You Don't Say! SLP Real Talk, Advice and Strategies

The Mentorship Collective
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You Don’t Say, presented by the Founders of The Mentorship Collective, is the podcast for real talk, advice, and strategies in speech-language pathology. Hosted by Hylan Noble, CCC-SLP, & Nikki Rosner, CCC-SLP, with over 24+ years of combined experience-we support SLPs at every stage—from CFs to seasoned pros. Join us for candid conversations, expert insights, and practical tips to help you grow, gain confidence, and thrive in your career. Tune in and be part of a community that truly gets it—one episode at a time!

  1. Aug 14

    92507 Prep Freebies: How SLP Practices Can Prepare Now

    The 92507 reimbursement changes are coming—and waiting for all the answers isn’t a strategy. In this episode, Hylan and Nikki break down how practices can prepare now without panicking. Using their free reimbursement assessment tool, they walk through how to model potential financial impact, pressure-test scheduling models, and identify where your clinic may need to adapt. You’ll hear about: Modeling potential reimbursement changes for 2026–2027Rethinking 30-, 45-, and 60-minute scheduling modelsProtecting productivity without burning out cliniciansPreparing leaders and admin teams for transparent conversations with staff and familiesStrengthening documentation, payer relationships, and communicationExploring revenue opportunities beyond traditional therapy sessionsMost importantly, they dig into the leadership side of uncertainty—because strong mentorship, transparency, and communication may be just as important as the numbers. The goal isn’t panic. It’s strategy, transparency, and preparing your people now.

  2. Aug 4

    92507 Changes: Don't Panic. Prepare.

    The conversation around the proposed 92507 reimbursement changes has created a lot of uncertainty for speech-language pathologists—but panic isn't a strategy. In this episode, Hylan and Nikki discuss what these changes could mean for SLP practices, the ripple effects they may have on operations, leadership, staffing, and patient access, and the conversations practice owners and leaders should be having now to prepare. Whether you're a solo practitioner, practice owner, clinical leader, or clinician invested in the future of our profession, this episode focuses on what you can control and how to think strategically through uncertainty. In this episode, we discuss: The potential impact of the proposed 92507 reimbursement changes on SLP practicesWhy understanding your margins and operational data matters now more than everPractical ways to strengthen scheduling, attendance policies, and practice operationsHow leadership, communication, and mentorship become even more important during times of changeWhy advocating for our profession and preparing our practices should happen at the same timeThis episode isn't about fear—it's about preparation. Our goal is to help practices ask better questions, make thoughtful decisions, and build stronger, more resilient organizations regardless of what comes next.

  3. Apr 27

    The CF Experience: Expectations & Tools for Success

    Most new speech-language pathologists enter their Clinical Fellowship feeling overwhelmed, underprepared, and unsure how to truly grow—despite doing everything “right.” But what if your CF year was never meant to feel this way? In this episode, Hylan and Nikki break down the real purpose behind the Clinical Fellowship and why so many SLPs—and employers—misunderstand it. They share how the CF was designed to bridge the gap between grad school and real-world practice by building independent clinical thinking, not just completing hours. You’ll walk away with a clearer understanding of the difference between supervision and mentorship, how to advocate for the support you actually need, and what to look for in a job to set yourself up for success. They also unpack common misconceptions about the CCC and licensure, and introduce practical tools to help you move from uncertainty to confident clinical decision-making. Whether you’re a CF, a soon-to-be grad, or a mentor supporting new clinicians, this episode will shift how you approach the CF year—and help you make it count.

  4. Mar 25

    The Fight for 92507— What’s at Stake for SLPs, CFs & Patient Care

    In our Season 2 premiere, we’re tackling a critical issue that could significantly impact the future of speech-language pathology: the potential removal and restructuring of CPT code 92507. This isn’t just a billing change—it’s a shift that could affect how we deliver care, how we’re reimbursed, and how Clinical Fellows are trained and supported. We break down what 92507 actually represents, why it matters, and what could happen if communication treatment is divided into narrower, more restrictive codes. We also walk you through the bigger picture—how insurance and reimbursement systems work, why CMS decisions matter, and how these changes could ripple into private practice sustainability, job opportunities, supervision models, and access to care for our clients. Most importantly, we talk about what YOU can do. As SLPs, our voices matter—and this is a moment to use them. 👉 You can submit your feedback and concerns directly through the AMA Interested Party Portal here:https://cptprocess.ama-assn.org/RequestForChange Whether you’re a Clinical Fellow, early career SLP, seasoned clinician, or practice owner, this episode will give you the clarity and tools you need to stay informed, advocate effectively, and protect the future of our field. 🎧 Tune in and join the conversation—because this one affects all of us.

  5. 06/18/2025

    Episode 9: CMS Shake-Up: What the New Rules Mean for CFs, Mentorship & Patient Care

    On this Episode, we’re breaking down the new CMS supervision and billing changes—and what it means for CFs in the medical setting/SNFs and could potentially mean for private practices, supervisors, and ultimately, patient care. We’ll walk you through the basics of credentialing, what insurance billing actually involves, and why understanding these systems is critical for SLPs—especially those in the private practice or medical settings. Whether you’re a CF just stepping into the field or a seasoned clinician navigating shifting regulations, this episode will help you make sense of the red tape, understand how these changes could affect mentorship models, job offers, and access to care. Tune in for a no-fluff breakdown that empowers you to advocate for yourself, your practice, and the future of our profession.

  6. 06/08/2025

    Episode 8: Toxic Is Not a Buzzword: Red Flags to Watch in SLP Workplaces

    Let’s talk about what no one prepared us for in grad school—toxic work environments. In this episode of You Don’t Say, we’re unpacking the real signs of workplace toxicity and sharing the red flags that new SLPs need to recognize before they’re knee-deep in burnout. From subtle gaslighting and lack of mentorship to unrealistic productivity demands and “smile-through-it” culture, we’re calling it out. We’ll share stories from the field, offer practical tips to advocate for yourself, and give you the tools to walk away with confidence when something doesn’t feel right. Because your career shouldn’t cost your well-being. 🎧 Tune in if you’re: An SLP and unsure what’s “normal” Feeling stuck in a job that drains you Ready to trust your gut and protect your peace

  7. 04/14/2025

    Episode 7: Mastering Challenging Clinical Cases: Tips & Strategies for Success

    In this episode, we dive into how SLPs can best support and manage difficult cases. We break down the essential steps to take when dealing with tough situations, such as the importance of a whole child approach, how to assess the child's needs holistically, and the resources you can tap into for support. We also share strategies for staying confident and resilient while navigating complex cases. Tune in for practical tips, tools, and a preview of our new program, Pediatric Pathways, launching soon to help you thrive in your pediatric SLP career!

  8. 04/04/2025

    Episode 6: CF Day One: What NoOne Tells You (But We Will)

    In this episode, we walk you through exactly what to expect from Step One of your CF journey—from what your supervisor will expect from you, to how your workplace might (or might not) support you, to the thoughts and feelings that are totally normal to have in those first few weeks. We’ll share real-world examples, common surprises, and actionable steps you can take now to feel more grounded and confident during this big transition. Whether you're counting down to Day One or already in the thick of it, this episode is here to remind you: you’re not alone, and you’ve got this.

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You Don’t Say, presented by the Founders of The Mentorship Collective, is the podcast for real talk, advice, and strategies in speech-language pathology. Hosted by Hylan Noble, CCC-SLP, & Nikki Rosner, CCC-SLP, with over 24+ years of combined experience-we support SLPs at every stage—from CFs to seasoned pros. Join us for candid conversations, expert insights, and practical tips to help you grow, gain confidence, and thrive in your career. Tune in and be part of a community that truly gets it—one episode at a time!

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