Re: opening a practice in a small town

[Guest guest]

Congratulations!

Suggestion #1: get your own email account so you aren't doing your private

business on the hospital's email system.

More to come!

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should follow

me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

Congratulations!

Suggestion #1: get your own email account so you aren't doing your private

business on the hospital's email system.

More to come!

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should follow

me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

,

I did this about 4 years ago. Started a PT practice for under $80K.

Rented 1200 sq ft, hired a front office person, bought used equipment,

worked per diem elsewhere and saw what patients I could get. Took a few

months until I was working full time in my practice. I've got more info. if

you'd like. Contact me.

Kai Pedersen PT

South Mountain Physical Therapy

Wernersville, PA

_____

From: PTManager [mailto:PTManager ] On Behalf

Of

Sent: Thursday, December 22, 2011 2:17 PM

To: PTManager

Subject: Re: opening a practice in a small town

Congratulations!

Suggestion #1: get your own email account so you aren't doing your private

business on the hospital's email system.

More to come!

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should

follow me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay

operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

,

I did this about 4 years ago. Started a PT practice for under $80K.

Rented 1200 sq ft, hired a front office person, bought used equipment,

worked per diem elsewhere and saw what patients I could get. Took a few

months until I was working full time in my practice. I've got more info. if

you'd like. Contact me.

Kai Pedersen PT

South Mountain Physical Therapy

Wernersville, PA

_____

From: PTManager [mailto:PTManager ] On Behalf

Of

Sent: Thursday, December 22, 2011 2:17 PM

To: PTManager

Subject: Re: opening a practice in a small town

Congratulations!

Suggestion #1: get your own email account so you aren't doing your private

business on the hospital's email system.

More to come!

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should

follow me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay

operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

,

I did this about 4 years ago. Started a PT practice for under $80K.

Rented 1200 sq ft, hired a front office person, bought used equipment,

worked per diem elsewhere and saw what patients I could get. Took a few

months until I was working full time in my practice. I've got more info. if

you'd like. Contact me.

Kai Pedersen PT

South Mountain Physical Therapy

Wernersville, PA

_____

From: PTManager [mailto:PTManager ] On Behalf

Of

Sent: Thursday, December 22, 2011 2:17 PM

To: PTManager

Subject: Re: opening a practice in a small town

Congratulations!

Suggestion #1: get your own email account so you aren't doing your private

business on the hospital's email system.

More to come!

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should

follow me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay

operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

Oh, how exciting!!!

First, don't burn any bridges with your current employer.

Second, if your current employment location is close to your anticipated new

clinic, be prepared for a huge negative potential occurrence: no one at your

current employer may truly tell incoming patients requesting your services where

you are now practicing.

Third, when I switched gears and left the hospital system in my community after

6 years, I actually sent a few cards out to key physician referrals basically

thanking them for the relationship we had for the past 6 years. I also alerted

them that I would no longer be at the hospital site and let them know where they

could find me. I was very, very selective with this - I only communicated to the

physicians I really enjoyed. (In my opinion, some referral sources just aren't

worth the business. And, overall, I'm lucky that I don't have relationships or

referrals from physicians who are not team players. I never, ever target a

referral source who will cause more irritation than happiness.)

Fourth, know the payors in the local area. Know the contracts. I don't care what

anyone says about this one. From a business perspective, something is NOT better

than nothing. Do not sign a contract if the contract is below your cost of doing

business. Just don't do it. Do not short change the value you bring to your

community. Do not undersell yourself. Negotiate for what you want and if it

doesn't happen... back to my belief above - some business just isn't worth

having. Heck, I even do the same with accepting new patients - if it is required

that I have to jump through hoops to treat them, I apologize and find a

competitor who will.

Fifth... back when I was focusing on the same thing you are, I found this book

really, really helpful. Nicely written, easy read, humor (there ARE other

resources out there - has 3 I believe), but when I get done in the clinic,

I'm looking for something that creatively captures my attention. If that's how

you are, you'll love this book by Esterson:

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311

Another recently published book that resonates really well with me AND with my

beliefs in the importance of relationships. Stratten's UnMarketing:

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

Sixth, the world of private practice is much different than the hospital setting

world. Be ready for change... you will find, you'll want your finger on the

pulse of physical therapy. Your interests/concerns are also going to change. You

will not only think of the clinical aspect of each patient/customer, you will

also begin thinking about your patient's/customer's experience with you. Your

interests are going to expand. You will also become acutely aware of obstacles

and barriers that are there for all of us in private practice. I think, as you

change your role in the physical therapy world, you will find value in the APTA

- the HPA section, the PPS. You might also learn that the APTA doesn't

completely have a large enough focus on private practices and isn't quite

proving to have substantial outcomes with the strategies attempted to quickly

create the changes private practices need. If you find this to be true, you have

another option, Physical Therapy Business Alliance: http://www.ptballiance.org/

And lastly... although I'm sure you are excited about this endeavor, I also hope

you have a bit of fear/anxiety. You're taking a risk and it isn't easy. If it

was easy, everyone would be doing it. That bit of fear you might be having is

good to have - it means this matters to you.

I don't even know you, , but I'm excited for you. Dream what you want it to

be and try to make it happen.

Selena Horner, PT

ton, MI

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should follow

me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

Oh, how exciting!!!

First, don't burn any bridges with your current employer.

Second, if your current employment location is close to your anticipated new

clinic, be prepared for a huge negative potential occurrence: no one at your

current employer may truly tell incoming patients requesting your services where

you are now practicing.

Third, when I switched gears and left the hospital system in my community after

6 years, I actually sent a few cards out to key physician referrals basically

thanking them for the relationship we had for the past 6 years. I also alerted

them that I would no longer be at the hospital site and let them know where they

could find me. I was very, very selective with this - I only communicated to the

physicians I really enjoyed. (In my opinion, some referral sources just aren't

worth the business. And, overall, I'm lucky that I don't have relationships or

referrals from physicians who are not team players. I never, ever target a

referral source who will cause more irritation than happiness.)

Fourth, know the payors in the local area. Know the contracts. I don't care what

anyone says about this one. From a business perspective, something is NOT better

than nothing. Do not sign a contract if the contract is below your cost of doing

business. Just don't do it. Do not short change the value you bring to your

community. Do not undersell yourself. Negotiate for what you want and if it

doesn't happen... back to my belief above - some business just isn't worth

having. Heck, I even do the same with accepting new patients - if it is required

that I have to jump through hoops to treat them, I apologize and find a

competitor who will.

Fifth... back when I was focusing on the same thing you are, I found this book

really, really helpful. Nicely written, easy read, humor (there ARE other

resources out there - has 3 I believe), but when I get done in the clinic,

I'm looking for something that creatively captures my attention. If that's how

you are, you'll love this book by Esterson:

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311

Another recently published book that resonates really well with me AND with my

beliefs in the importance of relationships. Stratten's UnMarketing:

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

Sixth, the world of private practice is much different than the hospital setting

world. Be ready for change... you will find, you'll want your finger on the

pulse of physical therapy. Your interests/concerns are also going to change. You

will not only think of the clinical aspect of each patient/customer, you will

also begin thinking about your patient's/customer's experience with you. Your

interests are going to expand. You will also become acutely aware of obstacles

and barriers that are there for all of us in private practice. I think, as you

change your role in the physical therapy world, you will find value in the APTA

- the HPA section, the PPS. You might also learn that the APTA doesn't

completely have a large enough focus on private practices and isn't quite

proving to have substantial outcomes with the strategies attempted to quickly

create the changes private practices need. If you find this to be true, you have

another option, Physical Therapy Business Alliance: http://www.ptballiance.org/

And lastly... although I'm sure you are excited about this endeavor, I also hope

you have a bit of fear/anxiety. You're taking a risk and it isn't easy. If it

was easy, everyone would be doing it. That bit of fear you might be having is

good to have - it means this matters to you.

I don't even know you, , but I'm excited for you. Dream what you want it to

be and try to make it happen.

Selena Horner, PT

ton, MI

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should follow

me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

,

What a wonderful Christmas gift Selena has given you ... all great advice! I'd

add in that the essential needs for starting a practice are less than most

people think. Your keys to success, in my opinion, are the 3Hs ... Head, Hands,

and Heart. Also, it doesn't take a big investment to start a practice. I

started my first with $5,000 and my second with under $20,000. The key is

investing in yourself, not necessarily a lot of equipment. Best of luck.

, PT, OCS

Marquette, MI

Re: opening a practice in a small town

Oh, how exciting!!!

First, don't burn any bridges with your current employer.

Second, if your current employment location is close to your anticipated new

clinic, be prepared for a huge negative potential occurrence: no one at your

current employer may truly tell incoming patients requesting your services where

you are now practicing.

Third, when I switched gears and left the hospital system in my community

after 6 years, I actually sent a few cards out to key physician referrals

basically thanking them for the relationship we had for the past 6 years. I also

alerted them that I would no longer be at the hospital site and let them know

where they could find me. I was very, very selective with this - I only

communicated to the physicians I really enjoyed. (In my opinion, some referral

sources just aren't worth the business. And, overall, I'm lucky that I don't

have relationships or referrals from physicians who are not team players. I

never, ever target a referral source who will cause more irritation than

happiness.)

Fourth, know the payors in the local area. Know the contracts. I don't care

what anyone says about this one. From a business perspective, something is NOT

better than nothing. Do not sign a contract if the contract is below your cost

of doing business. Just don't do it. Do not short change the value you bring to

your community. Do not undersell yourself. Negotiate for what you want and if it

doesn't happen... back to my belief above - some business just isn't worth

having. Heck, I even do the same with accepting new patients - if it is required

that I have to jump through hoops to treat them, I apologize and find a

competitor who will.

Fifth... back when I was focusing on the same thing you are, I found this book

really, really helpful. Nicely written, easy read, humor (there ARE other

resources out there - has 3 I believe), but when I get done in the clinic,

I'm looking for something that creatively captures my attention. If that's how

you are, you'll love this book by Esterson:

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311

Another recently published book that resonates really well with me AND with my

beliefs in the importance of relationships. Stratten's UnMarketing:

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

Sixth, the world of private practice is much different than the hospital

setting world. Be ready for change... you will find, you'll want your finger on

the pulse of physical therapy. Your interests/concerns are also going to change.

You will not only think of the clinical aspect of each patient/customer, you

will also begin thinking about your patient's/customer's experience with you.

Your interests are going to expand. You will also become acutely aware of

obstacles and barriers that are there for all of us in private practice. I

think, as you change your role in the physical therapy world, you will find

value in the APTA - the HPA section, the PPS. You might also learn that the APTA

doesn't completely have a large enough focus on private practices and isn't

quite proving to have substantial outcomes with the strategies attempted to

quickly create the changes private practices need. If you find this to be true,

you have another option, Physical Therapy Business Alliance:

http://www.ptballiance.org/

And lastly... although I'm sure you are excited about this endeavor, I also

hope you have a bit of fear/anxiety. You're taking a risk and it isn't easy. If

it was easy, everyone would be doing it. That bit of fear you might be having is

good to have - it means this matters to you.

I don't even know you, , but I'm excited for you. Dream what you want it

to be and try to make it happen.

Selena Horner, PT

ton, MI

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should

follow me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

,

What a wonderful Christmas gift Selena has given you ... all great advice! I'd

add in that the essential needs for starting a practice are less than most

people think. Your keys to success, in my opinion, are the 3Hs ... Head, Hands,

and Heart. Also, it doesn't take a big investment to start a practice. I

started my first with $5,000 and my second with under $20,000. The key is

investing in yourself, not necessarily a lot of equipment. Best of luck.

, PT, OCS

Marquette, MI

Re: opening a practice in a small town

Oh, how exciting!!!

First, don't burn any bridges with your current employer.

Second, if your current employment location is close to your anticipated new

clinic, be prepared for a huge negative potential occurrence: no one at your

current employer may truly tell incoming patients requesting your services where

you are now practicing.

Third, when I switched gears and left the hospital system in my community

after 6 years, I actually sent a few cards out to key physician referrals

basically thanking them for the relationship we had for the past 6 years. I also

alerted them that I would no longer be at the hospital site and let them know

where they could find me. I was very, very selective with this - I only

communicated to the physicians I really enjoyed. (In my opinion, some referral

sources just aren't worth the business. And, overall, I'm lucky that I don't

have relationships or referrals from physicians who are not team players. I

never, ever target a referral source who will cause more irritation than

happiness.)

Fourth, know the payors in the local area. Know the contracts. I don't care

what anyone says about this one. From a business perspective, something is NOT

better than nothing. Do not sign a contract if the contract is below your cost

of doing business. Just don't do it. Do not short change the value you bring to

your community. Do not undersell yourself. Negotiate for what you want and if it

doesn't happen... back to my belief above - some business just isn't worth

having. Heck, I even do the same with accepting new patients - if it is required

that I have to jump through hoops to treat them, I apologize and find a

competitor who will.

Fifth... back when I was focusing on the same thing you are, I found this book

really, really helpful. Nicely written, easy read, humor (there ARE other

resources out there - has 3 I believe), but when I get done in the clinic,

I'm looking for something that creatively captures my attention. If that's how

you are, you'll love this book by Esterson:

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311

Another recently published book that resonates really well with me AND with my

beliefs in the importance of relationships. Stratten's UnMarketing:

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

Sixth, the world of private practice is much different than the hospital

setting world. Be ready for change... you will find, you'll want your finger on

the pulse of physical therapy. Your interests/concerns are also going to change.

You will not only think of the clinical aspect of each patient/customer, you

will also begin thinking about your patient's/customer's experience with you.

Your interests are going to expand. You will also become acutely aware of

obstacles and barriers that are there for all of us in private practice. I

think, as you change your role in the physical therapy world, you will find

value in the APTA - the HPA section, the PPS. You might also learn that the APTA

doesn't completely have a large enough focus on private practices and isn't

quite proving to have substantial outcomes with the strategies attempted to

quickly create the changes private practices need. If you find this to be true,

you have another option, Physical Therapy Business Alliance:

http://www.ptballiance.org/

And lastly... although I'm sure you are excited about this endeavor, I also

hope you have a bit of fear/anxiety. You're taking a risk and it isn't easy. If

it was easy, everyone would be doing it. That bit of fear you might be having is

good to have - it means this matters to you.

I don't even know you, , but I'm excited for you. Dream what you want it

to be and try to make it happen.

Selena Horner, PT

ton, MI

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should

follow me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

,

What a wonderful Christmas gift Selena has given you ... all great advice! I'd

add in that the essential needs for starting a practice are less than most

people think. Your keys to success, in my opinion, are the 3Hs ... Head, Hands,

and Heart. Also, it doesn't take a big investment to start a practice. I

started my first with $5,000 and my second with under $20,000. The key is

investing in yourself, not necessarily a lot of equipment. Best of luck.

, PT, OCS

Marquette, MI

Re: opening a practice in a small town

Oh, how exciting!!!

First, don't burn any bridges with your current employer.

Second, if your current employment location is close to your anticipated new

clinic, be prepared for a huge negative potential occurrence: no one at your

current employer may truly tell incoming patients requesting your services where

you are now practicing.

Third, when I switched gears and left the hospital system in my community

after 6 years, I actually sent a few cards out to key physician referrals

basically thanking them for the relationship we had for the past 6 years. I also

alerted them that I would no longer be at the hospital site and let them know

where they could find me. I was very, very selective with this - I only

communicated to the physicians I really enjoyed. (In my opinion, some referral

sources just aren't worth the business. And, overall, I'm lucky that I don't

have relationships or referrals from physicians who are not team players. I

never, ever target a referral source who will cause more irritation than

happiness.)

Fourth, know the payors in the local area. Know the contracts. I don't care

what anyone says about this one. From a business perspective, something is NOT

better than nothing. Do not sign a contract if the contract is below your cost

of doing business. Just don't do it. Do not short change the value you bring to

your community. Do not undersell yourself. Negotiate for what you want and if it

doesn't happen... back to my belief above - some business just isn't worth

having. Heck, I even do the same with accepting new patients - if it is required

that I have to jump through hoops to treat them, I apologize and find a

competitor who will.

Fifth... back when I was focusing on the same thing you are, I found this book

really, really helpful. Nicely written, easy read, humor (there ARE other

resources out there - has 3 I believe), but when I get done in the clinic,

I'm looking for something that creatively captures my attention. If that's how

you are, you'll love this book by Esterson:

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311

Another recently published book that resonates really well with me AND with my

beliefs in the importance of relationships. Stratten's UnMarketing:

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

Sixth, the world of private practice is much different than the hospital

setting world. Be ready for change... you will find, you'll want your finger on

the pulse of physical therapy. Your interests/concerns are also going to change.

You will not only think of the clinical aspect of each patient/customer, you

will also begin thinking about your patient's/customer's experience with you.

Your interests are going to expand. You will also become acutely aware of

obstacles and barriers that are there for all of us in private practice. I

think, as you change your role in the physical therapy world, you will find

value in the APTA - the HPA section, the PPS. You might also learn that the APTA

doesn't completely have a large enough focus on private practices and isn't

quite proving to have substantial outcomes with the strategies attempted to

quickly create the changes private practices need. If you find this to be true,

you have another option, Physical Therapy Business Alliance:

http://www.ptballiance.org/

And lastly... although I'm sure you are excited about this endeavor, I also

hope you have a bit of fear/anxiety. You're taking a risk and it isn't easy. If

it was easy, everyone would be doing it. That bit of fear you might be having is

good to have - it means this matters to you.

I don't even know you, , but I'm excited for you. Dream what you want it

to be and try to make it happen.

Selena Horner, PT

ton, MI

>

> I am considering opening a private practice in a small community. I have

worked at the hospital for 10 years, but am leaning towards having my own

practice.

>

> Would any of you be willing to share tips, ideas, strategy... that may be

helpful to a new owner. Especially if you have a PP in a small area.

>

> I have 2 orthos that have referred to me for several years that should

follow me if I open my own space.

>

> As far as competition, there is 1 other PT in the area that has a small

outpatient clinic, but does a great extent of HH contracts to stay operational.

>

> I will appreciate any and all help.

>

> Gwilliam, PT, MHA, CWS

> Bowie, Texas

>

[Guest guest]

The Private Practice Section of APTA also has a wide variety of excellent

resources on starting a practice

I would be sure to check them out and be sure to be a member for ongoing

continued resources

www.ppsapta.org

Kovacek, PT, DPT, MSA

PKovacek@...

Cell (313) 492-4293

Personal Fax

www.PTManager.com

> **

>

>

> ,

> What a wonderful Christmas gift Selena has given you ... all great advice!

> I'd add in that the essential needs for starting a practice are less than

> most people think. Your keys to success, in my opinion, are the 3Hs ...

> Head, Hands, and Heart. Also, it doesn't take a big investment to start a

> practice. I started my first with $5,000 and my second with under $20,000.

> The key is investing in yourself, not necessarily a lot of equipment. Best

> of luck.

>

> , PT, OCS

> Marquette, MI

>

>

> Re: opening a practice in a small town

>

> Oh, how exciting!!!

>

> First, don't burn any bridges with your current employer.

>

> Second, if your current employment location is close to your anticipated

> new clinic, be prepared for a huge negative potential occurrence: no one at

> your current employer may truly tell incoming patients requesting your

> services where you are now practicing.

>

> Third, when I switched gears and left the hospital system in my community

> after 6 years, I actually sent a few cards out to key physician referrals

> basically thanking them for the relationship we had for the past 6 years. I

> also alerted them that I would no longer be at the hospital site and let

> them know where they could find me. I was very, very selective with this -

> I only communicated to the physicians I really enjoyed. (In my opinion,

> some referral sources just aren't worth the business. And, overall, I'm

> lucky that I don't have relationships or referrals from physicians who are

> not team players. I never, ever target a referral source who will cause

> more irritation than happiness.)

>

> Fourth, know the payors in the local area. Know the contracts. I don't

> care what anyone says about this one. From a business perspective,

> something is NOT better than nothing. Do not sign a contract if the

> contract is below your cost of doing business. Just don't do it. Do not

> short change the value you bring to your community. Do not undersell

> yourself. Negotiate for what you want and if it doesn't happen... back to

> my belief above - some business just isn't worth having. Heck, I even do

> the same with accepting new patients - if it is required that I have to

> jump through hoops to treat them, I apologize and find a competitor who

> will.

>

> Fifth... back when I was focusing on the same thing you are, I found this

> book really, really helpful. Nicely written, easy read, humor (there ARE

> other resources out there - has 3 I believe), but when I get done in

> the clinic, I'm looking for something that creatively captures my

> attention. If that's how you are, you'll love this book by Esterson:

>

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311A\

nother recently published book that resonates really well with me AND with

> my beliefs in the importance of relationships. Stratten's

> UnMarketing:

>

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

>

> Sixth, the world of private practice is much different than the hospital

> setting world. Be ready for change... you will find, you'll want your

> finger on the pulse of physical therapy. Your interests/concerns are also

> going to change. You will not only think of the clinical aspect of each

> patient/customer, you will also begin thinking about your

> patient's/customer's experience with you. Your interests are going to

> expand. You will also become acutely aware of obstacles and barriers that

> are there for all of us in private practice. I think, as you change your

> role in the physical therapy world, you will find value in the APTA - the

> HPA section, the PPS. You might also learn that the APTA doesn't completely

> have a large enough focus on private practices and isn't quite proving to

> have substantial outcomes with the strategies attempted to quickly create

> the changes private practices need. If you find this to be true, you have

> another option, Physical Therapy Business Alliance:

> http://www.ptballiance.org/

>

> And lastly... although I'm sure you are excited about this endeavor, I

> also hope you have a bit of fear/anxiety. You're taking a risk and it isn't

> easy. If it was easy, everyone would be doing it. That bit of fear you

> might be having is good to have - it means this matters to you.

>

> I don't even know you, , but I'm excited for you. Dream what you want

> it to be and try to make it happen.

>

> Selena Horner, PT

> ton, MI

>

>

> >

> > I am considering opening a private practice in a small community. I have

> worked at the hospital for 10 years, but am leaning towards having my own

> practice.

> >

> > Would any of you be willing to share tips, ideas, strategy... that may

> be helpful to a new owner. Especially if you have a PP in a small area.

> >

> > I have 2 orthos that have referred to me for several years that should

> follow me if I open my own space.

> >

> > As far as competition, there is 1 other PT in the area that has a small

> outpatient clinic, but does a great extent of HH contracts to stay

> operational.

> >

> > I will appreciate any and all help.

> >

> > Gwilliam, PT, MHA, CWS

> > Bowie, Texas

> >

>

>

[Guest guest]

The Private Practice Section of APTA also has a wide variety of excellent

resources on starting a practice

I would be sure to check them out and be sure to be a member for ongoing

continued resources

www.ppsapta.org

Kovacek, PT, DPT, MSA

PKovacek@...

Cell (313) 492-4293

Personal Fax

www.PTManager.com

> **

>

>

> ,

> What a wonderful Christmas gift Selena has given you ... all great advice!

> I'd add in that the essential needs for starting a practice are less than

> most people think. Your keys to success, in my opinion, are the 3Hs ...

> Head, Hands, and Heart. Also, it doesn't take a big investment to start a

> practice. I started my first with $5,000 and my second with under $20,000.

> The key is investing in yourself, not necessarily a lot of equipment. Best

> of luck.

>

> , PT, OCS

> Marquette, MI

>

>

> Re: opening a practice in a small town

>

> Oh, how exciting!!!

>

> First, don't burn any bridges with your current employer.

>

> Second, if your current employment location is close to your anticipated

> new clinic, be prepared for a huge negative potential occurrence: no one at

> your current employer may truly tell incoming patients requesting your

> services where you are now practicing.

>

> Third, when I switched gears and left the hospital system in my community

> after 6 years, I actually sent a few cards out to key physician referrals

> basically thanking them for the relationship we had for the past 6 years. I

> also alerted them that I would no longer be at the hospital site and let

> them know where they could find me. I was very, very selective with this -

> I only communicated to the physicians I really enjoyed. (In my opinion,

> some referral sources just aren't worth the business. And, overall, I'm

> lucky that I don't have relationships or referrals from physicians who are

> not team players. I never, ever target a referral source who will cause

> more irritation than happiness.)

>

> Fourth, know the payors in the local area. Know the contracts. I don't

> care what anyone says about this one. From a business perspective,

> something is NOT better than nothing. Do not sign a contract if the

> contract is below your cost of doing business. Just don't do it. Do not

> short change the value you bring to your community. Do not undersell

> yourself. Negotiate for what you want and if it doesn't happen... back to

> my belief above - some business just isn't worth having. Heck, I even do

> the same with accepting new patients - if it is required that I have to

> jump through hoops to treat them, I apologize and find a competitor who

> will.

>

> Fifth... back when I was focusing on the same thing you are, I found this

> book really, really helpful. Nicely written, easy read, humor (there ARE

> other resources out there - has 3 I believe), but when I get done in

> the clinic, I'm looking for something that creatively captures my

> attention. If that's how you are, you'll love this book by Esterson:

>

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311A\

nother recently published book that resonates really well with me AND with

> my beliefs in the importance of relationships. Stratten's

> UnMarketing:

>

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

>

> Sixth, the world of private practice is much different than the hospital

> setting world. Be ready for change... you will find, you'll want your

> finger on the pulse of physical therapy. Your interests/concerns are also

> going to change. You will not only think of the clinical aspect of each

> patient/customer, you will also begin thinking about your

> patient's/customer's experience with you. Your interests are going to

> expand. You will also become acutely aware of obstacles and barriers that

> are there for all of us in private practice. I think, as you change your

> role in the physical therapy world, you will find value in the APTA - the

> HPA section, the PPS. You might also learn that the APTA doesn't completely

> have a large enough focus on private practices and isn't quite proving to

> have substantial outcomes with the strategies attempted to quickly create

> the changes private practices need. If you find this to be true, you have

> another option, Physical Therapy Business Alliance:

> http://www.ptballiance.org/

>

> And lastly... although I'm sure you are excited about this endeavor, I

> also hope you have a bit of fear/anxiety. You're taking a risk and it isn't

> easy. If it was easy, everyone would be doing it. That bit of fear you

> might be having is good to have - it means this matters to you.

>

> I don't even know you, , but I'm excited for you. Dream what you want

> it to be and try to make it happen.

>

> Selena Horner, PT

> ton, MI

>

>

> >

> > I am considering opening a private practice in a small community. I have

> worked at the hospital for 10 years, but am leaning towards having my own

> practice.

> >

> > Would any of you be willing to share tips, ideas, strategy... that may

> be helpful to a new owner. Especially if you have a PP in a small area.

> >

> > I have 2 orthos that have referred to me for several years that should

> follow me if I open my own space.

> >

> > As far as competition, there is 1 other PT in the area that has a small

> outpatient clinic, but does a great extent of HH contracts to stay

> operational.

> >

> > I will appreciate any and all help.

> >

> > Gwilliam, PT, MHA, CWS

> > Bowie, Texas

> >

>

>

[Guest guest]

Selena had great tips. May I add a few more?

1--This is now your 'life' like a farmer. You do not begin at 9 am and end at 5

pm. It's the day after Christmas and I am in the clinic when everybody else is

off. I own it....this is how my family eats, I keep a roof over my head, a car

in the driveway, blah, blah, blah.

EVERY DAY, YOU WAKE UP UNEMPLOYED.

2--Become part of the fabric of the community. Join your chamber of commerce

and go to ribbon cuttings, business after hours, etc. If the chamber has

committees look for one that interests you and join it. i.e. ambassadors,

education, beautification, business development, etc

3--Read every single EOB that comes in your office. Really read them and learn

how it works. What charges can't be coupled, what providers don't pay for

certain services, etc. How does auto med pay work?

--Coming from a hospital setting you probably have not seen much of this and it

is probably the most important thing.

4--Don't let anybody else write checks off your account starting out. It's much

easier to understand and 'keep in your head' your costs for paper, staples,

linen, electricity, phone, payroll, etc. etc. if you are writing the check.

That goes back to that 'life' thing

5--Read the book 'Failing Forward'.

Good luck to you. When I left the hospital I was flat out scared but nobody

gets through life without a bloody nose. Almost twelve years later it was the

best career decision.

Good luck to you and wish you the greatest success.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc.

Bay St. Louis and Diamondhead, Mississippi

Re: Re: opening a practice in a small town

The Private Practice Section of APTA also has a wide variety of excellent

resources on starting a practice

I would be sure to check them out and be sure to be a member for ongoing

continued resources

www.ppsapta.org

Kovacek, PT, DPT, MSA

PKovacek@...

Cell (313) 492-4293

Personal Fax

www.PTManager.com

> **

>

>

> ,

> What a wonderful Christmas gift Selena has given you ... all great advice!

> I'd add in that the essential needs for starting a practice are less than

> most people think. Your keys to success, in my opinion, are the 3Hs ...

> Head, Hands, and Heart. Also, it doesn't take a big investment to start a

> practice. I started my first with $5,000 and my second with under $20,000.

> The key is investing in yourself, not necessarily a lot of equipment. Best

> of luck.

>

> , PT, OCS

> Marquette, MI

>

>

> Re: opening a practice in a small town

>

> Oh, how exciting!!!

>

> First, don't burn any bridges with your current employer.

>

> Second, if your current employment location is close to your anticipated

> new clinic, be prepared for a huge negative potential occurrence: no one at

> your current employer may truly tell incoming patients requesting your

> services where you are now practicing.

>

> Third, when I switched gears and left the hospital system in my community

> after 6 years, I actually sent a few cards out to key physician referrals

> basically thanking them for the relationship we had for the past 6 years. I

> also alerted them that I would no longer be at the hospital site and let

> them know where they could find me. I was very, very selective with this -

> I only communicated to the physicians I really enjoyed. (In my opinion,

> some referral sources just aren't worth the business. And, overall, I'm

> lucky that I don't have relationships or referrals from physicians who are

> not team players. I never, ever target a referral source who will cause

> more irritation than happiness.)

>

> Fourth, know the payors in the local area. Know the contracts. I don't

> care what anyone says about this one. From a business perspective,

> something is NOT better than nothing. Do not sign a contract if the

> contract is below your cost of doing business. Just don't do it. Do not

> short change the value you bring to your community. Do not undersell

> yourself. Negotiate for what you want and if it doesn't happen... back to

> my belief above - some business just isn't worth having. Heck, I even do

> the same with accepting new patients - if it is required that I have to

> jump through hoops to treat them, I apologize and find a competitor who

> will.

>

> Fifth... back when I was focusing on the same thing you are, I found this

> book really, really helpful. Nicely written, easy read, humor (there ARE

> other resources out there - has 3 I believe), but when I get done in

> the clinic, I'm looking for something that creatively captures my

> attention. If that's how you are, you'll love this book by Esterson:

>

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311A\

nother

recently published book that resonates really well with me AND with

> my beliefs in the importance of relationships. Stratten's

> UnMarketing:

>

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

>

> Sixth, the world of private practice is much different than the hospital

> setting world. Be ready for change... you will find, you'll want your

> finger on the pulse of physical therapy. Your interests/concerns are also

> going to change. You will not only think of the clinical aspect of each

> patient/customer, you will also begin thinking about your

> patient's/customer's experience with you. Your interests are going to

> expand. You will also become acutely aware of obstacles and barriers that

> are there for all of us in private practice. I think, as you change your

> role in the physical therapy world, you will find value in the APTA - the

> HPA section, the PPS. You might also learn that the APTA doesn't completely

> have a large enough focus on private practices and isn't quite proving to

> have substantial outcomes with the strategies attempted to quickly create

> the changes private practices need. If you find this to be true, you have

> another option, Physical Therapy Business Alliance:

> http://www.ptballiance.org/

>

> And lastly... although I'm sure you are excited about this endeavor, I

> also hope you have a bit of fear/anxiety. You're taking a risk and it isn't

> easy. If it was easy, everyone would be doing it. That bit of fear you

> might be having is good to have - it means this matters to you.

>

> I don't even know you, , but I'm excited for you. Dream what you want

> it to be and try to make it happen.

>

> Selena Horner, PT

> ton, MI

>

>

> >

> > I am considering opening a private practice in a small community. I have

> worked at the hospital for 10 years, but am leaning towards having my own

> practice.

> >

> > Would any of you be willing to share tips, ideas, strategy... that may

> be helpful to a new owner. Especially if you have a PP in a small area.

> >

> > I have 2 orthos that have referred to me for several years that should

> follow me if I open my own space.

> >

> > As far as competition, there is 1 other PT in the area that has a small

> outpatient clinic, but does a great extent of HH contracts to stay

> operational.

> >

> > I will appreciate any and all help.

> >

> > Gwilliam, PT, MHA, CWS

> > Bowie, Texas

> >

>

>

[Guest guest]

Selena had great tips. May I add a few more?

1--This is now your 'life' like a farmer. You do not begin at 9 am and end at 5

pm. It's the day after Christmas and I am in the clinic when everybody else is

off. I own it....this is how my family eats, I keep a roof over my head, a car

in the driveway, blah, blah, blah.

EVERY DAY, YOU WAKE UP UNEMPLOYED.

2--Become part of the fabric of the community. Join your chamber of commerce

and go to ribbon cuttings, business after hours, etc. If the chamber has

committees look for one that interests you and join it. i.e. ambassadors,

education, beautification, business development, etc

3--Read every single EOB that comes in your office. Really read them and learn

how it works. What charges can't be coupled, what providers don't pay for

certain services, etc. How does auto med pay work?

--Coming from a hospital setting you probably have not seen much of this and it

is probably the most important thing.

4--Don't let anybody else write checks off your account starting out. It's much

easier to understand and 'keep in your head' your costs for paper, staples,

linen, electricity, phone, payroll, etc. etc. if you are writing the check.

That goes back to that 'life' thing

5--Read the book 'Failing Forward'.

Good luck to you. When I left the hospital I was flat out scared but nobody

gets through life without a bloody nose. Almost twelve years later it was the

best career decision.

Good luck to you and wish you the greatest success.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc.

Bay St. Louis and Diamondhead, Mississippi

Re: Re: opening a practice in a small town

The Private Practice Section of APTA also has a wide variety of excellent

resources on starting a practice

I would be sure to check them out and be sure to be a member for ongoing

continued resources

www.ppsapta.org

Kovacek, PT, DPT, MSA

PKovacek@...

Cell (313) 492-4293

Personal Fax

www.PTManager.com

> **

>

>

> ,

> What a wonderful Christmas gift Selena has given you ... all great advice!

> I'd add in that the essential needs for starting a practice are less than

> most people think. Your keys to success, in my opinion, are the 3Hs ...

> Head, Hands, and Heart. Also, it doesn't take a big investment to start a

> practice. I started my first with $5,000 and my second with under $20,000.

> The key is investing in yourself, not necessarily a lot of equipment. Best

> of luck.

>

> , PT, OCS

> Marquette, MI

>

>

> Re: opening a practice in a small town

>

> Oh, how exciting!!!

>

> First, don't burn any bridges with your current employer.

>

> Second, if your current employment location is close to your anticipated

> new clinic, be prepared for a huge negative potential occurrence: no one at

> your current employer may truly tell incoming patients requesting your

> services where you are now practicing.

>

> Third, when I switched gears and left the hospital system in my community

> after 6 years, I actually sent a few cards out to key physician referrals

> basically thanking them for the relationship we had for the past 6 years. I

> also alerted them that I would no longer be at the hospital site and let

> them know where they could find me. I was very, very selective with this -

> I only communicated to the physicians I really enjoyed. (In my opinion,

> some referral sources just aren't worth the business. And, overall, I'm

> lucky that I don't have relationships or referrals from physicians who are

> not team players. I never, ever target a referral source who will cause

> more irritation than happiness.)

>

> Fourth, know the payors in the local area. Know the contracts. I don't

> care what anyone says about this one. From a business perspective,

> something is NOT better than nothing. Do not sign a contract if the

> contract is below your cost of doing business. Just don't do it. Do not

> short change the value you bring to your community. Do not undersell

> yourself. Negotiate for what you want and if it doesn't happen... back to

> my belief above - some business just isn't worth having. Heck, I even do

> the same with accepting new patients - if it is required that I have to

> jump through hoops to treat them, I apologize and find a competitor who

> will.

>

> Fifth... back when I was focusing on the same thing you are, I found this

> book really, really helpful. Nicely written, easy read, humor (there ARE

> other resources out there - has 3 I believe), but when I get done in

> the clinic, I'm looking for something that creatively captures my

> attention. If that's how you are, you'll love this book by Esterson:

>

http://www.amazon.com/Starting-Managing-Physical-Therapy-Practice/dp/0763726311A\

nother

recently published book that resonates really well with me AND with

> my beliefs in the importance of relationships. Stratten's

> UnMarketing:

>

http://www.amazon.com/UnMarketing-Stop-Marketing-Start-Engaging/dp/047061787X/re\

f=sr_1_1?s=books & ie=UTF8 & qid=1324728960 & sr=1-1

>

> Sixth, the world of private practice is much different than the hospital

> setting world. Be ready for change... you will find, you'll want your

> finger on the pulse of physical therapy. Your interests/concerns are also

> going to change. You will not only think of the clinical aspect of each

> patient/customer, you will also begin thinking about your

> patient's/customer's experience with you. Your interests are going to

> expand. You will also become acutely aware of obstacles and barriers that

> are there for all of us in private practice. I think, as you change your

> role in the physical therapy world, you will find value in the APTA - the

> HPA section, the PPS. You might also learn that the APTA doesn't completely

> have a large enough focus on private practices and isn't quite proving to

> have substantial outcomes with the strategies attempted to quickly create

> the changes private practices need. If you find this to be true, you have

> another option, Physical Therapy Business Alliance:

> http://www.ptballiance.org/

>

> And lastly... although I'm sure you are excited about this endeavor, I

> also hope you have a bit of fear/anxiety. You're taking a risk and it isn't

> easy. If it was easy, everyone would be doing it. That bit of fear you

> might be having is good to have - it means this matters to you.

>

> I don't even know you, , but I'm excited for you. Dream what you want

> it to be and try to make it happen.

>

> Selena Horner, PT

> ton, MI

>

>

> >

> > I am considering opening a private practice in a small community. I have

> worked at the hospital for 10 years, but am leaning towards having my own

> practice.

> >

> > Would any of you be willing to share tips, ideas, strategy... that may

> be helpful to a new owner. Especially if you have a PP in a small area.

> >

> > I have 2 orthos that have referred to me for several years that should

> follow me if I open my own space.

> >

> > As far as competition, there is 1 other PT in the area that has a small

> outpatient clinic, but does a great extent of HH contracts to stay

> operational.

> >

> > I will appreciate any and all help.

> >

> > Gwilliam, PT, MHA, CWS

> > Bowie, Texas

> >

>

>

[Guest guest]

First, good luck to your endeavor. We opened a private pediatric therapy 6

years ago. It was one of those things that if I didn't do it I would have

gotten down the road and wondered what would have happened if I had.

Anyway, I was able to keep a contract position I had with another company

and slowly pull away as our caseload picked up in our new clinic. We never

could have made it if I had left my contract job and just do my new clinic

work. I had to feed my family while I grew the business. Given time our

business grew steadily and continues to, although there have been and

continues to be times where it ebbs and flows. If there are times where you

are doing well put some money in the bank, don't go out and buy yourself

that new sports car. Not for a while anyway.

The advice to start small is crucial. If you have to take out a loan for

equipment keep if bare bones minimum and pay cash for as much as you can.

Don't get yourself in to deep where you can't cut bait. Go by the docs who

potentially could refer to you and give them bakery bought cookies or

donuts, same time same day each week. Put some labled stickers with your

clinic name and logo on it. Keep visits to the doctors short and sweet.

Most weeks I just drop off the goodies with very few words exchanged between

me and the receptionist. Once they learned I was coming, relentless every

Tuesday at 8:30 they let me put out some business cards and pamphlets. They

would ask me some questions here and there but I always kept conversation

short. Don't waste time on lunches unless you want to do one initially to

let them know you exist. You will get more mileage from weekly goodie

delivery. Figure out if you can make some aspect of the doctors paperwork

easier as far as referrals to you and suggest it to them. Consider options

to offer that your competition does not. Can you subcontract an OT or speech

therapist to pick up that work.

When you get in the daily grind of it and are overwhelmed by the paperwork

and therapy remind yourself a few times of the day that you must focus on

what is going to make the clinic money the fastest and let that information

dictate what you do next.

Look for a great location to put your clinic. Find the busiest road that is

closest to where your doctors are at. Put up the biggest sign you can and

let it say what you do...PT...with an easy to read phone number. Read

everything you can on running a business and specifically a PT clinic. This

message board is one of the best I have found for ideas and insight.

Most of all pray that God will lead you in this endeavor. There have been

many times where we were in a tough spot and we were given faith to see

God's hand at work as He guided us in the right direction or took care of

something that we handed over to Him. You will get in that tight spot at

some point so get a good prayer life going sooner rather than later.

Harmon

Administrator

Jn 3:30

Therapy 4 Kids

PO Box 933

Greenbrier, AR 72058

www.therapy4kids.net

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transmission. If you have received this transmission in error, please

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you.

[Guest guest]

First, good luck to your endeavor. We opened a private pediatric therapy 6

years ago. It was one of those things that if I didn't do it I would have

gotten down the road and wondered what would have happened if I had.

Anyway, I was able to keep a contract position I had with another company

and slowly pull away as our caseload picked up in our new clinic. We never

could have made it if I had left my contract job and just do my new clinic

work. I had to feed my family while I grew the business. Given time our

business grew steadily and continues to, although there have been and

continues to be times where it ebbs and flows. If there are times where you

are doing well put some money in the bank, don't go out and buy yourself

that new sports car. Not for a while anyway.

The advice to start small is crucial. If you have to take out a loan for

equipment keep if bare bones minimum and pay cash for as much as you can.

Don't get yourself in to deep where you can't cut bait. Go by the docs who

potentially could refer to you and give them bakery bought cookies or

donuts, same time same day each week. Put some labled stickers with your

clinic name and logo on it. Keep visits to the doctors short and sweet.

Most weeks I just drop off the goodies with very few words exchanged between

me and the receptionist. Once they learned I was coming, relentless every

Tuesday at 8:30 they let me put out some business cards and pamphlets. They

would ask me some questions here and there but I always kept conversation

short. Don't waste time on lunches unless you want to do one initially to

let them know you exist. You will get more mileage from weekly goodie

delivery. Figure out if you can make some aspect of the doctors paperwork

easier as far as referrals to you and suggest it to them. Consider options

to offer that your competition does not. Can you subcontract an OT or speech

therapist to pick up that work.

When you get in the daily grind of it and are overwhelmed by the paperwork

and therapy remind yourself a few times of the day that you must focus on

what is going to make the clinic money the fastest and let that information

dictate what you do next.

Look for a great location to put your clinic. Find the busiest road that is

closest to where your doctors are at. Put up the biggest sign you can and

let it say what you do...PT...with an easy to read phone number. Read

everything you can on running a business and specifically a PT clinic. This

message board is one of the best I have found for ideas and insight.

Most of all pray that God will lead you in this endeavor. There have been

many times where we were in a tough spot and we were given faith to see

God's hand at work as He guided us in the right direction or took care of

something that we handed over to Him. You will get in that tight spot at

some point so get a good prayer life going sooner rather than later.

Harmon

Administrator

Jn 3:30

Therapy 4 Kids

PO Box 933

Greenbrier, AR 72058

www.therapy4kids.net

Confidentially Notice: The information contained in this message and any

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property of Therapy 4 Kids, LLC and may be protected by state and federal

laws governing disclosure of private information. It is intended solely for

the use of the entity to who this transmission is addressed. If you are not

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[Guest guest]

When considering staffing your new practice make sure you pick a front

receptionist that is a personable strong worker that has an eye for detail.

Treat them well and don't be skimpy on their salary. The whole " you get what you

pay for " still works in this situation. The receptionist is the 1st impression

your patients will get, they can make you or break you. You must also find

someone who really knows billing. If you are looking at in house or outsourcing

your billing be very careful that they have a good track record and are

knowledgeable in all the updates happening in the billing and coding world.

Crystal Gallegos

Office Manager

Las Vegas, NM 87701

Buena Vida Physical Therapy

Phone: OwnerC & M Business Professionals Medical and Billing Services

[Guest guest]

When considering staffing your new practice make sure you pick a front

receptionist that is a personable strong worker that has an eye for detail.

Treat them well and don't be skimpy on their salary. The whole " you get what you

pay for " still works in this situation. The receptionist is the 1st impression

your patients will get, they can make you or break you. You must also find

someone who really knows billing. If you are looking at in house or outsourcing

your billing be very careful that they have a good track record and are

knowledgeable in all the updates happening in the billing and coding world.

Crystal Gallegos

Office Manager

Las Vegas, NM 87701

Buena Vida Physical Therapy

Phone: OwnerC & M Business Professionals Medical and Billing Services

[Guest guest]

When considering staffing your new practice make sure you pick a front

receptionist that is a personable strong worker that has an eye for detail.

Treat them well and don't be skimpy on their salary. The whole " you get what you

pay for " still works in this situation. The receptionist is the 1st impression

your patients will get, they can make you or break you. You must also find

someone who really knows billing. If you are looking at in house or outsourcing

your billing be very careful that they have a good track record and are

knowledgeable in all the updates happening in the billing and coding world.

Crystal Gallegos

Office Manager

Las Vegas, NM 87701

Buena Vida Physical Therapy

Phone: OwnerC & M Business Professionals Medical and Billing Services

[Guest guest]

APTA has a great course called the " How to " course ...I went to it and loved

it...sign up for it ASAP....also set a target date for your opening and stick to

it...make sure you have everything in place and that this target is truly

reasonable and attainable....and you should also start working on your business

plan...this is crucial to your over vision and mission of your new longevity of

your new company...good luck...

Ron Masri, PT, DPT, OCS, ATC

OWNER

TOTAL MOTION PHYSICAL THERAPY

www.totalmotionpt.net

Sent from my iPad

" Stand up with boldness, speak with out fear, and hold to the truth "

>

> When considering staffing your new practice make sure you pick a front

receptionist that is a personable strong worker that has an eye for detail.

Treat them well and don't be skimpy on their salary. The whole " you get what you

pay for " still works in this situation. The receptionist is the 1st impression

your patients will get, they can make you or break you. You must also find

someone who really knows billing. If you are looking at in house or outsourcing

your billing be very careful that they have a good track record and are

knowledgeable in all the updates happening in the billing and coding world.

>

> Crystal Gallegos

> Office Manager

> Las Vegas, NM 87701

> Buena Vida Physical Therapy

> Phone: OwnerC & M Business Professionals Medical and Billing

Services

>

[Guest guest]

APTA has a great course called the " How to " course ...I went to it and loved

it...sign up for it ASAP....also set a target date for your opening and stick to

it...make sure you have everything in place and that this target is truly

reasonable and attainable....and you should also start working on your business

plan...this is crucial to your over vision and mission of your new longevity of

your new company...good luck...

Ron Masri, PT, DPT, OCS, ATC

OWNER

TOTAL MOTION PHYSICAL THERAPY

www.totalmotionpt.net

Sent from my iPad

" Stand up with boldness, speak with out fear, and hold to the truth "

>

> When considering staffing your new practice make sure you pick a front

receptionist that is a personable strong worker that has an eye for detail.

Treat them well and don't be skimpy on their salary. The whole " you get what you

pay for " still works in this situation. The receptionist is the 1st impression

your patients will get, they can make you or break you. You must also find

someone who really knows billing. If you are looking at in house or outsourcing

your billing be very careful that they have a good track record and are

knowledgeable in all the updates happening in the billing and coding world.

>

> Crystal Gallegos

> Office Manager

> Las Vegas, NM 87701

> Buena Vida Physical Therapy

> Phone: OwnerC & M Business Professionals Medical and Billing

Services

>

[Guest guest]

I have a couple of questions regarding opening an independent clinic in a small

town. How does a small town independent clinic negotiate being included on

insurance contracts with other providers in town are already on the list with

the insurance companies? What are the pros vs. cons of opening a clinic with a

larger corporation backing and profit sharing vs. completely independent? Does

the proposed so called health care reform have much affect on opening

independently vs. partnership with a large firm?

Thanks for any input!

Merry Christmas and Happy New Year!

Trevor Huffman P.T., M.S., S.C.S., A.T.,C.

Board Certified Sports Physical Therapist

ville, IL

________________________________

From: PTManager [mailto:PTManager ] On Behalf Of

Yahoo

Sent: Wednesday, December 28, 2011 7:57 PM

To: PTManager

Subject: Re: opening a practice in a small town

APTA has a great course called the " How to " course ...I went to it and loved

it...sign up for it ASAP....also set a target date for your opening and stick to

it...make sure you have everything in place and that this target is truly

reasonable and attainable....and you should also start working on your business

plan...this is crucial to your over vision and mission of your new longevity of

your new company...good luck...

Ron Masri, PT, DPT, OCS, ATC

OWNER

TOTAL MOTION PHYSICAL THERAPY

www.totalmotionpt.net

Sent from my iPad

" Stand up with boldness, speak with out fear, and hold to the truth "

On Dec 28, 2011, at 12:10 PM, Crystal Gallegos

<dcgallegos@...<mailto:dcgallegos%40live.com>> wrote:

>

> When considering staffing your new practice make sure you pick a front

receptionist that is a personable strong worker that has an eye for detail.

Treat them well and don't be skimpy on their salary. The whole " you get what you

pay for " still works in this situation. The receptionist is the 1st impression

your patients will get, they can make you or break you. You must also find

someone who really knows billing. If you are looking at in house or outsourcing

your billing be very careful that they have a good track record and are

knowledgeable in all the updates happening in the billing and coding world.

>

> Crystal Gallegos

> Office Manager

> Las Vegas, NM 87701

> Buena Vida Physical Therapy

> Phone: OwnerC & M Business Professionals Medical and Billing

Services

>

[Guest guest]

I have a couple of questions regarding opening an independent clinic in a small

town. How does a small town independent clinic negotiate being included on

insurance contracts with other providers in town are already on the list with

the insurance companies? What are the pros vs. cons of opening a clinic with a

larger corporation backing and profit sharing vs. completely independent? Does

the proposed so called health care reform have much affect on opening

independently vs. partnership with a large firm?

Thanks for any input!

Merry Christmas and Happy New Year!

Trevor Huffman P.T., M.S., S.C.S., A.T.,C.

Board Certified Sports Physical Therapist

ville, IL

________________________________

From: PTManager [mailto:PTManager ] On Behalf Of

Yahoo

Sent: Wednesday, December 28, 2011 7:57 PM

To: PTManager

Subject: Re: opening a practice in a small town

APTA has a great course called the " How to " course ...I went to it and loved

it...sign up for it ASAP....also set a target date for your opening and stick to

it...make sure you have everything in place and that this target is truly

reasonable and attainable....and you should also start working on your business

plan...this is crucial to your over vision and mission of your new longevity of

your new company...good luck...

Ron Masri, PT, DPT, OCS, ATC

OWNER

TOTAL MOTION PHYSICAL THERAPY

www.totalmotionpt.net

Sent from my iPad

" Stand up with boldness, speak with out fear, and hold to the truth "

On Dec 28, 2011, at 12:10 PM, Crystal Gallegos

<dcgallegos@...<mailto:dcgallegos%40live.com>> wrote:

>

> When considering staffing your new practice make sure you pick a front

receptionist that is a personable strong worker that has an eye for detail.

Treat them well and don't be skimpy on their salary. The whole " you get what you

pay for " still works in this situation. The receptionist is the 1st impression

your patients will get, they can make you or break you. You must also find

someone who really knows billing. If you are looking at in house or outsourcing

your billing be very careful that they have a good track record and are

knowledgeable in all the updates happening in the billing and coding world.

>

> Crystal Gallegos

> Office Manager

> Las Vegas, NM 87701

> Buena Vida Physical Therapy

> Phone: OwnerC & M Business Professionals Medical and Billing

Services

>