Should your mental health practice be non-profit or for-profit?Your structure shapes your practice for years, so this week we break down the differences: taxes, salaries, grants, boards, loans, and control.

Insurance authorization is a major—and often underestimated—challenge in mental health practice management.In this episode, we unpack a real-world IOP authorization case and explore how insurers process these requests, where delays almost always occur, and what practice owners should be prepared for when offering higher levels of care.Hope you're ready for a clear, honest look at the process.

Insurance contracts can have major consequences for a mental health practice. In this episode of the Sit and Stay Podcast, we break down the insurance contract language clinicians should actually pay attention to: Common “gotcha” clauses, reimbursement rates, documentation requirements, and what to watch for when insurers change terms.If you’re in-network (or considering it), this episode will help you understand what you’re agreeing to and how to avoid costly surprises.

Mentorship and supervision aren’t just for academic clinicians. We unpack how mental health providers can mentor students, supervise trainees, stay current on best practices, and build real community without overcommitting.

Plus: what supervision actually means, how payment works in different models, and why being upfront with clients about training level matters.

0:00 Introduction

1:13 In what ways can providers continue to supervise or mentor over time?

3:10 In what meaningful ways can providers engage in supervision or mentorship?

8:07 How can providers early in their careers find mentorship opportunities?

11:31 What is the difference between supervision and mentorship? When do they occur?

16:07 Do supervisors and mentors usually get paid, or is it a public service?

20:11 What are the personal and professional benefits of supervising and mentoring?

25:08 What is a realistic way of fitting supervision and mentoring into your schedule?

29:17 The Mental Health Business Moment Of The Week.

35:31 Conclusion

In this episode, Tom explains what credentialing actually is, how CAQH fits into the process, and why timelines can vary wildly. We cover the difference between credentialing and contracting, common mistakes that cause delays, what the upcoming 90-day California law means, and how practices can avoid getting stuck in months-long wait times.0:00 Introduction1:48 The Mental Health Business Moment Of The Week. 5:29 What does credentialing with an insurance company mean? 9:47 What does CAQH stand for, and how does it fit into the credentialing process?18:22 How long can someone expect the credentialing process to take?21:04 Should you push the start date for providers out to when they are credentialed? 23:49 Are there ways to speed up the credentialing process?27:15 What is left to do after getting credentialed and contracted as a provider? 32:05 The benefits of using RipsyTech's billing services!36:42 Conclusion

Thinking about offering ownership or partnership at your mental health practice? In this episode of the Sit and Stay Podcast, we explore four ways to structure partnership tracks for clinicians — including profit sharing, phantom equity, traditional buy-ins, and sweat equity.

Dr. Tom Tarshis, founder and CEO of RipsyTech, breaks down how each model works, what to consider legally and financially, and how to decide which structure fits your clinic best. Whether you’re a practice owner looking to reward and retain clinicians or a provider curious about paths to ownership, this episode offers clear, practical insight drawn from years of real-world experience in behavioral health.

🎙️ Brought to you by RipsyTech — behavioral health EHR and business support for mental health professionals.

Recorded live at AACAP 2025 in Chicago, we’re catching up after another incredible year connecting with providers, fellows, and clinic leaders from across child and adolescent psychiatry.

Parker and Tom share what stood out most at the conference—from the ongoing buzz around AI to the practical realities of running a mental health practice today.

We also reflect on what keeps us coming back to AACAP each year: the conversations, the community, and the shared mission to improve care for young people.

In this episode, we break down ownership and partnership structures for private practices: when to offer ownership, how to balance control and profit, and why options like “phantom shares” can motivate without giving up decision-making power.We also touch on legal considerations, attracting top talent, and avoiding pitfalls when adding partners.