[humanser] Screen readers and electronic billing

Mon May 21 04:23:33 UTC 2018

Janice,

State laws vary a lot on this. I know that where I am at (New York City
area), everyone seems to have issues finding a placement to work post
graduate pre licensed where they can get their hours. I am wondering if
there are not creative ways that could be used to work around the
situation, especially when looking at underserved populations.

I own my practices in New York and have operated them as group teaching
practices. I have been providing a base in the practices from the work I
have been doing (although that has changed based on progression in my
underlying illness. By doing that, I have been able to afford to have a low
fee program in an underserved area of our area (and in which poverty is a
significant barrier to getting service among other barriers). Depending on
what someone accruing their hours needs to make financially, the fees
necessary to cover expenses (including internal supervision) are not that
high.Perhaps, there is a clinician who would be able to include you under
their umbrella in a similar way either out of a sense of service to those
who are not getting proper service and/or out of the potential revenue once
you are fully clinically licensed.

Christopher L. Smith

On Sat, May 19, 2018 at 8:51 PM, Janice Toothman via HumanSer <
humanser at nfbnet.org> wrote:

>
> Kaiti,
>
> I know that when I have on occasion gone to Counseling Conferences and
> visited the exhibited.  One of the first things I do when I talk to people
> at booths the deal with therapy notes/medical billing etc, I ask about
> accessibility.  I will frequently receive either a two week or one month
> trial subscription and the person who contacts me often appreciate my
> feedback.  Sometimes I learn that they already have a blind therapist using
> there product with JAWS.
>
> If we don't advocate for Neurofeedback equipment, EMDR equipment or
> Electronic Medical record/billing software to become accessible to the
> blind and DeafBlind (myself), then we not only to a disservice to
> ourselves, our clients we serve but to those who come after us.
>
> This is especially true when we know that accessibility is cheaper more
> easily done from the start.  Yet society feels that we are to be taken care
> of rather than the ones to care for others. Therefore, they feel that the
> upfront "cost" is too high.  They would rather wait for a "poor blind
> person with a job to sue" feeling that the law will be on their side
> instead of the plaintive.
>
> We in the NFB know differently/
>
> Kaiti,
> I hope an pray that you get a job.  I have found that people claim that my
> credential are "impressive".  That I talk "well" travel amazingly with my
> guide dog for a DeafBlind person.  Yet, they don't know how to hire me.  My
> local rehab agency will pay for transportation.  They will NOT pay the
> supervision fee potentially necessary for me to become fully licensed as an
> LCPC in Maryland because I need 3,000 supervised linical hours.
>
> An LGPC,  someone that has passed the passed the National Counseling
> Examination and their states  Law or Ethics test but has not complete that
> mandatory 3,00 supervised clinical hours (or however many your state
> requires),  Can not be paneled by paneled by insurance companies, since
> your supervisor has to sign off on or oversee your clients.  Therefore,
> many agencies do not want to hire someone that depending on who their
> clients are they may not make money of to sufficiently defray the cost of
> the hiring (or at least your taking clients away from someone who possibly
> could generate a greater income.)
>
> I had to reapply for my LGPC after two years without obtaining my
> sufficient hours.  It is frustrating to want to work and be told that with
> my background I could serve an underserved population-But.
>
> Sorry for the long post-
> It is heartwarming for me to hear of others positive experiences. It gives
> me hope.
>
> In Christ,
> Janice Toothman, MA, LGPC
> janice.toothman at verizon.net
> Second Vice-President
> National Association of the DeafBlind, a Proud Division of the NFB
> We care, We share, We grow, We make a difference
>
>
>
> On 5/19/2018 7:33 PM, Kaiti Shelton via HumanSer wrote:
>
>> Thanks for the info. I did go on the web site prior to sending my email
>> here as well, but I didn't know companies might let me test out the actual
>> billing part that is secure. It doesn't seem like I can find any blind
>> people who use it in their own work, so we'll just have to see how it
>> works.
>>
>> On Saturday, May 19, 2018, Michael Abell via HumanSer <
>> humanser at nfbnet.org>
>> wrote:
>> Hello Kaiti,
>>          I am not familiar with this provider.  I looked at their website
>> and found it to be accessible.  The key would be to reach out to the sales
>> department and inquire if you can receive a free trial membership.  This
>> would allow you to navigate within the program to determine for yourself
>> if
>> it is accessible for you!
>>
>> Warmly,
>>
>> Rev. Michael “Big Dog” Abell
>> MSPC
>>
>> Helping individuals to find their eyes in the dark.
>>
>> The Family Ministry Counseling and Psychotherapy Services
>> 700 E Jefferson St. Suite 250
>> Phoenix, Arizona  85034
>> (602) 253-4084 ext 1
>>
>> Notice of Confidentiality: This e-mail, and any attachments, is intended
>> only for use by the addressee(s) and may contain privileged or
>> confidential
>> information. Any distribution, reading, copying or use of this
>> communication and any attachments by anyone other than the addressee, is
>> strictly prohibited and may be unlawful. If you have received this e-mail
>> in error, please immediately notify me by e-mail (
>> bigdog4744 at gmail.com) or telephone (602-253-4084), and permanently
>> destroy
>> or delete the original and any copies or printouts of this e-mail and any
>> attachments.
>>
>>
>>
>> -----Original Message-----
>> From: HumanSer [mailto:humanser-bounces at nfbnet.org] On Behalf Of Kaiti
>> Shelton via HumanSer
>> Sent: Saturday, May 19, 2018 8:01 AM
>> To: humanser
>> Cc: Kaiti Shelton
>> Subject: [humanser] Screen readers and electronic billing
>>
>> Hi Everyone,
>>
>> I interviewed for a position yesterday and love the conpany. They suit me
>> well and i think i can truly contribute there. They already have a
>> therapist on staff who is vi, so they have been wonderful and know it
>> isn’t
>> a big deal. They asked me in this completely nonjudgmental way about what
>> i
>> would need for computer access. They use an electronic billing system
>> called Therap, which is a HIPAA-Compliant web-based sysm. If chosen, we
>> know i would have JFW and NVDA abailable. I told them it’s difficult for
>> me
>> to say what problems we might have without looking at it, but i’d do my
>> research. They understand we might have to play with it as well.
>>
>> Has anyone used Therap? If so, with which browser and screen reader? What
>> were your user experience and tech issues like?
>>
>>
>>
>
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