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Should I Contract with Medicare?

Writer: Nicole CozeanNicole Cozean

Today we're diving into Medicare - should you contract with Medicare or not?



5 Reminders When Treating Chronic Pain
 

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As always, it's going to depend on you. Your goals, your vision for your practice, your reason for starting. But here are a few pros and cons to help you along the way.


Many practices begin to take Medicare because they're afraid they can't fill their schedule. Or afraid they have a large retired population and won't be able to serve them. Or afraid of what physicians might say. A lot of 'fear' around this decision.


So ask yourself - "If I knew I was going to be successful....what would I do?" It often is as simple as that! Do you have heart for treating Medicare patients, or would you prefer to work with a different population?


In terms of pros - if you contract with Medicare you'll be able to fill your schedule. Your patient volume should be significantly higher, and you'll be more easily able to market to physicians in your area. These are relatively big pros to contracting with Medicare!


The list of cons - as you probably are already expecting - is going to be quite a bit longer. You lose control over what you charge and your profitability drops dramatically. It becomes difficult to ever hire someone, pay them a good wage and remain profitable. You'll spend far more time on documentation, have to use a more robust EMR and wait for weeks for reimbursement. You'll have to pay a percentage to a biller.


Ultimately, with Medicare you'll have high volume and low margins. Without, you might have low volume and higher margins. With Medicare you'll be seeing almost twice as many patients to make the same amount of money as you do with a cash-based practice.


So what do you envision doing in your practice? You can absolutely be successful (if you need help, let us know!) with whatever you want to do - so built towards your vision!ique to get clear on what you do (and don't) share with patients.


As Nicole said on the full 'sode of the topic...


"Ultimately, with Medicare you'll have high volume and low margins. Without, you might have low volume and higher margins. With Medicare you'll be seeing almost twice as many patients to make the same amount of money as you do with a cash-based practice." - Nicole Cozean

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Nicole Cozean, PT, DPT, WCS


Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.


Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.



Jesse Cozean, MBA


Co-founder of the Pelvic PT Rising and the Rising Podcast.


Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

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