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The cash-pay practice blog
Plain answers about running a practice that gets paid by the patient in the United States, compliance, pricing, software and the things vendors would rather not put in writing.
The best EHR for a small practice: real published prices at 1, 2 and 3 clinicians
A buyer's guide to EHR systems for small practices, with the published October 2026 prices for SimplePractice, Jane, Practice Better, Carepatron, TherapyNotes, IntakeQ, Healthie, Charm, Tebra and DrinCloud, the arithmetic at 1, 2 and 3 clinicians, and plain answers on ONC certification, BAAs and getting your data out.
BillingThe superbill template that gets reimbursed: every field and the CMS-1500 box behind it
A complete superbill template you can copy, plus a field-by-field table of what each line means, which CMS-1500 box it maps to, who fills it, and what happens when it is missing or wrong.
BillingThe therapy superbill, field by field: what to put on one and what it will not do
The CPT codes therapists actually bill, how ICD-10 F-codes work, two complete worked superbills, telehealth place of service rules, and the honest math on what an out-of-network client really gets back.
BillingWhat is a superbill, and what do patients do with it?
Every field a superbill needs, a filled example for a therapy visit, how a patient-submitted claim differs from a CMS-1500, and the honest reasons most superbills never turn into money.
MarketingPackages, memberships and DPC: the math of recurring revenue
The real math of a 10-session package, discount versus prepayment versus breakage, how a DPC-style membership pencils out, and the retention loop.
GuideHow to start a cash-pay practice in 2026: the full checklist
Entity, NPI type 1 and 2, EIN, malpractice, office versus telehealth, software, HIPAA policies and a realistic startup cost table for a cash-pay practice.
GuideThe complete superbill guide: how your patients get reimbursed
What goes on a superbill, which plans pay out-of-network, how patients file it, a copy-paste email template, and the errors that get superbills rejected.
GuideHow to price cash-pay services without guessing
A working method for pricing cash-pay visits: your real cost per open hour, local comparables, the Good Faith Estimate as a sales tool, and raising prices.
MarketingThe cash-pay clinic marketing guide: reviews, recalls and real math
A practical marketing plan for practices paid by the patient. Google Business Profile, reviews, referral tracking, recalls, and a full CAC and LTV example.
BillingSuperbill vs. insurance claim: which one you actually need
A superbill is not a claim, and confusing the two is why practices overpay for software. What goes on one, who files it, and what your system has to produce.
AIAI at the clinic front desk: the real math on what it saves
Missed calls, lost leads and receptionist hours, in dollars. What AI handles today at a clinic front desk, what it should not touch, and a savings table.
AIAI scribes for clinical notes: the real math of time, cost and risk
What documentation actually costs a cash-pay practice, how AI note drafting works, and what an AI scribe at $20 per provider per month really costs next to a $35 to $99 add-on.
ComplianceDo you need an ONC-certified EHR if you don't take insurance?
Short answer: no. Here is what ONC certification actually is, when it matters, and what a cash-pay practice should look for instead.
MarketingWhatsApp for medical clinics in the US: what you can send, legally
Why WhatsApp beats SMS for Hispanic and Brazilian patients, what HIPAA and TCPA allow, message templates, and where email still wins.
OperationsHow to reduce no-shows in a medical practice, with the real math
What no-shows actually cost a cash-pay practice per year, plus the five fixes that work, reminders, deposits, waitlists, policy and measurement.
LegalThe legal checklist for cash-pay clinics
HIPAA and BAAs, TCPA consent, the Good Faith Estimate, e-prescribing mandates by state, registration and insurance. What a cash-pay clinic must have in order.
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