How to Start a Private Physical Therapy Practice

So you’ve been a physical therapist for a few years and are starting to garner a significant and positive name for yourself in your community. It has always been your dream to be your own boss and make your own decisions. Perhaps it is time for you to open your own physical therapy practice.

It may sound easy to start a private physical therapy clinic. Find some clinical space, hang your shingle, and tell some doctors about your clinic. Then profit, right? There is more to it than that.

Opening your own PT clinic is a good idea if you are business-minded, super-motivated, and are willing to take on a bit of risk. If you aren’t sure if it is right for you, then perhaps—for now—it’s best for you to put your PT clinic dreams on hold.

Planning Your PT Business

Every good business starts out with a plan—a basic outline of what your business is, what it will do and how it will do it. Think of your business plan as a path you will take to achieve your goals.

Your business plan should contain specific components, including:

  • Executive summary
  • Description of your business
  • Services offered
  • Marketing plan
  • Operations
  • Management team
  • Financial summary

 

Remember, your plan is your guide. It doesn’t need to be fancy or wordy. It just needs to be an honest look at what your business is, what the competition and overall PT landscape is in your area, and how you plan on getting your PT business up and running.

So now that you have a plan, how will you use it? Basic uses for a business plan may include:

  • To secure funding
  • As an internal document to keep you on track
  • As a basic marketing tool

Bottom line: you didn’t get into physical therapy school without planning for it, and you won’t succeed in business without a solid plan. Forming a strong business plan can help you get your business started on the right path.

Your Business Structure

When considering starting a PT business, you need to decide on the type of business structure you will have. This requires careful planning, and you should consult an attorney during this phase.

If you are an American PT business, you will need to file papers called Articles of Incorporation with your local Department of State. This business filing essentially tells the state what your business is, where it will be located (for tax purposes), and the structure of your business. Different business structures have different tax reporting responsibilities and must operate in different ways.

Types of business structures include:

  • Sole proprietorship
  • Partnership
  • Professional limited liability corporation (PLLC)
  • Professional corporation(PC)
  • S-Corporation

The American Small Business Association (SBA) has some good information about different types of business structures, and your lawyer can also help decide which is best for you.

While setting up your business, it is also a good idea to secure your business tax identification number or TID. You can do this by phoning the Internal Revenue Service. A TID can typically be secured in a matter of days. A TID is also known as an employment identification number or EIN.

Finding Clinical Space

Where are you going to open your physical therapy clinic? Finding a clinical space can take a little bit of work, but putting your PT clinic in the right place can mean the difference between success and failure.

Some things to consider when searching for clinical space:

  • Where is your competition, and is your space located too near to them?
  • Is the clinic close to potential referral sources, like doctors or podiatrists?
  • How much space do you need, and how much can you afford?
  • Is there room for expansion?
  • Is parking for patients available? (Remember, some patients may be using walkers or crutches.)
  • How long should a lease term be?
  • Who will pay to renovate the clinical space so it meets your needs?
  • Should you lease or purchase a clinical office?

 

Answering these questions should be the first step you take when looking for clinical space. It is always a good idea to work with a commercial real estate attorney who can advise you on the best choice for your PT business. He or she can help secure the best lease options and can help negotiate the terms for your PT clinic space.

While setting up your clinical space, remember that you will need a phone system, computer system, and a good floor layout that meets local codes and creates a positive environment for your patients. Meeting with an architect during this time can help determine the best clinical floor plan for you.

While searching for your PT clinic office space, it is a good idea to also be searching for funding sources for your PT clinic.

Securing Funding for Your Physical Therapy Clinic

Unless you are independently wealthy or have a large chunk of cash in your savings account, you will need to secure funding for your physical therapy clinic. This initial start-up funding will be used to rent or purchase office space, purchase clinical and office equipment, market your services, and pay yourself until you establish regular cash flow. (Normally, you should consider having about 2 months of pay lined up before starting your business, just to keep yourself personally solvent while getting things going.)

Sources of funding for your PT clinic may include:

  • Borrowing from a local bank
  • Borrowing from family members (or angel investors)
  • Borrowing money against your personal retirement accounts
  • Taking out a second mortgage or a home equity line of credit

You may also consider opening up a credit card for your business to manage day-to-day items that are needed for your PT clinic start-up. Don’t be surprised if your credit line isn’t the size of a Fortune 500 company. You’re just starting your business with nothing more than a solid plan and big dreams, and finding someone to give you credit or cash for your business may be challenging.

Once you have funding for your business, you need to open a business bank account to keep your money in, to write checks to purchase items, and to pay yourself. Be sure to keep solid accounting records, and keep your business and personal accounts separate. Computer accounting software, like QuickBooks or Quicken, can help you manage your PT business finances.

Ok, you have a plan, a clinical space, a business structure, and some cash. Let’s get started telling folks about your clinic and the great value you’ll bring to your community.

Marketing Your Physical Therapy Services

There are different ways to market your physical therapy services. First and foremost, have a good idea of what makes your physical therapy clinic different from other clinics in your area. What is your niche? Are you a spine specialist or a sports medicine expert? Do you excel at working with patients with  vestibular problems? Whatever your specialty is, make it count. Be sure your clinic is touted as the best therapy practice for that particular problem. (Sure, you can treat patients with all diagnoses, but always have one major niche market for your clinic.)

 

There are different ways to get the word out about your new physical therapy clinic. These may include:

  • Meeting with local physicians
  • Social media marketing (think Facebook, Twitter, and Instagram)
  • Mailing postcards to local residents about your new clinic

To whomever you market your services, be sure to have a clear and consistent message. Keep it simple, and be direct. And be sure to keep your marketing going at all times. Every encounter is a chance to tell someone about your awesome PT clinic. Marketing your physical therapy services should be an ongoing operation.

Opening the Doors

Many businesses, PT clinics included, host an open house just prior to their grand opening. This event invites people to your new clinic so you can show them all the wonderful things you are poised to do to help people be healthy with maximum functional mobility. Think of your open house as a big housewarming party for your clinic.

Who should you invite to your open house? Open house invitees should include:

  • Friends and family (you didn’t make it here on your own)
  • Doctors
  • Fitness center owners
  • Nurses
  • Members of your local chamber of commerce
  • News media

You want anyone and everyone to come to your open house to learn about your clinic and the specialized physical therapy services you will be offering.

Once the open house is done, it will be time to open your doors for business. Don’t be surprised if people aren’t busting down your doors right away. During the early days of your PT business, your patient caseload may be light. This is a good time to be out in the community and meeting with doctors or potential referral sources.

When working with patients, be sure to offer the best customer service and make sound clinical decisions. Communicate with doctors who are referring patients to your clinic, keeping them apprised of their patients’ progress. Slowly and surely, your patient caseload will increase, and you can continue to build your physical therapy business.

A Word From Verywell

Starting your own physical therapy clinic can be a daunting task. It requires thorough planning, smart decision making, and a little bit of luck to be successful. By staying on task, making good decisions, and providing exceptional physical therapy services to your customers, you can maximize your chances of having a successful private physical therapy practice.

 

 

Let’s talk about your business challenges today.

Our fresh perspectives, experience, and specialized skill sets will get your practice where you want it, and with far less stress.

(833) 764-0178

{Reference: https://www.verywellhealth.com/open-your-own-private-physical-therapy-practice-4128731}


The Power of Listening

In order to run a successful practice, we have to listen – to our staff and patients, and at times their supportive caregivers and family. Being a ‘good listener’ is a learned skill for most of us, and works beyond just being quiet, but active empathy and truly hearing people. This article might help you with your relationships with your staff and patients.
If you want insights in getting your practice to the next level – we are always here to listen – AND help! We have many customized solutions for your billing, eligibility, marketing challenges – and more.
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 Many of us think we listen without really having to try. And perhaps we do. Very often though we are merely hearing, in other words picking up sound through our ears. Listening is a different activity altogether. It requires focus, concentration, and effort.

There’s a lot of difference between listening and hearing.” ~ G.K. Chesterton

We are not talking here about social listening, the back and forth of conversation with very little focus on the speaker’s experience or concerns. What we are talking about is listening of the deep and powerful variety, so rare yet so essential for success – everywhere in our lives.

This kind of listening is a conscious activity – participating in a conversation even while remaining silent. It requires us to engage with someone else, putting aside our own concerns or agenda and giving them our total focus. Most of us aren’t taught to function in this way. We are far more likely to focus first on our own agenda and what we want and need.

 

Deep and powerful listening can be learned – but it can’t be faked. If we don’t believe in the value of listening, people will see through us, sensing our impatience, frustration, insincerity. When we recognize and value the incredible benefits of a deeper level of listening, we give ourselves a transformative tool to build our relationships and deliver results.

As Bernard Ferrari says in ‘Power Listening’, this kind of listening is at the front-end of decision-making. It gives us better information on which to base our decisions. It makes people feel included, valued and respected. It is a vital part of motivation and engagement.

“Most people do not listen with the intent to understand; they listen with the intent to reply.”  Stephen R. Covey

What characterizes powerful listening? For a start, powerful listeners are ‘other-directed’ rather than focused on the self. Instead of hijacking a conversation for their own ends, they strive to be fully present and in-the-moment with the speaker.

They seek to understand the thoughts, feelings, and views of the speaker, rather than assuming they are the same as their own. They build rapport through eye contact and body language, allowing silence, warmth and caring, rather than questions, to draw the speaker out.

They listen as a receiver, rather than as a judge or critic. This means that they are neither racing ahead in their own mind to find a solution, nor are they interpreting what they hear as good or bad, right or wrong, stupendous or stupid. Instead, they check their perceptions of what the speaker is saying, meaning, thinking and feeling.

Ironically, because they seek to understand the other person rather than instantly responding from their own perspective, they create a climate that is more conducive to healthy debate and to finding a solution or agreement.

 

Taking the concept of deep listening out of the realms of theory and into a fast-paced, pressured business environment may seem almost impossible. It isn’t. Neither is it required each time every day. Half the battle is becoming aware of when we must listen at this level because we recognize the consequences of not doing so.

This does not mean allowing people to run on endlessly unchecked. It may, however, mean allowing the person you often cut off – because they keep repeating the same thing over and over again – to actually have their say, while you listen, seek to understand their views and feelings, and demonstrate that you have done so through your response. If you truly hear this person, and he or she knows it, they no longer need to battle to be heard and your influence over how they shape their communication grows considerably. Everyone wins.


If you would like to meet our friends at Third Level, just click the link to read more. They are hugely instrumental in getting Teams to work together efficiently.

Tell them we sent you!


Reference: https://thirdlevel.com/the-power-of-listening-2/


Biased? Me? PT in Motion Magazine Takes a Look at Unconscious Cultural Attitudes

Want to get an up-close glimpse at a person with cultural biases? Follow these instructions:

1. Grab a mirror.

2. Look into it.

That’s one way to summarize the starting point for “Battling Bias’s Distorted Images,” the cover story for the October issue of PT in Motion magazine. The article makes the case that while unconscious bias—also known as implicit bias—is very much a part of the human condition, it’s something that can be acknowledged and managed in ways that minimize its impact on relationships. For health care providers including physical therapists (PTs) and physical therapist assistants (PTAs), that’s an important step to take in effective patient care.

Through interviews with PTs in a variety of settings, author and Associate Editor Eric Ries explores how implicit bias—and these PTs’ recognition of it in themselves—has impacted and changed their lives, particularly at the professional level. Several describe the journey as a path that’s not always easy, but absolutely crucial to providing the best possible person-centered care.

 

The article also delves into how you can uncover implicit biases through self-tests such as the Implicit Association Test series, and what to do after they’re identified. PTs interviewed for the article provide insight on how physical therapy education programs can respond to the challenges of implicit bias, and provide practical tips on making behavior changes that may, in turn, lessen, if not eliminate, a particular bias.

According to Hadiya Green Guerrero, PT, DPT, interviewed for the story, efforts to counter implicit bias are necessary for PTs and PTAs because the stakes are high.

“Do your best to think about your biases and check them at the door,” Green Guerrero says in the article. “Seek to learn and understand each patient or client to the clinic, what constitutes his or her biggest health concerns, and what barriers that person faces to optimal well-being and needed interaction with the health care system.”

 

 

Let’s talk about your business challenges today.

Our fresh perspectives, experience, and specialized skill sets will get your practice where you want it, and with far less stress.

(833) 764-0178

{Reference: http://www.apta.org/PTinMotion/News/2019/10/07/OctoberPTiMMagazineBias/}


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Don’t miss Kevin Rausch speaking on key topics.

 

WHO SHOULD ATTEND THE PRIVATE PRACTICE SUMMIT?

PRIVATE PRACTICE OWNER

  • If you are successful, and own multiple clinics, and are looking to get to the next level

  • If you are about to open your second and third clinic, and need proper systems in place

  • If you just started, and want to avoid mistakes from day one!

STAFF PHYSICAL THERAPIST

  • If you are the bottleneck in your own practice and need to build a team around you

  • If you are overloaded, and stuck with your day-to-day tasks as a therapist

  • If you are a senior therapist, who someday wants to open their own practice

PRACTICE ADMINISTRATOR / MARKETER

  • If you want to increase referrals and diversify your referral sources

  • If you want to understand which metrics matter and how to measure and improve them

  • If you want to grow your practice by attracting, hiring, retaining and motivating staff

FRONT DESK

  • If you want to simplify benefit verification, pre-authorization and scheduling

  • If you want to use technology to make your life easier

  • If you want to reduce your appointment cancellation rates

BILLER

  • If you want to reduce claim denials using technology that can fix errors

  • If you want to identify ways to increase revenue by analyzing payment trends

  • If you want to renegotiate payer contracts for higher reimbursement

OCTOBER 18, 19, 20 in LAS VEGAS, NV
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Let’s talk about your business challenges today.

Our fresh perspectives, experience, and specialized skill sets will get your practice where you want it, and with far less stress.

(833) 764-0178


6 Mistakes to Avoid When Opening a PT Clinic

So you are planning to open your own physical therapy clinic. You have a good sense of what to do: find some clinical space, hang your shingle, and tell folks about your clinic. That’s about it, right?

Maybe not. What are some of the things you should avoid doing when you are planning on opening a private PT clinic? And what mistakes should you avoid when running and operating your own therapy practice?

Running a physical therapy clinic is challenging. Not only are you responsible for treating your patients and documenting their progress, you are now charged with keeping track of the finances, the employees, and the day-to-day operations. And remember, paid vacation time is a thing of the past. As they say in the medical business, you eat what you kill; every patient you see is money in, and a chance to have a positive customer service experience. And every bill and expense you have is money out the door.

Owning a private PT clinic is fun, too. You get to be the boss. You get to make the decisions that can vault your clinic to success—but some of your decisions can have negative consequences on the health of your business—and on your overall happiness with owning your own physical therapy clinic.

Here is a list of mistakes that should be avoided when owning and operating your own private physical therapy practice. Some are absolute no-no’s. Others are merely recommendations from a PT who has made a few mistakes over 10-plus years of PT clinic ownership.

Not Having a Plan

You didn’t get into and through physical therapy school without a plan, and your physical therapy clinic has a greater chance of success with a well thought out business plan. Your plan doesn’t need to be anything fancy; it simply has to define your business and its goals and provide a roadmap on how you will achieve those goals.

Failure to have a business plan can leave you in a sea of financial worries without a compass. Initially, plan out 12 to 18 months of your business, and don’t forget to update your plan year after that, so you have a sense of where your business is—and where it is going.

Buying the Most Expensive Equipment

When planning your physical therapy clinic, you should include a capital budget for medical and clinical equipment. This may include:

  • Treatment tables

  • Therapeutic modalities like ultrasound or electrical stimulation units

  • Exercise equipment

  • Computer equipment

When first starting out, it can be tempting to buy the best—and most expensive—equipment. That shows your patients that you have a shiny and exclusive clinic. But the finest PT equipment may come with a high price tag, and you may be drowning in debt before you even get your clinic off the ground.

 

Do you really need the fully adjustable hi-lo tables? Does your clinical exercise equipment need to be from the top name-brand manufacturer? Probably not. When starting out, you may fare better using clinical and exercise equipment that is budget-friendly but still gets the job done. Once you have established your business after a few years, you can consider trading up for the fancy stuff.

Your patients most likely won’t come to you because of your high-end PT equipment. They will come to you because of your excellent clinical skill set and your top-notch customer service.

Ignoring the Business Aspect of PT

So you’re a great PT, right? You get good results and your patients seem to enjoy their time with you. That should be enough for a successful business, right?

Wrong.

As a physical therapy clinic owner, don’t forget that you are a businessperson. You cannot ignore the business aspect of clinic ownership. Non-clinical roles of a PT clinic owner may include:

  • Procurement of supplies

  • Managing employees and staff

  • Marketing your services

  • Ensuring compliance with local and national regulations

 

You constantly need to manage employees, finances, and marketing—all, while treating your patients and making sure your documentation, is up to snuff. Failing to be a businessperson for your PT clinic can mean disaster for you and your business.

Failing to Put Customer Service First

Take care of your customers, or they will take their business elsewhere. In your physical therapy clinic, who are your customers?

Obviously, your customers are your patients. They are relying on you to provide a clean, organized clinical space in which they can engage in their rehab. They are relying on you to provide excellent clinical care in a timely manner, and they need you to make the best choices for their rehab. Take care of your patients properly, and they’ll come back every time they need PT. Fail to put your patients first, and they may just head for a different clinic.

 

Your customers are also doctors and other referral sources. Doctors will refer patients to your clinic, and they are expecting that patient to have a positive experience. Your referral sources also expect timely communication, so make sure you keep them informed of the progress of their patients. Keep your referral sources happy, and they’ll keep trusting you for the care of their patients.

Hiring the Wrong People

As a physical therapy clinic owner, eventually you are going to have to hire some people to work for you. You may need a receptionist to answer the phones, manage your schedule, and collect copayments. As your clinic (hopefully) gets busier, you may need to hire other physical therapists to work for you. But you must hire the right people for your clinic.

Having the best people for your PT clinic is paramount. You want your clinic to be known in your community as a positive place, and the right employees can make that happen. Hiring employees who are not a good fit for your clinic can spell disaster.

 

Who are the wrong people for your clinic? Start with the basics: your employees must show up on time, prepared to tackle each day. Customer service must be their number one goal. For clinical staff members, they must make sound clinical decisions and be recognized as an expert in the PT field.

Employing people who don’t share your vision can cause patients (and doctors) to turn away from your PT clinic, so hire wisely.

Letting Finances Get Out of Control

Managing the financial aspect of your private physical therapy practice can be challenging, but it needs to be done properly. Failure to properly manage the outflow of cash from your clinic can be a huge mistake and may lead to an unhealthy bottom line at the end of the month.

These days, it is easy to pay bills; Simply set up an automatic payment from your business checking account or credit card, and the money flows out. But here’s the problem: these auto payments can slowly and steadily creep up until you are overpaying for basic services. Recurring payments, like those for your telephone, internet service, and business insurance, can ratchet up over time, and you need to be aware of how much you are paying each month to ensure that costs remain in control.

 

You must be constantly aware of how much you are paying for basic utilities and materials in your clinic. Office and clinical supplies will be needed, and you should take time each month to ensure that your suppliers are giving you a competitive price for these goods. Shopping around for the best price for your necessary items may be the key to ensuring financial health for your PT clinic.

Owning a physical therapy clinic can be a fun and rewarding venture, but it can also turn into a nightmare business if you are making some big mistakes. Everyone makes mistakes, and learning the ropes of the business world for a physical therapist can be tricky.

Work hard, provide excellent customer service, avoid some common pitfalls and mistakes, and you can have a successful physical therapy practice for many years.

 

 

Let’s talk about your business challenges today.

Our fresh perspectives, experience, and specialized skill sets will get your practice where you want it, and with far less stress.

(833) 764-0178

{Reference: https://www.verywellhealth.com/mistakes-to-avoid-in-your-pt-clinic-4131830}


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