PaySec + ModMed: Specialty-Specific EHR with Zero-Fee Patient Payment Collection
How dermatology, orthopedics, ophthalmology, and other specialty practices using ModMed are eliminating processing fees on patient payments.
Modernizing Medicine (ModMed) delivers specialty-specific EHR and practice management for dermatology, orthopedics, ophthalmology, otolaryngology, gastroenterology, urology, and pain management. Unlike generalist EHR platforms, ModMed builds purpose-designed workflows for each specialty it serves, making it the preferred platform for specialty practices that need clinical documentation and practice management tools tailored to their exact discipline. These specialties share a common trait: significant patient-responsibility collections from cosmetic procedures, high-deductible plans, and specialty copays.
PaySec's ModMed integration eliminates the processing fee on every one of those collections.
How Network Offset Pricing Works with ModMed
Network Offset Pricing (NOP) presents patients with two transparent payment options at every collection touchpoint — check-in, checkout, and the patient portal. The patient sees both a cash/ACH price and a card price. The card price includes a small offset that covers the cost of card processing.
For example, on a $3,500 LASIK procedure:
- Cash/check/ACH: $3,500.00
- Credit/debit card: $3,640.00
The patient chooses their preferred method. Either way, the practice receives the full $3,500. NOP is legal in all 50 states, fully compliant with card network rules, and PaySec requires no contracts or volume minimums. HIPAA compliance is built in, with a Business Associate Agreement (BAA) available for every healthcare merchant account. Approval typically takes 3-5 business days.
Why Specialty Practices Pay More in Processing Fees
Specialty practices have higher average transaction sizes than primary care:
| Specialty | Avg Patient Payment | Monthly Volume | Annual Fees (2.6%) |
|---|---|---|---|
| Dermatology (cosmetic) | $350 | $85,000 | $26,520 |
| Orthopedics | $280 | $95,000 | $29,640 |
| Ophthalmology | $400 | $70,000 | $21,840 |
| GI | $200 | $55,000 | $17,160 |
| Pain Management | $175 | $40,000 | $12,480 |
Cosmetic dermatology practices with cash-pay services often process $100,000+ monthly in patient payments — at 2.6%, that's over $31,000/year in processing fees alone.
Integration with ModMed
EMA (Electronic Medical Assistant)
PaySec connects to ModMed's EMA platform for payment collection at key touchpoints:
Check-In: Copay collection with dual pricing on terminal Checkout: Balance collection after procedure coding Payment Plans: Cosmetic procedure installments with NOP applied Patient Portal (PMP): Online balance payments with ACH and card options
ModMed Pay Replacement
ModMed Pay charges standard processing rates. PaySec replaces this with Network Offset Pricing:
| Feature | ModMed Pay | PaySec |
|---|---|---|
| Card-present rate | 2.5% + $0.10 | 0% effective |
| Card-not-present | 3.3% + $0.30 | 0% effective |
| ACH | 1.0% | 0% effective |
| NOP/Dual pricing | No | Yes |
| Terminal included | Varies | Yes |
Specialty-Specific Workflows
Dermatology:
- Cosmetic procedure payments (Botox, fillers, laser) processed at zero cost
- Package pricing for treatment series with NOP on each payment
- Product sales (skincare, medical-grade) with dual pricing
Orthopedics:
- High-deductible collections at point of service
- Surgical copays and coinsurance
- DME (durable medical equipment) purchases
- Physical therapy session payments
Ophthalmology:
- LASIK and PRK procedure payments ($3,000-$6,000)
- Premium IOL upgrade fees
- Contact lens purchases
- Optical shop retail
Cosmetic/Elective Practice Savings
For practices with significant elective/cosmetic revenue:
| Monthly Cosmetic Revenue | Processing Fees (2.6%) | With PaySec | Annual Savings |
|---|---|---|---|
| $50,000 | $1,300 | $0 | $15,600 |
| $100,000 | $2,600 | $0 | $31,200 |
| $200,000 | $5,200 | $0 | $62,400 |
| $500,000 | $13,000 | $0 | $156,000 |
Patient Experience in Specialty Settings
Specialty patients — especially cosmetic and elective — are accustomed to pricing transparency:
- Cosmetic patients already research prices extensively
- Elective procedure patients compare options based on cost
- Dual pricing is perceived as transparent and fair
- Many patients prefer ACH for large payments (saving money on a $5,000 procedure)
Technical Specifications
| Feature | Details |
|---|---|
| ModMed Version | Current cloud platform |
| Integration | API-based payment sync |
| Terminal | NOP-enabled contactless device |
| Patient Portal (PMP) | Embedded payment page |
| HIPAA | Compliant (BAA available) |
| PCI | Level 1 SAQ-A/B-IP |
| Specialties | All ModMed-supported specialties |
| Multi-Location | Supported |
Who Benefits Most?
While any ModMed practice will save with PaySec, certain practice profiles see the most dramatic results:
- Cosmetic dermatology practices with high cash-pay revenue from Botox, fillers, lasers, and skincare products where 100% of the fee is patient-paid
- Ophthalmology practices performing LASIK, PRK, and premium IOL upgrades where elective procedures generate $3,000-$6,000+ transactions
- Multi-location specialty groups where aggregate processing fees across several offices become a six-figure annual expense
- Orthopedic practices in high-deductible markets collecting large coinsurance and out-of-pocket balances at the time of service
- Pain management practices with high visit frequency and consistent copay collections on every appointment
If your ModMed practice collects more than $40,000/month in patient payments, the annual savings with PaySec will meaningfully impact your profitability.
Getting Started
- Contact PaySec for a specialty healthcare assessment
- Review current ModMed payment workflow
- Deploy PaySec terminals and portal integration
- Configure specialty-specific pricing displays
- Brief staff (15-minute training)
- Go live with zero-fee collections
PaySec requires no contracts, no volume minimums, and provides PCI Level 1 security alongside full HIPAA compliance with a BAA. Approval typically takes 3-5 business days.
PaySec + ModMed: specialty-specific practice management meets specialty-optimized payment processing. Zero fees on every patient payment.