Starting a medical practice involves meticulous planning and organization. Here is a comprehensive outline based on our checklist. In addition to this basic outline, we have also provided an expanded version along with source material below.
1. Initial Planning and Legal Considerations
- Select Legal Counsel: Hire legal counsel to assist with the start-up details, including business formation and compliance.
- Obtain Professional License: Ensure you have the necessary professional licenses to operate your practice.
- Determine Practice Entity Type: Decide on the legal structure of your practice (e.g., sole proprietorship, partnership, corporation, LLC).
2. Financial Planning
- Develop a Business Plan: Create a detailed business plan outlining your practice’s goals, target market, services, and financial projections.
- Secure Financing: Obtain funding through loans, investors, or personal savings.
- Set Up Accounting Systems: Establish accounting and bookkeeping systems to manage finances.
3. Location and Facility Setup
- Choose a Location: Select a suitable location based on accessibility, visibility, and proximity to other healthcare providers.
- Lease or Purchase Property: Negotiate and finalize the lease or purchase of your practice location.
- Design and Renovate: Plan the layout and design of your office. Hire contractors for necessary renovations and ensure the facility meets all healthcare regulations.
4. Regulatory Compliance
- Register with State and Federal Agencies: Obtain necessary registrations and IDs, including NPI and EIN.
- Incorporate your Payer Mix in Business Plan: Unsure of your top payers and their status, schedule your free consultation with one of our start-up & credentialing specialists.
- Credentialing with Payers: Complete the credentialing process with insurance companies and Medicare.
- Compliance with Healthcare Regulations: Ensure compliance with HIPAA, OSHA, and other relevant healthcare regulations.
5. Technology and Equipment
- Select Medical Equipment: Purchase medical equipment and supplies needed for your practice.
- Implement Health IT Systems: Set up Electronic Health Records (EHR) and practice management software.
- Establish IT Infrastructure: Install computers, networks, and communication systems
6. Staffing
- Hire Staff: Recruit and hire administrative and clinical staff.
- Develop HR Policies: Create policies and procedures for staff management, including training, payroll, and benefits.
- Conduct Staff Training: Provide training for new hires on practice policies, EHR systems, and patient care protocols.
7. Marketing and Patient Acquisition
- Develop a Marketing Plan: Create a marketing strategy to attract and retain patients.
- Build an Online Presence: Launch a website and utilize social media to promote your practice.
- Network with Referring Providers: Build relationships with other healthcare providers for patient referrals.
8. Operations Management
- Establish Office Policies: Create policies for scheduling, billing, and patient management.
- Set Up Billing and Collections: Implement systems for insurance billing, patient invoicing, and collections.
- Monitor Practice Performance: Use performance metrics to track practice growth and patient satisfaction.
Free practice start-up checklist
Use our free practice start-up checklist to organize tasks and follow the timeline as you prepare to open. Request a copy so our team can send you the resource.
DOWNLOAD FREE CREDENTIALING CHECKLIST
These credentialing checklists are 100% free with no obligations or annoying prerequisites.
1. Provider Credentialing Checklist- For practices and organizations hiring a new provider with established payer agreements and locations.
2. New Practice Credentialing Checklist – For new practices that will be obtaining new payer agreements or entering a new market.
DOWNLOAD HEREExpanded Practice Start-Up plan
Initial Planning and Legal Considerations
- Select Legal Counsel: Engage with legal experts who specialize in healthcare law to navigate regulations and compliance.
- Obtain Professional License: Refer to state medical boards for specific licensing requirements. Example: Federation of State Medical Boards (FSMB).
- Determine Practice Entity Type: Consult with legal and financial advisors to choose the best entity type for tax and liability purposes.
Financial Planning
- Develop a Business Plan: Utilize resources like the Small Business Administration (SBA) for templates and guidance.
- Secure Financing: Explore options such as SBA loans, bank loans, or private investors. Example: SBA loan programs.
- Set Up Accounting Systems: Invest in accounting software like QuickBooks or hire a professional accountant.
Location and Facility Setup
- Choose a Location: Consider demographic studies and market analysis. Example: Site Selection for Medical Practices.
- Lease or Purchase Property: Work with commercial real estate agents experienced in medical properties.
- Design and Renovate: Hire healthcare facility designers to create an efficient and patient-friendly environment. Example: Healthcare Design.
Regulatory Compliance
- Register with State and Federal Agencies: Obtain necessary identifiers such as NPI from National Plan & Provider Enumeration System (NPPES).
- Credentialing with Payers: Utilize services like CAQH ProView for credentialing.
- Compliance with Healthcare Regulations: Ensure adherence to HIPAA and OSHA.
Technology and Equipment
- Select Medical Equipment: Purchase from reputable suppliers. Example: Henry Schein Medical.
- Implement Health IT Systems: Choose certified EHR systems. Example: Office of the National Coordinator for Health Information Technology (ONC).
- Establish IT Infrastructure: Invest in reliable IT solutions for data security and network management.
Staffing
- Hire Staff: Use healthcare-specific job boards and recruitment agencies. Example: Health eCareers.
- Develop HR Policies: Create comprehensive HR policies and employee handbooks. Example: Society for Human Resource Management (SHRM).
- Conduct Staff Training: Provide continuous education and training programs. Example: Medical Group Management Association (MGMA).
Marketing and Patient Acquisition
- Develop a Marketing Plan: Focus on digital marketing, community outreach, and patient referral programs. Example: Healthcare Marketing Tips.
- Build an Online Presence: Optimize your website for search engines and engage with patients on social media. Example: Digital Marketing for Healthcare.
- Network with Referring Providers: Join professional associations and attend local medical events.
Operations Management
- Establish Office Policies: Develop comprehensive policies for daily operations. Example: Practice Management Guidelines.
- Set Up Billing and Collections: Implement effective billing systems and train staff.
- Monitor Practice Performance: Use key performance indicators (KPIs) to measure success. Example: Practice Performance Metrics.
Conclusion
This outline provides a foundational guide for starting a medical practice, incorporating essential steps and resources to support launch planning and ongoing management. Don’t forget to take advantage of our free start-up resources.
Sources:
- Physician Practice Specialists
- Small Business Administration (SBA)
- Federation of State Medical Boards (FSMB)
- SBA loan programs
- Site Selection for Medical Practices
- Healthcare Design
- National Plan & Provider Enumeration System (NPPES)
- CAQH ProView
- HIPAA
- OSHA
- Henry Schein Medical
- Office of the National Coordinator for Health Information Technology (ONC)
- Health eCareers
- Society for Human Resource Management (SHRM)
- Medical Group Management Association (MGMA)
- Forbes Agency Council
- CredentialingReviews.com
- WebMD Digital Marketing
- American Academy of Family Physicians (AAFP)
- Athenahealth Practice Performance Metrics