Staying Independent...Together

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   RE: Practicing out of my home?
 From: Peter Liepmann
 To: Member Forum
 Posted: 07-13-2017 20:10
 Message: If you practice as ("My name"  or "My Name medical clinic")  you don't need a DBA or to tell the MBC.  If you practice as "Foothill Medical," you will.

I practiced in a fairly small community for 20+ years.   My home phone was listed.  In all that time, the only time someone called me at home was to tell me the answering machine at the office had failed, and wasn't picking up.  (Power failure =>UPS for the ans machine, after that.)

Everybody in a small town knows where you live anyway.  If you have usable/functional space, I'd say go for it.
If you grow enough to need more space, you'll know it.

If you have your home address on your DEA (need to change it within 10 days, btw) and NPI, then you can tell the suppliers that's where you practice (tell them to look it up!)   You MIGHT want a separate po box but most of your checks should be electronic anyway.  Keep us posted about insurance companies giving you a hard time-they're all abusive.  Of course you can bill them.
You do want a separate checking account, and possibly a separate TIN as a DBA.  A "corporation" doesn't protect you from much, and isn't worth the extra expense, IMO.

ANd if you tell someone to meet you at the office at 10:00 at night, it's not a long trip for you!

Peter Liepmann MD FAAFP MBA
My mission is to fix US health care
Bakersfield CA
Original Message:
Sent: 07-12-2017 21:53
From: Kelly Sharrar
Subject: Practicing out of my home?

After 10 years of employed medicine as a family physician, I recently lost my job and want to make good on my desire to be independent. I live in a rural community with a doctor shortage and have been trying to open a clinic from my own home after seeing that option mentioned on an IMP site. I love the idea of very low overhead, so I can practice slow medicine. Is anyone practicing this way?
My county has no problem with zoning and the community is very supportive, but I would like to bill insurance and don't know if it's a no-go. Medical suppliers have already balked when I ordered some supplies to set up. I'm ready to try to start credentialing; there are only a few big insurance players out where we live, besides Medicare (not taking Medi-Cal). I have an ideal location and set-up, working on ADA accessibility. Would love any advice, I'm in the California Sierra foothills.

Kelly A. Sharrar, M.D.
Mariposa CA

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