing from application to re-credential window, the consent and intake pack, the no-show and cancellation economics, the weekly and monthly admin rhythm, and the work queue that turns all of it into what is due today.
Supplemental document: one ZIP archive, 32 files, because Flevy allows a single secondary document. Inside it: an 18-tab Excel workbook with 356 live formulas, one tab per record set, a Start Here tab, a Reference tab, and a CHECK block that recomputes the month and reports PASS or FAIL; 16 CSV files carrying the same 522 illustrative records so you can import into any tool; 12 printable client forms as PDFs (privacy notice, informed consent, telehealth consent, release of information, fee and cancellation agreement, intake questionnaire, emergency contact, good faith estimate, minor authorization, termination summary, records request, referral letter); a print-ready PDF twin of the handbook; a quick-start guide; and the license terms.
WHAT MAKES IT DIFFERENT
Every figure in the handbook is re-derived from the rows that ship in the workbook, and the build stops if the two disagree. The sample month is deliberately mid-close: October is finished, November is in progress, and the out-of-network sessions still waiting on the next batch are visible as work rather than hidden in a total. That is where the arithmetic errors in a template normally live.
WHERE THE BOUNDARY SITS
This is an administrative record-keeping aid. Your clinical record stays your system of record: no notes, diagnoses or assessments belong here. It is not accounting software, not legal or compliance advice, and it cannot file a claim or guarantee reimbursement. Rules differ by state, profession and plan, so verify what you rely on with your board, your contracts and your attorney. Client data in the sample set is codes and initials only, which is also the working pattern.
HOW TO START
Open the Start Here tab, read the two boundary pages in the handbook, replace the illustrative rows with your own caseload, and fill in your own no-show and late-cancel amounts. Most of the money a solo practice loses is lost in the silence after a missed session.
Licensed for one practice. Edit anything for your own internal use; resale and redistribution are not permitted.
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Source: Best Practices in Healthcare, Small Business PowerPoint Slides: Therapist Private Practice Operations Handbook PowerPoint (PPTX) Presentation Slide Deck, WebsiteGeek