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PTs are using a variety of cash-based practice models to meet their patients’ needs.
Out-of-network, or cash-based, models can allow PTs to avoid restrictions placed on their services by third-party payers that interfere with their ability to help patients reach their goals.
Another benefit of this approach is avoiding the cost of collecting payment from third-party payers and the difficulties in negotiating rates with insurance companies that may undermine the financial viability of a PT practice.
But keep in mind the obligations that come with cash-based payment, such as rules related to "surprise billing" that are effective as of Jan. 1, 2022 — read this December 2021 APTA Practice Advisory on providing good faith estimates to learn more.
Is cash-based physical therapy practice right for you?
Recommended Content
Dec 20, 2021 / Resource
Learn about the implications for new "surprise billing" rules that require a good faith estimate of the costs of services for uninsured or self-pay patients are in effect as of Jan. 1, 2022.
Aug 1, 2021 / Column
Thinking about going cash-based? You still won't be completely free of constraints.
May 24, 2020 / Article
The term “cash practice” can be confusing because it is often used to describe a variety of physical therapy business models.
May 24, 2020 / Article
Regardless of the relationship a physical therapist chooses to have with payers, it is essential to practice in compliance with all laws and regulations.
Oct 28, 2020 / Article
The short answer is that no exceptions allow PTs to bypass these requirements.
Additional Cash-Based Practice Content
Jan 12, 2022 / News
Recommended changes touch on direct access, movement system, career advancement, and more. Get your comments in by Feb. 11.
May 21, 2021 / Podcast
A recent large-scale study of postacute care sponsored has the potential to change the conversation on payment in these settings. This podcast takes a closer look at the TOPS study findings .
May 19, 2021 / Podcast
APTA's monthly advocacy and regulatory update covers multiple topics from the perspective of what's happened, what's hot right now, and what to keep an eye on in the future. In this episode: SNF and IRF rules, a sequestration win, telehealth, and more.
Jun 6, 2020 / Perspective
During COVID-19, it is our professional skill in knowing how to creatively adapt, adjust, and cope that will bring us through these uncertain and unprecedented times.
Jul 1, 2019 / Feature
These PTs work everywhere their patients are, from industrial sites and touring shows to naval ships and universities.