According to my patient list, I am up to six couples. I laugh when I say it. Two of them come tomorrow for their initial assessment sessions. The way they do it, which is common from what I’ve seen, you only get paid per client session. So anytime I’m doing notes or the more upfront work of completing the assessments and writing a treatment plan, you don’t get paid for that. They say they factor it into the hourly session pay rate.

I currently make more money at my nurse job, but it’s close. It’s close enough for me to feel satisfied that I am making enough money. Having a set wage is nice instead of a certain percentage of the insurance reimbursement, especially in this case when I am seeing more couples. No one seems to know why, but insurance companies typically reimburse around 30% less with couples than what they pay with an individual session.

My boss says she thinks it has to do with couples or family therapy not being medically necessary, which when you’re billing insurance, you have to prove with your note. The whole thing seems so overly complicated and cumbersome, but for now I am just grateful that there is someone there to manage it. All I have to do then is focus on them. I wasn’t at Hope today, I was at Thrive. I had an empty hour from a cancellation.

I wanted to clean the bathroom. In fact I was all excited that I had some extra time to do it. But then for whatever reason I decided not to. I need to remember to bring a spray or something I can use for baseboards and walls. I came home and Elianna was here to clean out the moldy parts of the fridges. She noticed down at main camp that whatever food was still in there was growing mold so she made some plans to come clean that.

Zorro was here for the past two days. He had a moment of rumble growling when I tried to put on his leash. So we didn’t go for a ride but he went outside for a while. Other than that he was completely fine and we went for walks and he played outside with the boys in the snow. The boys had a snow day yesterday due to ice, cold, and snow. We took one of our cats to the vet and he was given medicines for a recent onset of a UTI.