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W-2 Employee or 1099 Contractor? What Rehab Therapists Should Know

After 25 years of owning a staffing agency, I’ve had many conversations with speech-language pathologists, occupational therapists, and physical therapists weighing a W-2 position against 1099 contract work. It’s understandable to focus on the hourly rate. But the rate is only one part of the decision. Taxes, benefits, insurance, supervision, and the way an assignment is structured all matter too.

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From Engagement to Evidence: Making Therapy Progress Measurable

Engaging activities can help clients stay focused and motivated during therapy. But how can therapists tell whether that engagement is supporting progress toward a goal? The answer starts with purposeful practice: choosing activities that give clients meaningful opportunities to work on specific skills, then tracking their responses over time.

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Play With a Purpose: How Therapy Games Can Support Communication, Motor Skills, and Emotional Regulation

Some therapists hesitate to call an activity a “game.” They may worry the word makes serious clinical work sound easy or suggests that challenging material is being treated casually. That concern deserves to be heard. The work clients do in therapy can be difficult, personal, and important. But an activity’s value does not come from its label. It comes from how the therapist uses it. A purposeful therapy game has a clear goal, an appropriate level of challenge, and a therapist who knows what skill the client is practicing. Making an activity engaging does not make the work less rigorous or meaningful. In my work as a speech-language pathologist, I’ve seen how the right activity can help a client become more willing to participate and practice. The game is not the treatment by itself. The therapist’s clinical judgment is what connects the activity to the client’s needs.

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The End of CPT Code 92507: What the 2027 Changes Mean for SLPs?

As a speech-language pathologist, I have used CPT code 92507 for most of my career. It has been the familiar code for individual treatment of speech, language, voice, communication, and auditory processing disorders. Beginning January 1, 2027, that will change. When I first heard that 92507 was being eliminated and replaced with 10 new codes, I had many of the same questions other SLPs are probably asking. Why is this happening? How will the new codes work? Will they create more paperwork? Will they affect reimbursement? Most importantly, what will they mean for the way we provide and document services? I did some research to help make sense of the upcoming changes, and here is what I learned.

Read More
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W-2 Employee or 1099 Contractor? What Rehab Therapists Should Know

After 25 years of owning a staffing agency, I’ve had many conversations with speech-language pathologists, occupational therapists, and physical therapists weighing a W-2 position against 1099 contract work. It’s understandable to focus on the hourly rate. But the rate is only one part of the decision. Taxes, benefits, insurance, supervision, and the way an assignment is structured all matter too.

Read More
Blog Image

From Engagement to Evidence: Making Therapy Progress Measurable

Engaging activities can help clients stay focused and motivated during therapy. But how can therapists tell whether that engagement is supporting progress toward a goal? The answer starts with purposeful practice: choosing activities that give clients meaningful opportunities to work on specific skills, then tracking their responses over time.

Read More
Blog Image

Play With a Purpose: How Therapy Games Can Support Communication, Motor Skills, and Emotional Regulation

Some therapists hesitate to call an activity a “game.” They may worry the word makes serious clinical work sound easy or suggests that challenging material is being treated casually. That concern deserves to be heard. The work clients do in therapy can be difficult, personal, and important. But an activity’s value does not come from its label. It comes from how the therapist uses it. A purposeful therapy game has a clear goal, an appropriate level of challenge, and a therapist who knows what skill the client is practicing. Making an activity engaging does not make the work less rigorous or meaningful. In my work as a speech-language pathologist, I’ve seen how the right activity can help a client become more willing to participate and practice. The game is not the treatment by itself. The therapist’s clinical judgment is what connects the activity to the client’s needs.

Read More
Blog Image

The End of CPT Code 92507: What the 2027 Changes Mean for SLPs?

As a speech-language pathologist, I have used CPT code 92507 for most of my career. It has been the familiar code for individual treatment of speech, language, voice, communication, and auditory processing disorders. Beginning January 1, 2027, that will change. When I first heard that 92507 was being eliminated and replaced with 10 new codes, I had many of the same questions other SLPs are probably asking. Why is this happening? How will the new codes work? Will they create more paperwork? Will they affect reimbursement? Most importantly, what will they mean for the way we provide and document services? I did some research to help make sense of the upcoming changes, and here is what I learned.

Read More

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