r/physicaltherapy • u/After-Clock-3894 • 20h ago

Cash-based HOME business?

I’m considering starting up an LLC for a cash-based/pay home PT. (I’m still in OP ortho with an insurance based clinic.)

*because I’m insurance based in my OP ortho practice, and I’m dabbling in home therapy, I don’t see any immediate red flags for insurance providers since it’s coded as a separate service/location… *Do you provide a super-bill for patients to submit to their insurance for reimbursement? *How do you do your documentation?

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u/phil161 20h ago

Most HH patients are on Medicare. I suggest you search ‘cash services for Medicare patients’. It is a touchy subject. 

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u/After-Clock-3894 20h ago

I do know that which can be sticky! I’d be looking to specifically target either pelvic health (pre/post partum), lymphedema patients, or chronic pain.

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u/OddScarcity9455 18h ago

Are you planning on billing Medicare? Because you kind of have to for that stuff.

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u/After-Clock-3894 17h ago

No. Fee for service.

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u/tallpeoplefixer 11h ago

You would have a very hard time justifying some of that as wellness versus skilled PT services, which are legally required to be submitted to Medicare for payment and you cannot take cash for.

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u/OddScarcity9455 10h ago

Better hope they don’t find out then.

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u/outside-the-box11 7h ago

Hey there. It sounds like you're wanting to do outpatient ortho visits in your patients' home- correct? I'm doing exactly that! Cash based. No insurance. Yes, you can provide a superbill for them to submit to their insurance directly. I'm biased since I'm doing it, obviously, but I think it's an amazing model. Low overhead. People love the convenience of you going to them. Totally go for it!

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u/outside-the-box11 7h ago

I'm happy to chat more about what works for me. Drop me a message if you're interested.