Andrew T. Duncan/Publications/Rehabilitation & Behavioral Health Compensation

Rehabilitation & Behavioral Health Compensation

Trilogy Volume II Manuscript complete · Publication forthcoming

What this is

A reference companion to Rehabilitation and Behavioral Health Compensation: A Comprehensive Guide.

This page is for the moment when you need one definition, one chapter, or one framework quickly. The full argument is in the book. What you will find here: a map of the 36 chapters and what each one actually addresses; an account of the six parts and how they sequence the material; a comparison of how rehabilitation and behavioral health compensation differs analytically from physician compensation; and the data sources and edition notes the book rests on.

The book is written for clinicians who live at the intersection of clinical practice, reimbursement policy, labor economics, tax law, and personal finance — physical therapists, occupational therapists, speech-language pathologists, audiologists, professional counselors, psychologists, and clinical social workers — as well as for the students entering these professions, the managers who design their compensation, and the administrators and policy analysts who shape the systems in which they are paid.

The central argument: compensation is an economic system, not a headline salary. A starting salary is only the visible surface of training cost, debt, the model by which clinical work is converted into revenue, the setting and payer mix that price that work, the benefits and tax treatment that determine how much a clinician keeps, and the retirement machinery that turns income into wealth.

The trilogy

Three books with a shared conviction: that a professional life repays analysis.

Volume I

Physician Compensation

How physicians are paid: the wRVU framework, survey benchmarking, fair market value, and commercial reimbursement. Written for administrators, physicians, and advisors who negotiate and defend compensation arrangements.

Volume II — This book

Rehabilitation & Behavioral Health Compensation

A companion volume extending the compensation framework to the professions for which a physician framework does not transfer: rehabilitation and behavioral health, where billing logic, payer mix, and labor-market dynamics are fundamentally different.

Volume III

Professional Issues for the Healthcare Professional

Everything beyond compensation: ethics, law, safety, leadership, and the long arc of a professional career. The books cross-reference one another rather than repeat.

The six parts

Thirty-six chapters in six parts, moving from foundations to lifetime career strategy.

Part I — Chapters 1–3

Foundations

Training, licensure, and early-career economics; debt, leverage, and financial reality; and the anatomy of compensation models. The base on which every subsequent chapter builds.

Part II — Chapters 4–7

The Revenue Engine: Coding, Billing, and Auditing

The unit economy of rehabilitation services; CPT assembly and modifier governance; coding software and revenue leakage; and auditing your own productivity. Rehabilitation billing is distinct from physician billing, and the distinctions matter.

Part III — Chapters 8–22

Discipline-Specific Compensation

Fifteen chapters, one per profession: physical therapy, occupational therapy, speech-language pathology, audiology, counseling and psychology, licensed clinical social work, respiratory therapy, radiologic technology, diagnostic medical sonography, medical laboratory science, cardiovascular technology, dental hygiene, nutrition and dietetics, emergency medical services, and athletic training.

Part IV — Chapters 23–27

Practice Settings and Market Structure

Hospital versus outpatient versus private practice; private equity and corporate rehabilitation; site-of-service arbitrage; workforce dynamics and burnout; and the full cross-setting compensation matrix.

Part V — Chapters 28–31

Independence, Telehealth, and the Workforce

Independent practice and entrepreneurship; telehealth and hybrid care; workforce supply and training pipelines; and retention, burnout, and economic sustainability across the allied-health professions.

Part VI — Chapters 32–36

Personal Financial Strategy for the Clinician

Tax planning and business structure; retirement and long-term financial planning; pay equity and compensation disparities; leadership and academic compensation; and a synthesis chapter with a lifetime career action plan.

Chapter map

Thirty-six chapters. Part III is the only chapter-by-chapter treatment of allied and behavioral health discipline compensation available in a single volume.

Part#Chapter
I1Getting Started: Training, Licensure, and Early Career Economics
2Debt, Leverage, and Financial Reality
3Understanding Compensation Models
II4The Unit Economy: How Rehabilitation Services Generate Revenue
5Assembly of the Visit
6Coding Software, Edits, and Revenue Leakage
7Auditing Your Own Productivity
III8Physical Therapy Compensation
9Occupational Therapy Compensation
10Speech-Language Pathology Compensation
11Audiology Compensation and Practice Economics
12Counseling and Clinical Psychology
13Licensed Clinical Social Workers: Compensation, Access, and Economic Constraints
14Respiratory Therapy Compensation
15Radiologic Technology Compensation
16Diagnostic Medical Sonography Compensation
17Medical Laboratory Science Compensation
18Cardiovascular Technology Compensation
19Dental Hygiene Compensation
20Nutrition and Dietetics Compensation
21Emergency Medical Services (EMT and Paramedic) Compensation
22Athletic Training Compensation
IV23Hospital vs. Outpatient vs. Private Practice
24Private Equity and Corporate Rehabilitation Models
25Site-of-Service Arbitrage, Ownership, and Hybrid Practice Economics
26Workforce Dynamics, Burnout, and Economic Sustainability in Allied Health
27Practice Setting Economics and Compensation Architecture
V28Independent Practice and Entrepreneurship
29Telehealth and Hybrid Care Models
30Workforce Supply, Training Pipelines, and Labor Market Dynamics
31Workforce Retention, Burnout, and Economic Sustainability in Allied Health
VI32Tax Planning and Business Structure for Allied Health Clinicians
33Retirement and Long-Term Financial Planning
34Pay Equity and Compensation Disparities
35Leadership, Administrative, and Academic Compensation
36Building a Compensation Strategy: Synthesis and Career Action Plan

How rehabilitation compensation differs

A physician compensation framework does not transfer cleanly to rehabilitation and behavioral health. Four structural differences explain why.

Billing unit

Time-based, not wRVU

Rehabilitation therapy bills in timed 15-minute units under the 8-minute rule, not in wRVUs. Revenue is a function of productivity (units billed), payer (Medicare, Medicaid, commercial, cash), and setting — not of physician work value.

Revenue capture

Direct billing is not universal

Respiratory therapy, medical laboratory science, and several other disciplines generate revenue captured in bundled facility payment (DRG, OPPS, PDPM) rather than on a separate line item. These clinicians are institutional costs, not revenue centers.

Labor market

Female-majority, debt-heavy

Most rehabilitation and behavioral health professions are female-majority. Gender and race pay gaps, the part-time penalty, and pay transparency law have measurable effects in these fields. Chapter 34 treats this directly.

Survey benchmarks

BLS, not MGMA

Allied health compensation is benchmarked principally against Bureau of Labor Statistics Occupational Employment and Wage Statistics data, not MGMA or AMGA surveys. BLS figures are population-level; the book identifies where they understate new-graduate wages.

Errata & editions

Current edition: v2, 36 chapters, August 2026.

Current edition

Version 2 — 36-Chapter Edition (August 2026)

Expanded from the original manuscript with nine additional professions in Part III (Chapters 14–22): respiratory therapy; radiologic technology, diagnostic medical sonography, medical laboratory science, and cardiovascular technology; and dental hygiene, nutrition and dietetics, emergency medical services, and athletic training. Former Chapters 14–27 renumbered to Chapters 23–36. Wage benchmarks updated to May 2025 BLS OEWS data. Loan data updated to reflect 2025–2026 federal policy changes.

Publisher

Junto Analytics, LLC

Manuscript complete. Commercial publication forthcoming; ISBN pending. Inquiries: andrew@juntoanalytics.com