PelviBiz Podcast

PelviBiz
  • 5.0 (30)
  • Entrepreneurship
  • Updated Weekly

The PelviBiz Podcast is hosted by Dr. Kelly Alhooie — pelvic health DPT, founder of OrthoPelvic Physical Therapy, and creator of the LSR Method. Kelly spent 15 years in the clinic building what most practitioners only dream about: a 7-figure cash-based practice she built from scratch and sold on her own terms. Now she goes all in every week on what it actually takes for healthcare providers — especially women — to build profitable, scalable practices without sacrificing their lives to do it. Business systems, marketing, mindset, cash-pay strategy, and real talk from someone who has already done it all. New episodes every week.

  1. 3d ago

    The script I use to get patients to pay in full

    Most providers never ask for the full payment. They offer a package. Then they immediately offer a payment plan in the same breath. Then they wonder why almost everybody picks the plan. You gave her the exit before she ever had to consider the door. In this episode Kelly walks through the exact language she uses at the end of a plan of care conversation to move patients into paying in full. Not a high pressure pitch. Not a discount you resent later. A clear framing that lets someone choose the option that actually serves her. She covers why paying in full changes outcomes and not just cash flow. Patients who commit up front show up more. They finish the program. They get better results and they refer. The financial win is real but the clinical win is bigger. Kelly breaks down the order of the conversation. Recap what you found. Name the plan and the timeline. State the full investment first and hold the pause. Then and only then present the alternative if she needs it. She explains why leading with the plan option quietly signals that you do not believe the full amount is reasonable. She also handles the objections you actually hear. I need to talk to my husband. Can I just do one session and see. Do you take insurance. Each one gets a response you can say out loud without feeling like a salesperson. Then the part nobody talks about. What to do when she says no. Because a clean no is not a failure. It is information about your positioning or your timing and both are fixable. By the end you will have language you can use on your very next evaluation. KEY TAKEAWAYS State the full price first and say nothing after it. The pause does the work. Never present the payment plan and the full amount at the same moment. Sequence matters more than wording. A pay in full incentive should be small and clean. Something like one bonus session. Never a discount that trains people to negotiate. Tie the plan to a clinical timeline. Nobody buys twelve visits. They buy being able to run again by spring. Handle the husband objection by inviting him in rather than sending her away to argue your case for you. Track your pay in full percentage every month. If it is under thirty percent the problem is your script and not your patients. PULL QUOTES You handed her the payment plan before she ever had a chance to say yes to the whole thing. The discount is not the reason she said no. You just gave her one more thing to think about. Say the number. Then close your mouth. Whoever talks first loses and it should not be you. Patients who pay in full finish. That is not a billing preference. That is a clinical outcome.

  2. Sep 5

    How a Discovery Call Actually Turns Into a Paying Client

    Most providers think they are losing people on price. They are not. They are losing them in the first ninety seconds of the call. The discovery call is the single highest leverage fifteen minutes in your entire business. It is also the part almost nobody trains for. You went to school to treat. Nobody sat you down and taught you how to hold a conversation where somebody decides whether to trust you with their body and their money at the same time. In this episode Kelly breaks down what is actually happening on a discovery call and why so many of them end in "let me think about it." She walks through the structure she teaches inside PelviBiz. Where to open. What to ask before you say a single word about your program. How to name the thing they came in with so clearly that they lean forward. When to talk about price and when to stay quiet. She also gets honest about the part providers hate. The moment you have to ask for the sale. That moment feels gross because most of us learned to sell from people we did not want to sound like. Kelly reframes it. If you believe you can help her and you let her walk away without a clear next step you did not protect her. You just avoided your own discomfort. You will hear the exact questions that move a call forward. The two answers that tell you this person is not ready. And the follow up that recovers a call you thought you lost. By the end you will stop treating discovery calls like an interview and start running them like the clinical conversation they actually are. KEY TAKEAWAYS The discovery call is not a sales call. It is an intake. Run it like one and the close takes care of itself. Diagnose before you prescribe. If you pitch your package before you understand her problem you are guessing out loud. "Let me think about it" is almost never about money. It is about clarity. She does not yet see herself getting better. Say the price plainly. Then stop talking. The silence is not rejection. It is processing. Every call ends with a decision. Yes or not right now. Never a maybe you have to chase for three weeks. Track your call to client rate weekly. You cannot fix a number you are not looking at. PULL QUOTES You are not convincing her to buy. You are helping her decide whether to keep living like this. If you can help her and you let her leave without a next step that is not humility. That is avoidance. Nobody has ever bought a program. They buy the version of their life on the other side of it.

  3. Aug 29

    Google Ads vs Meta Ads | Healthcare Practice Reality Check

    Every provider asks the same question when they start running ads. Should I use Meta or Google. The honest answer is they do completely different jobs. In this episode I break down how Meta and Google ads work differently for a cash based pelvic health business, when each one makes sense, and why picking the wrong one first can waste your budget and your time. You will learn what each platform is actually good at, how buyer intent differs between the two, and how to decide which one fits your practice right now based on where you are in your growth. Ready to build an ad strategy that actually brings in the right clients. Head to pelvibiz.com to see how we help providers do this. Key takeaways Meta and Google ads solve different problems Buyer intent is the biggest difference between the two platforms The right platform depends on where your business is right now Picking the wrong one first can waste budget and time Pull quotes Picking the wrong platform first can waste your budget and your time. Meta and Google ads solve completely different problems. Links pelvibiz.com Tags pelvic health business. meta ads for physical therapists. google ads for physical therapists. cash based physical therapy marketing. pelvic pt business coach. PelviBiz. marketing for private practice

  4. Aug 22

    Design Your Perfect Day While Building Your Business

    Most business owners build their business first and try to squeeze their life around it later. That is backwards. In this episode I walk through how to design the actual day you want to live and then build your business to support that day instead of letting the business dictate everything. This applies directly to pelvic health providers who went into private practice for freedom and ended up more boxed in than when they worked for someone else. You will learn how to get honest about what your ideal day actually looks like. You will learn how to structure your client hours revenue streams and team around that vision instead of around what everyone else in the industry says you should do. Ready to build a practice that fits your life instead of consuming it. Head to pelvibiz.com to see how we help providers make this shift. Key takeaways Your business should be built around your ideal day not the other way around Freedom is designed not found Most providers never actually define what their perfect day looks like Revenue model and schedule need to match the life you want Pull quotes Freedom is designed not found. Your business should be built around your ideal day not the other way around. Links pelvibiz.com Tags pelvic health business. cash based physical therapy. private practice pt. work life balance for physical therapists. designing your ideal business. pelvic pt business coach. PelviBiz

  5. Aug 15

    Online vs Brick and Mortar Pelvic Health Business. The Truth No One Tells You

    Everyone assumes online business is the easy path and brick and mortar is the hard one. It is not that simple. In this episode I break down what actually changes when a pelvic health provider builds an online business compared to running a physical practice. The overhead is different. The client relationship is different. The way you get paid is different. Neither model is easier. They just require different skill sets and different tolerance for risk. If you are trying to decide which direction fits your life and your goals this episode will help you think it through with clear eyes instead of hype. Ready to build a cash based pelvic health practice that actually fits your life. Head to pelvibiz.com to see how we help providers make this decision and build the business behind it. Key takeaways Online and brick and mortar both come with real tradeoffs The overhead structure looks nothing alike between the two models Client acquisition and retention work differently in each Your personality and risk tolerance matter more than the business model itself Pull quotes Neither model is easier. They just require different skill sets and different tolerance for risk. Your personality and risk tolerance matter more than the business model itself. Links pelvibiz.com

  6. Aug 8

    PT Burnout: The Real Reason Has Nothing to Do With Your Patients

    Every burnout conversation in physical therapy eventually lands on the same place — caseload size, compassion fatigue, the emotional weight of caring for people in pain. And those things are real. But they're not the root. The providers burning out fastest aren't burning out because of their patients. They're burning out because of the system wrapped around the patient relationship. The 15-minute visits that can't actually fix anything. The documentation that runs two hours past the last appointment. The reimbursement rates that haven't kept pace with the cost of staying in practice. The autonomy that got quietly handed over to an insurance company, a hospital system, or a clinic owner who controls your schedule, your caseload, and your ceiling. That's not compassion fatigue. That's a structural problem wearing a clinical mask. In this episode, Kelly breaks down the real drivers of PT burnout — the ones nobody names at continuing education conferences — and what actually changes when providers stop treating it as a personal resilience problem and start treating it as a business model problem. Because the solution to burnout isn't a meditation app or a lighter schedule. It's owning the structure you practice inside. This episode is for the provider who loves the work and is exhausted by everything surrounding it.

  7. Aug 1

    Insurance to Cash Pay: How to Make the Switch Without Losing Everything

    Leaving insurance isn't a decision most healthcare providers make lightly. It's a decision they make after years of shrinking reimbursements, hours of unpaid documentation, and the slow realization that the system they trained inside was never designed to serve them — or their patients. But knowing you want out and knowing how to get out are two completely different things. The insurance-to-cash transition is the most common pivot Kelly coaches — and the most mishandled. Providers either wait too long, trying to perfect every detail before they make a move, or they flip the model overnight and watch their schedule empty before the cash patients fill in. Both versions are avoidable. Both come from not having a real transition plan. In this episode, Kelly walks through the exact framework she uses with PelviBiz clients to move from insurance-dependent to cash-based — without torching the patient relationships they spent years building. We cover the 90-day transition sequence, how to communicate the change to existing patients, what to build before you drop your last insurance panel, and the math behind why most providers can net the same income at half the visit volume once the model is right. This is the episode for the provider who knows the answer is cash-based — and just needs the map.

  8. Jul 25

    Cash Pay Pricing for Healthcare Providers: How to Charge What You're Worth

    Most healthcare providers underprice their cash-pay services. Not because they don't value their work — but because they've spent their entire career letting insurance companies decide what their time is worth. That ends here. Cash-pay pricing isn't about picking a number that feels comfortable. It's about understanding your cost of care, your market position, your niche depth, and the outcome you're delivering — then pricing to reflect all of it. The providers who charge $200, $250, even $300 a visit aren't doing it because they're bold. They're doing it because they did the math, built the positioning, and stopped apologizing for the value they bring. In this episode, Kelly breaks down exactly how to set cash-pay rates that are sustainable, competitive, and sellable. We cover the pricing mistakes that keep providers stuck at rates that don't pencil, the psychology behind why patients pay cash when the value is clear, and the specific framework Kelly uses with PelviBiz coaching clients to build pricing they can actually stand behind. If you've been guessing at your rates, copying competitors, or quietly discounting because you're afraid of the objection — this episode is the reset you need.

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About

The PelviBiz Podcast is hosted by Dr. Kelly Alhooie — pelvic health DPT, founder of OrthoPelvic Physical Therapy, and creator of the LSR Method. Kelly spent 15 years in the clinic building what most practitioners only dream about: a 7-figure cash-based practice she built from scratch and sold on her own terms. Now she goes all in every week on what it actually takes for healthcare providers — especially women — to build profitable, scalable practices without sacrificing their lives to do it. Business systems, marketing, mindset, cash-pay strategy, and real talk from someone who has already done it all. New episodes every week.

Information

  • Creator
    PelviBiz
  • Years Active
    2022 - 2026
  • Episodes
    237
  • Rating
    Clean
  • Copyright
    © Copyright 2026 PelviBiz
  • Show Website
    PelviBiz Podcast

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