This piece supports our complete guide to adding cash pay regenerative and wellness services to an ortho or sports medicine practice.

How do cash pay regenerative or wellness services work in a sports medicine clinic?

They run as a distinct service line. The patient knows before the visit that the service is cash pay only, sees the fee in writing, signs consent and a financial policy, and pays at the time of service. Your records show these visits separately from everything else your clinic does.

If you're writing a sports medicine clinic business plan, treat the cash pay line as its own section with its own owner, budget, systems and review dates. That keeps it from blurring into the rest of the practice.

What should the operating model include?

  • A clinical owner. A licensed provider who decides who's a candidate and supervises care. Every treatment should be prescribed and supervised by your licensed provider.
  • A service line lead. Someone on the operations side who owns scheduling, consent paperwork, inventory and reporting.
  • Licensed supply. Every product from a licensed source you've verified, with lot records and a receiving log.
  • Separate systems. Distinct visit types and templates in your EMR and distinct cash pay items in your payment system.
  • Regulatory notes. For regenerative products in particular, a written record of each product's current FDA status, checked against FDA sources and reviewed by counsel.

What should consent cover?

A service specific consent, separate from general intake, written with your counsel. In general terms it should cover:

  • What the service is, described plainly
  • Its regulatory status, stated accurately and without implying approval FDA hasn't given
  • That the service is cash pay only
  • The fee, or where the posted fee schedule can be found
  • Refund and cancellation terms
  • That the patient can ask questions and decline

Consent is a conversation with a provider, not just a signature. The form records that the conversation happened.

What does pricing transparency mean here?

It means the patient knows the cash fee before agreeing to the service. That looks like:

  • Posted fees. A written fee schedule for each cash pay service, in a consistent place such as your website, front desk or patient portal.
  • Fees in the consent conversation. What the fee covers and what it doesn't.
  • A signed financial policy. Signed before the service, stating that these services are cash pay only and when payment is due.
  • No surprises at checkout. Nothing added that wasn't disclosed.

This article doesn't suggest prices. Set fees with your team and counsel, based on your own costs and market.

How to add cash pay services, step by step

  1. Pick the services with your providers, and write down the regulatory status of each.
  2. Name the owners, clinical and operational.
  3. Verify your suppliers and set up receiving and storage.
  4. Write the paperwork: fee schedule, consent and financial policy, then have counsel review it.
  5. Build the systems: visit types, templates, payment items and reports.
  6. Train the team on a short script: these services are cash pay only, here's the posted fee, and clinical questions go to a provider.
  7. Hold a go or no go review, then run a soft open. RevMed puts it this way: "Invited patients, capped volume, real payments."
  8. Market last, with copy that describes the service and doesn't promise results.

Where do we and RevMed fit?

We're an independent RevMed Group distribution partner based in Raleigh, so you have a local contact who knows your market. We'll get your RevMed account open and make introductions. Verification, ordering, fulfillment and launch support run through RevMed. RevMed's launch team builds systems, payments and team training into its launch tiers, on a fixed 60 day calendar.

As RevMed puts it: "One login, one invoice, and reorders on your schedule instead of a dozen vendor portals." Once you're verified through RevMed, existing practices can be ordering within about 48 hours. RevMed also says ordering through one source means a lower cost per item. You'll see clinic pricing once you're verified.

Clinical decisions stay with your providers, and no revenue is guaranteed.

Next step

Setting up a cash pay line in your sports medicine clinic? Book a 15 minute intro, or open your clinic account through our Partner Link.