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Practice Startup. Steven D. Atwood, M.D., FACP Internal Medicine, Springfield, Missouri satwood@pol.net http://www.adultmedicine.com/presentations/practice-startup.ppt. Private Practice Will Not Go The Way of the Dinosaur. not assembly line personal and private big vs. small

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practice startup

Practice Startup

Steven D. Atwood, M.D., FACPInternal Medicine, Springfield, Missouri

satwood@pol.net

http://www.adultmedicine.com/presentations/practice-startup.ppt

slide2

Private Practice Will Not Go The Way of the Dinosaur

  • not assembly line
  • personal and private
  • big vs. small
  • perks--access, costs

Why

Key Traits for Success

  • hard worker
  • multi-task
  • communicate
  • well trained
  • Like Raising a Child
slide3

Guide Through Process of Going Out on Your OwnHelp for the Established Physician Wanting to Start a Practice

slide4

Initial Steps

  • These May Take Several Months to Complete
  • License
  • Hospital Staff Privileges
slide6

Phase 1

1. Phone Number

slide7

Phase 1

2. Post Office Box

slide8

Phase 1

3. Lease

slide9

Phase 1

4. Business Card

slide10

Phase 1

5. Pager-- Cell Phone

slide11

Phase 1

6. Liability Insurance

slide12

Phase 1

7. Furniture

slide13

Phase 1

8. Applications

applications
Applications

takes 4 Weeks, retroactive, separate form for electronic claim submission

takes 4 Weeks, retroactive, online user--confirm pt. covered

standardized form , not retroactive will need a site review to go active

number must be on every Medicare claim with lab

this is how insurance companies will identify you

slide15

Phase 1

9. Temp Agencies

slide16

Phase 1

  • Trusted Helper
  • Multi-Task-- Notebook or Palm PC
phase 2
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
phase 21
Phase 2
  • Registration
  • Office Superbill
  • Hospital Superbill
  • Encounter Form
  • Problem Sheet
  • Med Sheet
  • Message Form
  • Coag Flow Sheet
  • Lab Flow Sheet
  • Letter Template
  • Fax Template
  • Application for Employment
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
phase 22
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
  • Licensing Board
  • DEA
  • AMA
  • Hospitals
  • Managed Care Networks
  • Insurance Companies
phase 23
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab

3. W-9

phase 24
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab

4. Kinko’s

phase 25
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
  • Colwell
  • Medical Arts Press
  • Office Depo
phase 26
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
  • Moore Medical
  • Henry Schein
  • Local Pharmacy
phase 27
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab

Include a PictureLocation & Office Phone

phase 28
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
  • Line of Credit--$50K & take as needed
  • Second Mortgage on Home
phase 29
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
  • See who hospital uses
  • Ask other docs in your area
  • Disposable
phase 210
Phase 2
  • Forms
  • Form Letter
  • W-9
  • Kinko's
  • Paper Supplies
  • Med Supplies
  • Newspaper Ad
  • Bank
  • Gowns
  • Lab
  • Hospitals
  • National– Quest, LabCorp
real life adventures1
Real Life Adventures
  • Telephone Company Keeps Giving Old Number
  • Prior Operator Forgets How to Reach You
  • Old Patients Contacted to Change Docs
  • Restrictive Covenant
real life adventures2
Real Life Adventures
  • Participating Provider Block
  • Participating Provider Delay
  • Participating Provider Notification Forgotten
  • Employed Paid Better than Independent
real life adventures3
Real Life Adventures
  • Old Billing Office Absorbs Your Checks
  • You Forget to Apply to RR Medicare
  • Insurance Companies not Pay for First 3 Months
first quarter
First Quarter
  • Phone Book Ad
  • Website or Office Brochure
  • Software Word Processor, Quicken, QuickPay Scheduling vs Colwell Schedule Book Billing Software EMR ??
  • Network Computers--- (all plug & play)
first quarter1
First Quarter
  • All-in-One Machine– Fax / Copy / Print / Scan
  • Fax to Computer—HotFax
  • Dictation– Digital ?better quality sound smaller dictaphone send and receive dictation 24/7 no staff space, no staff benefits, guaranteed 24h turn around
first quarter2
First Quarter

Marketing

Rotary

Church

Physician Meetings

Physician Staff Lounge

Staff Cafeteria

Don’t be a Wall Flower

first quarter3
First Quarter

Marketing

Easy Access for Patient

phone / appointments

Freebies

sample meds, no charge visit

Call and Check on Patient the Next Day

Predictable Hospital Rounds

first year
First Year
  • Clearing House for Electronic Claims
  • Pension Plan for Office
  • Cafeteria Plan for Staff
  • Collection Agency
  • Group Health
best time savers
Best Time Savers
  • Cell Phone as a Pager
  • Message Pad
  • Problem List / Med Sheet
best cost savers
Best Cost Savers
  • Health Insurance via Staff using Cafeteria Plan
  • Cell Phone as a Pager
  • Faxes Received and Saved by Computer
hardest thing
Hardest Thing
  • Managing Staff– short-handed because of sick kids, snow days
    • foul-ups because staff
  • forgot the routine system
best thing
Best Thing
  • More Flexibility to Do What is Best for Your Patient
  • Ability to Quickly Fix Things
  • eg. Computer problem phone equipment deficiency
  • need new fax machine