Staying Independent...Together

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   RE: logistics for starting a new practice
 From: Melissa Weakland
 To: Member Forum
 Posted: 01-05-2017 10:03

Billing- we do ourselves in house.  It is much more affordable than hiring someone and I find not that complicated. 

I pay one person 10 hours a week to do our books and our billing. I think as I make my billing systems more efficient I can then also use her better to do reporting and tracking.   She didn't have billing experience.  I learned just by doing and taught her what I know. We still learn each month that goes by as the rules with insurances change.  While I don't enjoy this work I find it useful knowing the details of the money. 

I find the paperwork to maintain credentialing the biggest challenge.  It takes a lot of work and every 3 months there are requirements for updated paperwork.  I am now also training someone to do this work and some of the back office work as well as chasing some of the more complicated insurance problems for another 5 hours a week.  

We have two providers in our office.

For me credentialing was easy as I was already set up as an employed doc. When I left that job I just changed my address and affiliations. When I establish with a new insurer I find it takes about 2 months from start to finish.  This partially depends on how much time I have to do all of the paperwork. 

Good luck. Keep the questions coming.


Melissa Weakland MD
Ballard Neighborhood Doctors
Seattle WA
IMP since 2007
Original Message:
Sent: 01-04-2017 13:01
From: David Gordon
Subject: logistics for starting a new practice

I would recommend contacting Rose Medical Group. They are based out of Rose Hospital in Denver but I believe they work with providers throughout at least the metro area regardless of hospital affiliation (or lack of any hospital affiliation). They handle contracting for $500 per year with all private payers. Medicare and medicaid need to be done on your own but I bet they would give you some support there.

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