Are you starting a new practice?
Everything you need to open your medical practice and get paid from day one.
Congratulations on starting your own practice
Opening a medical practice is exciting, but the business side is complex. Between licenses, insurance contracts, credentialing, software and compliance, there are dozens of steps, and a mistake in any of them can delay your first payment by months.
Well Bill MB LLC helps new physicians, nurse practitioners, therapists, clinics and groups open with confidence. We handle credentialing, billing setup and medical billing, so you can focus on your patients and your launch.
Many new practices wait too long to start credentialing, which means seeing patients without being able to bill. Use the roadmap below and start early.
Your new practice roadmap
Six phases, from planning to launch.
- Plan your practice (6 to 12 months before opening)Choose your specialty and care model (private practice, group, concierge or telehealth). Write a business plan, build a startup budget, line up financing, research your local market and payer mix, and choose a location.
- Legal setup and registrations (4 to 6 months before)Form your legal entity (LLC, PLLC or PC, depending on your state), get your EIN, open a business bank account, and obtain business licenses, state and local registrations, tax accounts and a CLIA certificate if you will run in-office lab tests.
- Licenses, NPI and insurance (4 to 6 months before)Confirm your state medical license, DEA and controlled substance registrations, individual and organizational NPI numbers, malpractice insurance and general business insurance.
- Credentialing and payer contracts (3 to 6 months before)Complete CAQH, enroll with Medicare, Medicaid and commercial insurers, negotiate contracts and review fee schedules. This is the longest step, so start early.
- Systems, compliance and staff (2 to 3 months before)Select your EHR and practice management software, connect a clearinghouse, enroll for ERA and EFT, put HIPAA policies and business associate agreements in place, hire and train staff, and set up front desk and billing workflows.
- Launch and monitor (Opening month and after)Launch your website and Google Business Profile, verify eligibility on every patient, submit clean claims within days, and review denials, collections and days in A/R every month.
New practice startup checklist
Legal and licenses
- Business entity and EIN
- State medical license
- DEA and state registrations
- Business license and permits
- CLIA waiver if needed
Insurance and credentialing
- Malpractice and business insurance
- NPI (individual and group)
- CAQH profile
- Medicare and Medicaid enrollment
- Commercial payer contracts
Technology
- EHR and practice management
- Clearinghouse connection
- ERA and EFT enrollment
- E-prescribing
- Phone, internet and secure email
Billing setup
- Fee schedule
- Superbill and charge capture
- Eligibility verification process
- Patient payment policy
- Billing partner or team
Compliance and privacy
- HIPAA privacy and security policies
- Business associate agreements
- Staff training
- Patient consent forms
- Records retention plan
Staff and marketing
- Front desk and billing roles
- Staff training and workflows
- Website and Google Business Profile
- Referral relationships
- Patient reviews plan
Costs and cash flow to plan for
Most new practices underestimate how long it takes to start getting paid. Credentialing, claim processing and payer payment cycles can mean 60 to 90 days or more before steady revenue arrives, so plan reserves for operating expenses during that time.
- Legal, licensing and registration fees
- Malpractice and business insurance
- EHR, practice management and equipment
- Rent, build-out, supplies and utilities
- Staff salaries and training
- Credentialing and enrollment costs
- Marketing, website and signage
- Operating cash reserve for delayed payments
Mistakes to avoid
- Starting credentialing too late
- Seeing insured patients before payer approval is confirmed
- Choosing software before checking payer and clearinghouse compatibility
- Skipping HIPAA policies and staff training
- Having no billing plan, or no one tracking denials
- Not verifying eligibility on every visit
- Underestimating startup cash needs
How Well Bill MB helps you open
- Credentialing and payer enrollment for every provider
- Medicare, Medicaid and commercial applications
- CAQH setup and maintenance
- Billing system, clearinghouse and ERA/EFT setup
- Fee schedule and payer contract review
- HIPAA-aware billing workflows
- Front desk and billing process guidance
- Complete medical billing and RCM after you open
- Flexible pricing built around your budget
Frequently asked questions
When should I start credentialing?
Ideally three to six months before opening. Some payers take longer.
What do I need first?
Your license, NPI, malpractice insurance, tax ID and a complete CAQH profile.
Can you help if I already opened?
Yes. We can speed up pending applications and clean up your billing setup.
Do you work with solo providers?
Yes. We support solo providers, small groups and growing clinics, with flexible pricing.
Which states do you cover?
We help practices in all 50 states.
Can you handle my billing after opening?
Yes. Many new practices start with credentialing and stay with us for full billing.
Find out what your practice is leaving on the table
Request a free practice audit. No obligation, no long-term contract.
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