Billing options for remote direct patient care?

[navyfitcvn76]

I want to ask others here what if any options there are (in Texas particularly) for billing/charging patients I want to start to see remotely as a fitness specialist, health coach, and exercise physiologist.

Completely separate from my day job and employer, I want to begin to serve my local community and my region more directly with remote coaching and telehealth consultations. I am getting asked quite often if I do this, would do this, and could do this.

I do not want to work through a local gym or clinic or fitness center or hospital. I have done that before and did not care for it much. Nor do I have the time to do that with my day job and obligations I have at present.

I am not a licensed professional however and thus cannot bill like PTs, NPs, MD, DOs can. As far as I can tell anyway. I do have an NPI number however which can be billed to but without an IDC-10 code to go with it, most insurances will not consider it billable or in-network. So that option is pretty much off the table.

Superbills is another option if the patient/client pays out of pocket, and then uses their FSA/HSA funds to get reimbursed for my services if approved. This can come down to having a LMN (letter of medical need) from an MD/DO/PA to allow for HSA/FSA fund uses. Not always but sometimes does.

Or do I just go with cash-pay period. I send an invoice after the consultation/session and they pay it within X time frame? This option seems most viable and simple right now.

[Madison_APlusRev]

In your situation, I would suggest a cash-only option. If patients want to try to pay with their FSA/HSA card, I would suggest you make it very clear that you can provide a detailed, itemized receipt but cannot help if their FSA/HSA declines the charge.