Are your billing habits silently sabotaging your practice?

If your cash-pay patients aren’t receiving the maximum possible reimbursement from their insurance via your superbills or out-of-network billing, you could be unintentionally creating friction that costs you trust, retention, and new business. Indeed, I’ve seen this be the very reason a prospective stellar customer never gets started with a cash-based practice—or why some patients drop off before completing their plan of care.

In the episode, I break down the most effective and often overlooked strategies for out-of-network billing, crafting optimized superbills, and making your payment process one that supports your growth.

Scroll down below to get my powerful free resource which includes a plug-and-play superbill template that meets all insurance reimbursement standards and the exact list of questions I give prospective patients to ask their insurance providers if they’re insistent on checking their out-of-network benefits before starting with you— to minimize them getting talked out of going out-of-network, AND understanding what they’ll get back from self claims as well as the often-higher cost of going in-network if they still have a deductible to hit.

More specifically, I discuss these topics related to out-of-network billing mistakes and superbills:

• The two main ways to handle billing and payment in a cash-based practice—and how to choose what works best for you
• Smart tips to avoid getting blamed when patients don’t get reimbursed like they expected
• Whether it might be worth keeping some in-network options—and how to make that call
• Legal limitations that prevent you from adjusting your fee schedule on the fly
• How to collect a portion of payment upfront without creating friction
• Simple ways to make the entire payment process smoother and less awkward for patients
• The easiest way to make sure you have every patient’s credit card securely on file
• How to know when offering a payment plan is the right move (and when it’s not)

4 Must-Know Out-of-Network Billing Tips for Your Cash-Based Practice

I’ve put together a free resource for you: the Cash-Based PT Superbill Template & Out-of-Network Coverage Guide. Inside, you’ll get a fully optimized superbill template designed to help your patients maximize their reimbursement—plus the exact list of questions I provide to prospective patients so they can confidently understand what their true cost of care will be before starting treatment (and also realize when going IN-network might cost them as much or more than going out-of-network).

Thanks so much for checking out this week’s podcast… hope you enjoy this episode!

HERE ARE SOME MORE EPISODES ON OON PAYMENT & BILLING:

The Logistics of Billing OON on Behalf of Patients – Cash PT Lunch Hour interview of Jerry Durham PT – PPS Conference Episode Part 2
This interview is absolutely packed with high-level strategy as well as nitty gritty details and logistics of how billing insurances completely changes when you’re no longer in-network with them.

How to sell packages, use guarantees and payment plans, and overcome spouse objections in a cash-based practice
This episode explains how to better manage patient price objections, sell treatment packages, skillfully use discounts to increase conversions, and what to do when a prospective patient says they need to speak with their spouse before moving forward.

Can I accept an out-of-pocket payment from a Medicare patient?
This article explains the basic Medicare guidelines for a fully cash-pay practice.

MORE RESOURCES TO HELP YOU SUCCEED IN A CASH PRACTICE:

How to answer the question, “Do you take my insurance?”

This powerful system helps you master the initial patient phone call so you can help prospects make the best decisions about their healthcare, and maximize conversions of phone calls into cash-pay patients … even if the very first thing out of their mouth is, “Do you take Blue Cross?” Check it out here.