Any advice for logistics in starting a new primary care practice (in Colorado)? I was referred to your group a few years ago by another NP.
How long does credentialing take (most of my patients are Medicaid)? I am assuming I need to start credentialing once I have a physical space-is this correct? Are virtual offices a good idea-and will I have issues with credentialing if I use a virtual office? Do you bill yourself (or hire a biller)?
I also wanted to thank the group for your inclusivity, as we all want to provide excellent care to our patients.
Marie Amina Aryan, NP-C (aka "Guest" for this week)
Hello: I started a new practice in Florida in 2015. I am a family physician. I started with registering and forming the corporation. An accountant can help you with that. In your case might be different since you are a NP. Make sure you have the start up money in your bank. I had an approval letter by Bank of America in NY. They never released the money. It has been a really hard year. Blue Cross /Blue shield of Florida took more than 1 year in approving me as " in network" could not collect in about 40% of my patients. Did I say that it has been a very hard year?? The best for 2017 to everyone here.
Thank you for your insight Edgar. I hope this upcomming year is better for you.
Thats what I do, family medicine with Medicaid in Colorado. I have been open in Colorado 5 years now (Ardas Family Medicine
), growing from zero to now 50 pts a day, 4 full time providers. Co Mcd credentialing takes only a few weeks, and yes you need an address first. I wrote somewhat of a step by step guide to opening your own practice. Write me a private message on here if you want to discuss.
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.
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