If you’ve gone cash-based, why are you still acting like you work for insurance?

Too many practice owners break up with insurance companies… but then keep trying to keep them happy. It’s like staying in touch with a toxic ex—you don’t owe them anything!

In this episode, we’re putting a stop to the madness. Here’s what we cover:
🚫 No more calling insurance companies—Not for denials, pre-auths, or patient questions. That’s not your job anymore.
🚫 No more fighting on their behalf—If a patient wants to submit for reimbursement, we’re happy to provide documentation—but we’re not playing insurance games.
🚫 No more worrying about what they say—Our obligation is to our patients, not insurance companies. Period.

If you’ve committed to running a cash-based practice, it’s time to fully step into that role. No more answering insurance calls. No more trying to “play nice.”

You’re free—now act like it!

Business Accelerator Program

If you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/accelerator

We've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Are you setting your patients up for success—or failure?

Too often, we focus so much on challenging our patients that we forget the power of easy wins. When patients struggle with an exercise or intervention, they don’t feel excited to come back and report a failure.

Instead, we need to stack small wins to build confidence, buy-in, and momentum.

In this episode, we dive into:
✅ Why early successes matter – Patients need to feel like they’re making progress now, not just months from now.
✅ How to avoid an ‘all or nothing’ mindset – Recovery isn’t about perfection; it’s about steady progress.
✅ The psychology of patient buy-in – Small, achievable tasks help patients trust the process and stay committed.

By giving patients simple, doable tasks, we create incremental progress instead of a frustrating cycle of struggle.

Let’s talk about how to shift your approach and help patients feel successful at every stage of their healing journey!

PelviCon Live Virtual Survey

As many of you know, in-person PelviCon tickets sold out in just 29 minutes this year!  With more than 400 people on the wait list for any spots that open up, we wanted to open up the amazing content and experience to more people.

We're planning to do some kind of live virtual option for PelviCon 2025 and asking for your feedback!  Fill out this brief survey and be entered to win a free live virtual ticket - entry closes today (2/17)!  https://forms.gle/uAY2yxBuUtoGFe1t6

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Are you just busy, or actually productive? 

As a business owner, it’s easy to feel like you’re constantly working but never making real progress. The truth? You don’t need more productivity hacks—you need to get the big picture right.

In this episode, we break down how to focus your time where it matters most so you’re not just working hard, but actually moving your business forward.

Here’s what we cover:
✅ Prioritizing the right things – Not all tasks are created equal! Learn how to identify the work that truly impacts your business.
✅ Fixing your schedule – Your time should reflect your priorities. We’ll show you how to build a schedule that supports your goals.
✅ Cutting out the rest – Whether it’s eliminating, automating, or delegating, we’ll help you free up time by getting rid of what doesn’t serve you.

If you feel stuck in the day-to-day grind and want to finally take control of your time, this episode is for you. Let’s get you working smarter, not just harder!

Business Accelerator Program

If you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/accelerator

We've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Your patient’s progress has stalled… but is it actually a problem?

We expect healing to happen in a straight line, but the reality? Plateaus are completely normal. No one improves at the same steady rate throughout their entire recovery.

So when a patient isn’t progressing as fast as you (or they) think they should, it’s time to step back and assess:
🔍 Is the patient actually struggling with this, or is it YOUR anxiety creeping in?
🔍 Are your expectations and timeline realistic based on their condition?
🔍 Have you given your interventions enough time to work? Could you go deeper?

If progress is truly stalled, it’s time to take a fresh look. Revisit their intake paperwork, re-evaluate your hypothesis, and consider a different approach.

But here’s the truth—most of the time, we just aren’t giving our interventions the time they need to work. Patience is key, both for us and our patients.

Let’s reframe how we think about plateaus and make sure we’re not letting our own expectations get in the way of patient care!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Hitting $1M in revenue sounds amazing… but do you actually want it?

Everyone talks about the magic $1M mark, but what does it really take to get there? And is it even the right goal for you?

In this episode, we break down the real numbers behind a $1M practice—including 100+ visits per week, 700+ evaluations per year, and a team of 5+ clinicians supported by a solid admin staff.

Here’s what you need in place to scale:
✅ A massive lead pipeline – You’ll need more than 1,000 leads per year to keep your schedule full.
✅ Tight business systems – You can’t rely on great people alone. Your conversions, drop-offs, and internal processes have to be dialed in.
✅ An investment in staff – Hiring, onboarding, and training are non-negotiable as you grow.
✅ A shift to the CEO role – You won’t have time to do everything yourself—you need to focus on strategy, leadership, and business growth.

But here’s the thing… most businesses won’t (and don’t need to) hit $1M. Many owners are building highly profitable, fulfilling businesses without ever reaching that milestone.

So before you chase the $1M dream, let’s talk about whether it’s actually right for you!

Business Accelerator Program

If you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/accelerator

We've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

In this episode, we share 3 Big Things from our recent Pelvic PT Rising business retreat. These are the foundational principles for creating a practice you love and a business that thrives.

• First, we dive into clinical excellence—why it’s the backbone of your practice. Treating according to your ethos, keeping patients engaged, and creating superfans who rave about your services will set you apart and make the biggest impact for your patients.
• Next, we tackle time management. As business owners, time is our most valuable resource, but are we spending it wisely? Learn how to prioritize what truly matters and focus on growth-oriented tasks.
• Finally, we discuss financial confidence. You can’t enjoy the success of your practice if you’re constantly stressed about money. We'll explore why understanding your numbers is critical and how financial clarity can reduce anxiety and allow you to savor your wins.

If you’ve ever felt stuck, overwhelmed, or unsure about your next steps, this episode is packed with actionable takeaways to help you move forward confidently.

Business Accelerator Program

If you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the  Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/accelerator

We've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

How can your own story shape the way you practice? 

In this episode, we dive into Jenny’s personal ethos of helping women stay active throughout their lives. She reflects on how her experience as an athletic trainer still influences her approach to patient care and shares the lessons she’s learned from navigating her own hip dysplasia and surgery during PT school—experiences that have transformed how she tempers expectations with her patients.

We also nerd out on research! Jenny breaks down two of her recent articles, revealing how to better read and apply research in your clinical work. If you’ve ever felt overwhelmed by journal articles, this is the conversation for you.

This episode is packed with inspiration, practical advice, and a shared love for advancing pelvic health. Whether you’re a new grad or a seasoned clinician, you’ll come away with fresh insights to improve your practice.

More about Jenny: Jenny is a clinician, researcher, and PhD committed to empowering women to live actively throughout their lives. Follow her great content on Instagram at @jenn.lacross.

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

How do you really know if your patient care is effective? It’s easy to rely on gut feelings or anecdotes, but those can lead us astray. If you’re serious about improving your clinical outcomes and patient experience, it’s time to start tracking objective metrics.

In this episode, we’re diving into the two essential metrics every clinician should track:

1. Forfeit Rate – How many patients stop care after 3 or fewer visits?
2. Appointment:Evaluation Ratio – How many visits, on average, are patients attending after their initial evaluation?

These numbers provide powerful insights into your clinical buy-in, the trust patients have in your care, and whether they’re staying long enough to achieve meaningful, lasting results.

What You’ll Learn in This Episode:

• Why relying on “gut feelings” can mislead even the best clinicians.
• The significance of your forfeit rate and what it reveals about patient buy-in.
• How your appointment:evaluation ratio highlights whether you’re making a long-term impact on your patients’ health.
• Actionable strategies to improve both metrics and enhance your practice.
• Practical tips for tracking, analyzing, and using metrics to guide your clinical care.

Business Accelerator Program

If you'd like to learn more about using these metrics in the context of your business and becoming a more confident business owner, make sure to join us for the next cohort of the Business Accelerator Program!  You can find all the details and submit an application at www.pelvicptrising.com/accelerator

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Why do patients say they’re too busy? Or that they can’t afford care? On the surface, these sound like perfectly reasonable excuses. But are they the real reasons—or just polite ways to avoid saying, “I don’t believe you can help me”?

In this episode, we’re flipping the script and challenging ourselves to take radical responsibility for how patients perceive us and our ability to help them. Instead of accepting their excuses at face value, we’re asking the hard questions:

• Are we truly communicating the value of what we do?
• Have we built the trust and connection they need to commit to their care?
• What signals might we be sending—intentionally or not—that make patients hesitate?

We’ll explore how to shift our lens from frustration to reflection, recognizing that patient objections are often symptoms of a deeper issue. Let’s take the reins and make sure our actions reflect our ability to help—no excuses.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Does your schedule control you—or do you control your schedule?

Too many practice owners bend over backward to accommodate every patient request. Early mornings, late evenings, skipping lunch—it’s no wonder burnout is lurking around every corner!

In this episode, we introduce the simple but powerful Red/Yellow/Green method to take back control of your schedule. It’s not just about managing time; it’s about protecting your energy, setting boundaries, and creating a practice that fits your life.

Here’s how it works:

• Red: Absolutely no scheduling—these are your sacred no-work zones.
• Yellow: Special exceptions only—reserved for the right patient or situation.
• Green: Open season—this is when you want to see patients.

By applying this framework, you’ll eliminate the stress of constant decision-making, streamline your availability, and make sure your practice supports your priorities instead of derailing them.

Whether you’re feeling overbooked or just want to refine your workflow, this episode will give you practical steps to transform your schedule and reclaim your time.

Say goodbye to burnout and hello to smarter, sustainable scheduling! Tune in now and take control.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!