From the Practice Floor

Real insights on documentation, clinical workflows, and running a mental health practice. Written by a provider who still sees patients every week.

The Documentation Crisis: Why Charting After Hours Is Unsustainable

Mental health providers spend an average of 3 to 5 hours per day on documentation. That time comes from somewhere. Evenings, weekends, the mental energy you needed for your next patient.

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Clinical Workflow
February 20, 2026 6 min read

The Modern Appointment: Reclaim Every Session

Your first minute with a patient should be about them. Not pulling up notes or reconstructing what changed since last time. Here's how the best providers structure their sessions.

Steven Krozer, PMHNP-BC
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Practice Operations
February 12, 2026 10 min read

Running a Mental Health Practice in 2026: What's Actually Working

The practices that are growing aren't necessarily the ones with the biggest marketing budgets. They're the ones that figured out how to run lean, retain great providers, and deliver a consistently excellent patient experience.

Steven Krozer, PMHNP-BC
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Documentation
February 5, 2026 5 min read

SOAP, DAP, BIRP: Which Note Format Is Right for Your Practice?

There's no universally correct clinical note format. But there is a right one for how you practice. Here's a plain-language breakdown of the most common formats.

Steven Krozer, PMHNP-BC
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Practice Operations
January 28, 2026 7 min read

The Prior Authorization Playbook: Getting Approvals Without the Runaround

Prior auth is one of the most time-consuming parts of running a mental health practice. These are the strategies that consistently cut approval time.

Steven Krozer, PMHNP-BC
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Built by Providers
January 15, 2026 9 min read

Provider Burnout Isn't Inevitable. Here's What's Actually Causing It.

The conversation around burnout in mental health has focused heavily on caseload and emotional labor. Both matter. But the data points to administrative burden as the most actionable lever.

Steven Krozer, PMHNP-BC
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Clinical Workflow
January 6, 2026 6 min read

5 Questions to Ask Before You Adopt an AI Scribe

Not every AI scribe is built for mental health. Before you commit to a tool, these are the questions that separate purpose-built tools from generic transcription software.

Steven Krozer, PMHNP-BC
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