What I Wish I Knew About Starting a Cash Practice (And Why I’d Use an EMR on Day One)
Apr 29, 2026When I started my cash practice, I did what most of us do…
I focused on getting clients, getting outcomes, and figuring everything else out as I went.
And for a while, that worked.
But behind the scenes?
It was mess to say the least…
I was running my documentation on pen and paper (yes, when I was practicing this was still a thing).
Writing notes between sessions, at the end of long days, sometimes trying to piece things together hours later. If I needed to send something to another provider, it turned into this whole extra task… scan it, format it, hope it looked halfway professional.
Same thing with clients.
If they wanted a copy of their plan or notes, it wasn’t clean. It wasn’t simple. It definitely didn’t reflect the level of service I felt like I was providing in-person.
And don’t even get me started on superbills…
Everything was manual. Everything took longer than it should have. And every one of those small inefficiencies added up.
When you’re starting a practice, you think the hard part is getting clients.
But what actually wears you down is everything around the client.
This is what a lot of people refer to as “systems”.
Reminders, documentation… all the things on the backend that end up getting put off til late, but then never actually get done…
I see this all the time now with providers.
Everything pieced together with proverbial duct tape.
If I could go back, I wouldn’t wait to “earn” the right to use an EMR.
I’d start with one immediately (we love our friends over as Jane as a recommendation).
But you have to realize it’s not just a place to store notes.
It handles the full flow of your practice.
And more importantly, it’s built for how we (as soloproviders) actually work.
You’re not trying to force your process into some rigid system.
You’re building something that adapts to you and that’s the most important piece in investing in any software.
And the best part is with top tier support, you don’t have to build it alone.
So start making the systems piece of your clinic work effortlessly so you can spend more time doing what you love, working with patients.
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PS: If you want to learn more about the Jane App and how it can support your practice, you can book a demo to see Jane in action. Or, if you’re ready to get started, use my code “Ray1mo” for a one-month grace period on your new Jane account
Interested in learning more?