[humanser] Screen readers and electronic billing

Mon May 21 07:19:28 UTC 2018

Janice,
	I took a peak at your states board requirements and it looks similar to mine.  The first thing that I noticed is that you have some freedom to have supervision performed by supervisors that are not lpc for the first 50 hours.  As long as the supervisor is approved by the board, the supervision can be an MSW, LMFT, LPC, or other licensed supervisor.  At least 50 of the required hours must be performed by an LPC.
	The other thing that I noticed was that the term face-to-face does not appear to give you the liberty to perform supervison telephonically or from another state.  This does not mean that it is out of the realm of possibility.  I would confirm this with your board.  It could open up some options for you.
	This is a difficult time period.  Finding a place to work that will provide supervision is definitely difficult.  It requires a great deal of creativity to find the perfect match.  I have been quite fortunate in my location.  My supervisor was an LMFT and agreed to do the supervision after my internship.  He has acquired his LPC to provide the rest of the supervision.  I know that I am indebted to him and hope to repay the kindness to another in the future.
	I agree with Chris about looking for providers that wish to serve the underserved.  They may appreciate the additional staff and may do the supervision for no charge.  Do not neglect the churches in your search as they may have such a person on staff.
	I know from your postings that you are determined and I am persuaded that He will reward your acceptance of calling with a place of service.  Keep us posted!

Warmly,

Rev. Michael “Big Dog” Abell
MS, LACT

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 Janice Toothman via HumanSer
Sent: Saturday, May 19, 2018 5:52 PM
To: Kaiti Shelton via HumanSer
Cc: Janice Toothman
Subject: Re: [humanser] Screen readers and electronic billing

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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