Bring Interns Into Your Practice Without the Clawbacks, Confusion, & Compliance Nightmares.
A 3-part course taught by two working clinicians who do this every single week, in their own group practice and as the billing team for hundreds of therapist members. Learn what your master's program never taught you about supervisory billing, intern fit, and the documentation that keeps your license intact.
Why This Course Exists
Hi, I'm Dawna.
Six years ago, I started a group practice called A New Dawn, A New Beginning. I had no idea I was about to start hiring interns. I just wanted to get out of community mental health and figure out how to do this on my own.
I was an intern myself, once. And here's something I'll never forget: I lost supervised hours, real hours toward my license, because my supervisor didn't know about logging them. Nobody told either of us. We just found out when it was already gone.
So when I started bringing interns into my own practice, I quickly hit every wall you can hit. Insurance reps gave me different answers depending on who answered the phone. State board rules conflicted with what insurance companies told me. I learned the hard way that “incident-to billing” and “supervisory billing” and “registered intern billing” all mean the same thing, but if you call the rep using the wrong word, you get the wrong answer.
About two years ago, my biller Annie and I decided we couldn't be the only therapists figuring this out alone. We turned everything we'd learned, every state-by-state difference, every insurance modifier, every audit-survival rule, into a 3-part course.
Today we run the billing for Kym Tolson's Bill Like A Boss community alongside our own group practice. We answer therapists' incident-to billing questions every Wednesday at 12:30 ET on the live Bill Like A Boss call. And we built this course as the foundation, the thing every therapist needs before they bring on their first intern, or before their next audit.
If you're thinking about hiring an intern, or you already have one and you're not 100% sure your billing would survive an audit, this is for you.
Annie, on what happens when supervisory billing isn't airtight. Insurance companies can claw back paid claims 2 to 3 years later. The course shows you how to build documentation that holds up.
What Most Therapists Don't Know About Intern Billing Until It's Already Cost Them.
Five things that quietly destroy your supervisory billing income, your relationship with your state board, or your license. None of them are obvious. All of them are in the course.
Insurance companies use 5 different terms for the same thing.
Incident-to. Supervisory. Registered intern. Provisional license. Associate. If you call the rep using the wrong word, you get the wrong answer.
State board, insurance, and licensing rules conflict.
Florida says interns can do telehealth. Some insurance companies say no. The state board of medicine says something else. Pick wrong, and you're either losing claims or risking your license.
UnitedHealthcare quietly killed incident-to billing in 2020.
Most therapists don't know. They keep applying for an agency contract that doesn't actually exist for private practice anymore, then wonder why nothing's happening.
Your malpractice doesn't auto-cover interns.
You add an intern and assume your liability insurance covers them. It usually doesn't without a rider. Some payers also require higher coverage minimums.
Clawbacks come 2 to 3 years later.
When supervisory billing is wrong, the insurance company can claw back the money retroactively, sometimes years after you've already spent it.
The “I felt obligated to take anyone” trap.
Dawna's biggest early mistake was feeling obligated to accept every intern a school sent. The wrong fit costs you training time, team energy, and momentum.
Dawna, on the lesson she learned the hard way. The course teaches you exactly what to listen for in the first interview.
What Changes When You Take This Course
Six things that shift the moment you stop guessing and start running supervisory billing like the CEO you are.
Pick the right intern, every time.
You walk into interviews with a checklist of fit-tests Dawna built from years of trial and error.
Bill incident-to with confidence.
You know the modifiers, the place-of-service codes, the documentation requirements, and the state-by-state nuances.
Ask insurance reps the right questions.
You walk into every payer call with the cheat sheet Annie uses every day.
Build documentation that survives audits.
Supervisor signatures, brief face-to-face notes, treatment plan reviews, and documentation that stands up.
Use interns to grow your practice ethically.
Run groups, expand services, support more clients, and scale without crossing ethical lines.
Build relationships that outlast the internship.
Interns done right become your future colleagues, referral partners, and team members.
What's Inside the Course
Three modules. Watch them in any order. Available immediately upon purchase.
Part 1 | Pre-recorded
Understanding the Intern Landscape
The fit, the framework, and the questions you should be asking before you say yes to anyone.
- The 3 types of interns and what each can actually bill or do.
- Dawna's exact interview questionnaire for assessing fit.
- Group vs. individual supervision models and how to pick.
- How to shift from client-driven to provider-driven supervision.
- Ethical considerations, statutes, training, and malpractice riders.
- What to put in the contract before day one.
- Free training resources and school grant opportunities.
Part 2 | Pre-recorded
Billing for Interns & Pre-Licensed Clinicians
The full incident-to billing masterclass. State by state, insurance by insurance.
- What incident-to billing actually is and the terms insurance reps use.
- Who can supervise whom and the additional training required.
- Required modifiers by insurance company.
- Place-of-service codes and how to match them to the note.
- Why UnitedHealthcare killed incident-to and what to do instead.
- The Cigna-Florida brief face-to-face requirement and similar quirks.
- The 1099 vs. W-2 intern question.
- The grace-period trap when an intern gets licensed mid-week.
- Annie's insurance-company cheat sheet template.
- Liability insurance changes when you add interns.
Part 3 | Pre-recorded
Onboarding, Contracts, Supervision & Documentation
Day-1 onboarding through long-term retention, with all the documentation an audit would actually look for.
- The day-1 onboarding process and what every intern needs in their first week.
- What your intern contract must include.
- The supervisor's role as mentor, signer, and audit-prepper.
- Documentation and compliance timing rules.
- Client management, treatment planning, and ongoing care.
- How to communicate clearly when something needs to change.
- Workspace, EHR access, scheduling, and supervision blocks.
Plus everything you need to actually use it:
- Intern client consent form template written with legal guidance.
- Insurance-company cheat sheet template for every payer you call.
- Supervision documentation template built for audits.
- Q&A access through Bill Like A Boss if you upgrade.
- 30-day refund if you don't feel ready to move forward.
Get This Course Plus Every Other Bill Like A Boss Training for $45/month.
This course is great on its own. But Bill Like A Boss is the complete system: the 5-stage Success Path, weekly live billing Q&A with Annie & Dawna, 40+ trainings in the vault, specialty courses, AI tools, templates, and a private community of insurance-billing therapists.
This Course Only
3-part supervisory billing course. Watch any time. 30-day refund. No live support.
Bill Like A Boss Membership
The full system: weekly live billers, 40+ trainings, AI tools, templates, and every specialty course.
Who's Teaching You
Two working clinicians. One billing partnership. Five years and counting.
What Members Are Saying
The intern billing session was particularly enlightening. I've gone from feeling overwhelmed to feeling empowered and ready to expand my practice with interns.
Two Ways to Learn This. One Decision.
Whichever you pick, you walk in better prepared than most therapists who hire interns.
- All 3 pre-recorded modules
- Intern consent form template
- Insurance company cheat sheet template
- Supervision documentation template
- Lifetime access to course updates
- No live Q&A access
- No access to other Bill Like A Boss courses
- The Success Path roadmap from investigation to mastery.
- Weekly live billing Q&A with Annie & Dawna every Wednesday.
- 40+ expert trainings in the vault.
- Every specialty course including this one.
- AI tools and documentation systems.
- Done-for-you resources, templates, scripts, and cheat sheets.
- Private community of insurance-billing therapists.
Watch the first module. Try the templates. Bring a question to a live Bill Like A Boss call if you upgrade. If it's not what you expected, email within 30 days and we'll refund you.
Smart Questions, Honest Answers
I don't have an intern yet. Should I still take this course?
Yes. Most therapists who get burned by intern billing got burned because they hired the intern first and tried to figure out the billing later.
I already have an intern. Is this still useful?
Especially useful. The course shows you what an audit would flag and what to fix this week.
I'm in another state. Will the rules apply to me?
Yes. The course teaches the framework, then shows you how to investigate your own state's rules.
What if my situation is unique and I have specific questions?
Buy the course alone for the foundation, or upgrade to Bill Like A Boss for weekly live access to Annie and Dawna.
Was Part 3 originally live? Is it still live?
Part 3 was originally a live training. It's now pre-recorded and available immediately with Parts 1 and 2.
Will the course be updated as rules change?
Yes. Annie and Dawna keep the course current as payer rules and state requirements change.
The Cost of Not Knowing.
One denied incident-to claim costs you the value of the session. One audit clawback can cost you thousands. One bad-fit intern can cost you a semester of training and a relationship you can't undo.
This course is $147. The membership that includes it is $45/month.
The hardest part of bringing interns into your practice isn't the supervision. It isn't the paperwork. It's the moment, two or three years from now, when an audit letter arrives and you realize you didn't know what you didn't know.
We built this course so that letter never has to be a surprise.