Home → Blog
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.
Packages, 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 why paying per visit through your own OpenAI key beats a flat $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.