Back to The Claim Game

Podcast Episode

How to Scale a Private Practice to Seven Figures with Nicole McCance

The Claim Game··20 September 2026·39 min

About this episode

EPISODE SUMMARYIn this episode of The Claim Game, Jeremy Zug sits down with retired psychologist and business coach Nicole McCance to discuss how she grew from a burned-out solo practitioner to building a 55-therapist, multi-seven-figure group practice.Nicole shares the systems and strategies behind that growth, including hiring the right team, creating SOPs, using AI and automation, attracting and retaining clients, and focusing on your zone of genius. She also breaks down her five-step approach to scaling and the mindset that helped her make the leap from clinician to CEO: “do it scared.”KEYWORDSGroup Practice Growth, Private Practice, Scaling a Therapy Practice, Practice Management, SOPs, Systems and Automation, Hiring Therapists, Digital Marketing, Client Retention, AI for Private Practice, Leadership, Practice GrowthTAKEAWAYSSystemize Before You Hire: Document your processes and build clear SOPs so your practice can operate without everything depending on you.Hire for the Right Fit: Nicole shares why your first hire should reflect your personality, energy, clinical approach, and brand.Growth Is More Than Marketing: A scalable practice needs systems to attract, convert, and retain clients—not just generate leads.Delegate, Automate, Eliminate: Create more time for your zone of genius by removing tasks that don’t require your expertise.Do It Scared: Growth can feel uncomfortable. Nicole explains why moving forward despite fear was key to becoming a CEO and building a practice that could run without her.CHAPTERS00:00 Scaling from Solo to 55 Therapists13:28 SOPs, Training, and Smarter Systems22:30 The Five Steps to Practice Growth34:23 Systems, ROI & Doing It ScaredRESOURCESToday Sponsors: Visit practicesol.com The Business Savvy Therapist Podcast Free Masterclass: How to Build a Seven-Figure Group Practice Learn More About The Claim Game: Visit practicesol.com/podcast The Hourglass Learning Hub: Dive deeper into RCM best practices and downloadable tools mentioned in this episode, like the various checklists and templates, by visiting The Hourglass Learning Hub. Our Blog: Explore years of educational articles on billing and practice management at Practice Solutions Blog. Book: For a comprehensive guide on navigating insurance, grab your copy of Insurance Billing Basics: Steps for Therapists to Successfully Take Insurance.