3 Inspiring Cash Based Medical Practice Videos

Cash Based Medical Practice & Physicians

Do you know what it takes?

I’ve been watching these inspiring cash based medical practice videos this morning and I wanted to share them with you. There are some distinct differences between cash based or cash pay physical therapy clinics and medical clinics, such as the ability to “opt-out” of medicare, but the similarities are huge. Listen to what these physicians have to say about their practices, how they benefit and specifically their mindset towards patient care and talking about their services. 

These ideas are not unique to a cash pay clinic and can serve all of us equally and I would love to hear your thoughts in the comments section below on how you can bring some of these ideas to your current practice.



About The Author

Aaron LeBauer

Aaron LeBauer PT, DPT, LMBT started a 100% cash based physical therapy practice right after graduation. He's on a mission to save 100 million people from unnecessary surgery & enjoys helping passionate therapists build successful businesses without relying on insurance.


  • Patricia Young

    Reply Reply March 23, 2014

    Thank You, Aaron

    The presentation in the first video said it all for me. This physician outlined all the reasons why I do not want to be engaged with third party billing. I love my work as a PT but am so stressed out over the insurance piece. I am moving towards a cash based practice as I slowly dissolve my contracts with insurance companies.
    With regard to Medicare, it is amazing that physicians were able to opt out and we got stuck in the net. Does this mean, cash based physicians do not see the elders?
    If I dont take Medicare, what do I do with regard to my current enrollment status—write a letter and say I am not participating anymore……and tell my seniors I cannot see them nor take their cash?
    AARP is a powerful organization. Do you know what they have to say about this?
    Thanks again! Great informat

    • Aaron LeBauer

      Reply Reply March 23, 2014

      Thanks for your comment.
      Physicians (as well as osteopaths, dentists, optometrists, nurse practitioners, nurse specialist, psychologists, dietitians and social workers) can “opt-out” of medicare and file and affidavit to do so initially and every 2 years. They are still see medicare eligible patients, must sign a personal contract with these patients to treat them, and can not see medicare patients for emergency or urgent care issues as referenced on this AAFP webpage and this CMS article.

      I agree that it is unfortunate that our profession, as well as others like Occupational Therapists and Speech Language Pathologists, have missed this boat. I believe it would be better for the patient and better for the Medicare system if physical therapists too could Opt-Out of Medicare.

      You will need to un-enroll or deactivate your current medicare enrollment status. You may be able to do so actively here or passively by not billing medicare for 12 consecutive months and thus not treating medicare beneficiaries for “covered services” during this time.

      I do not know what AARP has to say about Medicare Opt-Out and a quick search did not reveal much. I think they may be a good ally for us as we seek Medicare Opt-Out legislation, though I have no idea if they’ve been contacted by the APTA or not.

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