Superbills for sliding scale and other types of discounts - SquaredDo you run a cash-based healthcare practice and offer discounts to friends, and family, or on a sliding scale? As an out-of-network practice that doesn’t bill insurance on behalf of your patients, it’s very important you make it possible for them to submit self-claims and seek reimbursement for your services. And in doing so, you may have encountered some confusion regarding how to accurately and legally reflect those discounts on the Superbills.

But don’t worry! In this latest video, I will equip you with the knowledge and tools you need to navigate this process with confidence. (And make sure you scroll down to download a template and step-by-step guide to creating Superbills for your cash-pay services).

As a leading expert in cash-based physical therapy and the creator of the Private Pay Profit Formula, I understand that most of my audience is interested in this business model in order to offer exceptional care while attaining financial freedom. Along the way, you might choose to extend a helping hand through discounts. But how do you ensure your superbills are compliant and clearly reflect the actual amount the patient paid?

In this video, I’ll delve into the key considerations for implementing discounts on superbills for your cash-based practice.

More specifically, I discuss these topics related to Superbills discount and out-of-network Billing:

  • The importance of maintaining consistent pricing per CPT code, regardless of any discounts offered.
  • Two effective methods for reflecting friend and family discounts or sliding scale discounts on your superbills.
  • Best practices for ensuring your Superbills are clear and compliant with regulations… protecting your practice and helping your patients get maximum reimbursement.

SuperBills for Sliding Scale and Other Types of Discounts

I’ve got a free resource for you: “Cash-Based PT Superbill Template and OON Coverage Guide,” a helpful guide on out-of-network billing and cash-based superbill templates. This resource shows you exactly what a cash-based service superbill looks like and everything it must include for processing by insurance companies with minimal pushback or issues.

Thanks so much for checking out this week’s video… hope you enjoy this episode and the free resource!


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 insurance 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


How to answer

How to Answer “Do you take my insurance?”

If you or your staff dread the “Do you take my insurance?” question, then look no further than this masterclass. It very quickly provides every detail on how private-pay practices confidently answer this dreaded question, skillfully guide the conversation, and convert the maximum number of prospects into cash-pay customers. Check it out here.

Jarod's Cash-Based Practice Mastermind Annual Promo


If you want to double your profit per patient and build the private practice of your dreams, without relying on greedy insurance companies, then this is your best opportunity to do so… Having the support and guidance of someone who’s already been-there/done-that will allow you to build a profitable and successful cash-based practice without wasting time, getting overwhelmed, or breaking the bank. Get your questions answered during weekly live coaching calls, join our interactive community of practice owners, and get access to the members-only website loaded with all the resources you’ll need as you create the practice of your dreams. Check it out here.

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