• Are you tired of the headaches associated with Insurance/Medicare billing and regulation?
  • Want to spend more time with each patient, less time on paperwork, and treat them the way You feel is best?
  • Are you concerned about the ongoing decline in reimbursements for your services?

A “yes” to any of these questions means you are in the right place. This site will be continually fed with information on how to create a cash-based practice and/or add private-pay services in order to remedy the above-mentioned challenges. For a FREE eBook on Cash-Based PT & Medicare, and other useful information not on this site, drop your email to the right and click “Send It Now.”

Next, scroll down and enjoy.

This episode is an interview of Nancy Beckley of Nancy Beckley and Associates, a rehab compliance consulting firm. We get into the nitty-gritty of HIPAA (and also Medicare) as it relates to a cash-based practice. She fields my questions for over an hour and absolutely fills us with the info we need to protect ourselves and our practices.

Is my cash practice a HIPAA Covered Entity?

In this episode, you’ll learn about:

  • What exactly is HIPAA and why does it exist
  • How to determine if your practice is a “Covered Entity” and must comply with all the laws and regulations of HIPAA
  • If you are a covered entity, and what to use an eFax, some important considerations for finding the right HIPAA-compliant system.
  • HIPAA-compliant texting software, and when something like this is necessary if you are texting/emailing about patients with other providers.
  • The HIPAA Omnibus changes and how they may have opened the door (in some scenarios) to provide covered services to a Medicare Beneficiary on a cash-pay basis.
  • The Jimmo vs Sebelius case on “Medical Necessity” and how it affects our ability to see Medicare Beneficiaries on a cash-pay basis for certain types of services. Continue reading “CBP 017: Determining if your Cash Practice is a HIPAA Covered Entity and How HIPAA may Open the Door to Cash Paying Medicare Beneficiaries” »

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CBP 016–Your Questions Answered: Cancelation Policy, Treatment Frequency, Cash Pay Pediatrics, and the Future of Cash vs Insurance Based Practice

October 2, 2014
Cash-Based Practice questions answered

I received a lot of great feedback from my first Q&A session and a number of people asking me to do more, so I didn’t want to wait to long before I honored their request. I also have an exciting announcement about a new way you can ask me questions to answer in future Q&A [...]

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Rarely spoken advice for success in the cash practice model

September 25, 2014
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Not long after I interviewed Aaron Lebauer for my podcast, he interviewed me for his website, and I have to say that I think this is one of the best interviews I’ve been involved with. Why? Because Aaron was very skillful in his questioning and had me talking about things I rarely talk/write about, and in much [...]

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CBP 015: From a Part-Time Cash Practice, to Full Time and Booking Months in Advance – Interview with Liz Gillem-Duncanson PT

September 18, 2014
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Liz Gillem-Duncanson PT started her cash-based practice on a part time basis in 2006, doing house calls, and now see’s patients full time and is booking up to four months in advance! In this podcast episode, we discuss her path to this point and how she’s had this level of success.

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CBP 014: How to Generate Loads of New Patients via Simple Online Methods – Interview with Aaron Lebauer DPT

September 4, 2014
Aaron Lebauer DPT – Cash practice owner and SEO specialist

Aaron LeBauer DPT started his 100% Cash-based practice straight out of PT school, and generates about 50% of his new patients from his efforts online. From blogging, SEO, review sites, Google Plus, and Video, we cover it all in this interview.

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CBP 013: Your Questions Answered! Treatment Packages, Listing Rates Online, Cash Practice Documentation, and Conveying Value

August 21, 2014
Your cash practice questions answered

Today’s episode is my first Q&A podcast session where I answer a number of the frequently asked questions I receive via email. In this episode, you’ll get my answers to the following questions: Do you offer treatment packages? If so, how much do you discount the packages? Do you list your cash rates publicly (on [...]

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CBP 012: Carving a Niche with a Home-Based Private-Pay Practice – Interview with Ben Gold, PT

August 7, 2014
Interview with Ben Gold – Private Pay Practice owner

This podcast episode is an interview with Ben Gold PT of Home Physical Therapy New York City. He has been working full time in his cash-based practice for over 3 years now and he has 3 independent contractor Physical Therapists currently working for him. All patients are treated in the comfort and convenience of their [...]

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CBP 011: How Obamacare Will Affect Cash-Based Practices

July 24, 2014
Obamacare and Out Of Network Physical Therapy

Both before and after June 2012, when the Supreme Court upheld the constitutionality of the Affordable Care Act (aka: Obamacare), I have received numerous questions surrounding this topic. This episode is all about my thoughts and predictions regarding Obamacare and its likely effect on out-of-network clinics and the cash-based business model as a whole.

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CBP 010: The Initial Phone Call – How to Convert a Prospective Patient Calling your Out-Of-Network Clinic- Interview w/ Jerry Durham – Part 2

July 10, 2014
Jerry Durham PT – out-of-network practice owner

This episode is part 2 of my interview of Jerry Durham, co-owner of San Francisco Sport and Spine Physical Therapy who transitioned his 3-clinic practice completely out of network with all 3rd Party payors except Medicare. This part of our interview dives into the details of the initial phone conversation with a prospective patient when [...]

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CBP 009: Transitioning a 3-Clinic PT Practice to completely Out-Of-Network – Interview w/ Jerry Durham – Part 1

June 26, 2014
Jerry Durham PT – out-of-network practice owner

This episode is part 1 of my interview of Jerry Durham, co-owner of San Francisco Sport and Spine Physical Therapy who transitioned his 3-clinic practice completely out of network with all 3rd Party payors except Medicare. We cover a wide variety of topics surrounding the transition out-of-network. More specifically… In this episode, you’ll learn about: How Jerry entered his private [...]

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CBP 008: Interview with Ann Wendel PT, ATC, CMTPT – on Building Relationships that Grow a Cash Practice, Distance Consulting Services, and Wellness for Medicare Beneficiaries

June 12, 2014
Ann Wendel – cash-based PT practice owner

In this episode, you’ll learn about: How Ann’s choice of office space has helped produce cash-based referrals The type of writing and blogging Ann has done to generate new business and how she has developed relationships with publications How Ann has been successful in developing physician referral relationships, even with physicians who own their own [...]

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CBP 007: Carlos Berio DPT – Cash Practice Owner – on Employing Cash-Based PTs, Value, and Cash-Pay Fitness Programs

May 29, 2014
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Today’s podcast episode is with Cash-Based Practice Owner, Carlos Berio PT, DPT, MS, CSCS, CMTPT. He employs a staff physical therapist, a personal trainer, and an office administrator. He shares multiple lessons he’s learned along the way and the key factors to his success so far. 

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