Thinking About a Cash Based Practice? Here's What I've Learned

If you've been thinking about a cash-based medical practice then here are the things I've learned. My practice is fully online and it's mostly health coaching - it's time consuming and can feel tedious for some people.  As an update, I no longer offer 1-on-1 consulting and don't offer the online course for sale anymore. But if you want to say hello or reach out, reach me at [email protected].

I break down the true startup costs for a cash-based virtual practice and how I would set it up today. I keep it simple. Legal entity and a mailing address. Malpractice that matches my scope. HIPAA-compliant phone and messaging. A clean video visit setup. Solid intake and consent forms. Easy scheduling and payments. For the charting piece, I show how a light EHR-style workflow can be built with simple tools, and when to add an e-prescribing service like Dose Spot and lab accounts with Quest or Labcorp. I share where I would spend money and where I would hold back. The goal is a lean, reliable system that lets me deliver great care without drowning in software.   Links referenced: Google Workspace, email and calendar HIPAA-friendly telemedicine and messaging, Doxy, similar tools Dose Spot, e-prescribing Quest Diagnostics and Labcorp, lab ordering accounts Calendly ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads

I see a lot of smart clinicians wasting their voice online by dunking on each other. In this episode I break down a better way to disagree. I define what I mean by "being a dick," cutting others down to prop yourself up, and why that hurts your brand and your career. Then I share simple rules that help me keep it professional. Pause before you post. Ask why the person shared the content. Add nuance and missing context. Tackle the claim, not the person. When I disagree about hot topics like the PA and NP debates, I stick to evidence and explain my approach in practice. The goal is to stand out by being useful, honest, and kind. ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads

I break down how I get real leads for an online medical practice. I start with simple definitions, what a lead is, and how I think about hot, warm, and cold. Then I show the path. A strong elevator pitch. A clean landing page with one clear call to action. A short form that leads to a fast booking link. I talk about social posts and Google Ads, and why the ad only works if the page is tight. I also share my follow up process and why speed to lead matters. The goal is simple, less friction, faster replies, and a page that turns interest into a call. My YouTube video on landing pages: https://www.youtube.com/shorts/1y1UGLbMpTU Podcast link mentions: Google Ads Google Business Profile Substack ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads

People will see you online, but only a few will click. Here is how to guide them the rest of the way. I walk through the exact steps I use to move someone from a social post to a booked visit. Top of funnel is reaching as many people as possible. I give a soft intro, who I help, and why it matters. A few people click my profile or my link and land on a simple page with one clear call to action. That might be a quiz, an ebook, a webinar, or a button to book a call. In the middle of the funnel I ask for a light commitment and then I follow up with a short thank you note and a few links to helpful resources. At the bottom of the funnel I make scheduling fast and payment clear. The goal is less friction at each step. One job per page. Fast replies. Helpful follow up.  

Not sure if you should hire a marketing firm or do it yourself, here is a simple way to decide. I get this question a lot. Do I need a marketing company, or can I do it myself? In this episode I break down how I decide. If I have time, skills, and a plan, I DIY. If my practice build already takes all my bandwidth, I hire pros to move faster. I cover the three basics that make a practice work, a medical degree, a kind bedside or website manner, and a way for people to find me. I explain how patients search, why jargon does not convert, and why answering the phone quickly matters more than another ad. Then I share real budget ranges, where most clinics see results, and the common traps that waste money. I finish with a simple plan you can start this week, and how to work with a firm so your spend turns into booked visits. ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads  

Purely virtual sounds great until insurers or laws change. Here's how I build real patient flow anyway. I love the freedom of virtual care, but I've also seen how fast rules can change. In this episode I share the simple plan I'd use to grow an online practice quickly. Lease a small room in a busy medical building, share front-desk support, and contract with at least one PPO. That opens a steady pipeline, even if the telemedicine winds shift. From there I niche down, show up in person at local offices, make it easy for them to refer, and deliver great follow-up so they trust me with their patients. The goal is to earn a reputation, then transition the right people into a clear cash or concierge offer. I talk about costs, prior auth reality, malpractice needs, and the mindset that gets you from crickets to a waitlist. ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads

I run a virtual DPC and a health coaching practice. That means my website, my social channels, and my ads have to do the heavy lifting. In this episode I share the small team that powers it. My web developer builds focused landing pages, keeps my site HIPAA and ADA compliant, and sets up quizzes and ebooks to capture emails. My social media manager turns my ideas into daily content and campaigns, and tracks what works. My marketer manages my Google Business presence and paid ads, and helps me connect with other local businesses. I also cover how we communicate in Trello, how we use Canva to keep the brand tight, how I budget retainers and projects, and why paying people fairly saves me time and grows the practice. If you want a clear picture of how to market a virtual clinic, this is the blueprint I use.   ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads

  ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads https://www.youtube.com/@ahealthcarez   

All of us needs some level of enthusiasm when taking care of patients. Especially when you run your own medical practice. This level of enthusiasm is necessary for the patient to really feel cared for and you don't have to fake it and you don't have to be somebody else. Each one of us can develop our own type of enthusiasm that the patient can feel. ------ -Dr. Mo Digital Nomad Physicians Website Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com/  Dr. Mo Goodreads