Practice Startup Package
Physician Practice Startup Services
Opening your own medical practice represents one of the most significant professional and financial decisions you’ll make in your career. AIE Medical Management provides comprehensive physician practice startup services designed to take you from initial concept to fully operational practice, with revenue flowing, payers contracted, and compliance infrastructure in place from day one.
Why Starting a Private Practice Is Complex
The clinical aspects of medicine are familiar territory. The business side is not. Physicians launching independent practices frequently encounter the same obstacles: credentialing applications that stall for months, payer contracts with unfavorable terms accepted under time pressure, and compliance gaps that create liability exposure.
These aren’t minor inconveniences. A three-month credentialing delay means three months without reimbursement. A poorly negotiated contract can cost your practice tens of thousands of dollars annually. What separates practices that thrive from those that struggle isn’t just clinical excellence. It is the operational foundation.
Our Approach
Our approach to medical practice startup consulting addresses every operational element required to launch and sustain a private practice. We don’t just hand you a checklist. We execute alongside you, managing the processes that determine whether your practice opens on schedule and generates revenue immediately.
Comprehensive Startup Services
Practice Planning and Entity Formation
Before any application is submitted or lease is signed, you need a clear operational blueprint. We work with you to determine appropriate entity structure, evaluate location considerations, define your service scope, and establish realistic timelines. This planning phase identifies potential obstacles early, including zoning restrictions, certificate of need requirements, and specialty-specific regulations, so they're addressed proactively.
Credentialing and Payer Enrollment
Credentialing delays represent the single greatest threat to your launch timeline. We manage the complete credentialing process across Medicare, Medicaid, and commercial payers, including primary source verification and ongoing tracking. For practices requiring accelerated timelines, we can structure a delegated credentialing agreement where applicable, allowing you to begin seeing patients under existing network arrangements while individual credentialing is finalized.
Payer Contract Negotiation
Being credentialed with a payer and having a favorable contract are different matters. Standard terms often include reimbursement rates significantly below what established practices receive. We analyze proposed contract terms against current market rates, identify negotiable provisions, and advocate for terms that support your practice's financial sustainability, including fee schedule analysis and carve-out opportunities.
Operational Infrastructure & Compliance
A functioning practice requires more than a location. You need compliant policies, HIPAA-compliant workflows, and staff who understand regulatory requirements. We help establish the operational infrastructure that keeps your practice compliant with federal and state regulations from the outset. This includes policy development, workflow design, and compliance program frameworks that satisfy payer audits.
Building Your Private Medical Practice Business Plan
Lenders, potential partners, and even some payers will require a formal business plan. Beyond external requirements, a well-constructed plan serves as your operational roadmap and financial benchmark.
Our business planning support goes beyond generic templates. We develop a private medical practice business plan grounded in realistic revenue projections based on your specialty, market, and payer mix.
- Financial Modeling: Accounting for credentialing timelines, ramp-up periods, and working capital requirements rather than idealized scenarios.
- Expense Projections: Reflecting actual costs in your market, including staffing, supplies, rent, malpractice coverage, and EHR systems.
- Break-Even Analysis: Identifying when your practice becomes self-sustaining and what patient volumes are required.
- Contingency Planning: Addressing what happens if credentialing takes longer than expected or if a key payer denies your application.
Medical Practice Succession Planning
While succession may seem premature when you are launching, the decisions you make now directly affect your options later. Entity structure, partnership agreements, contract assignability, and valuation methodologies all influence your future transition options.
We incorporate medical practice succession planning considerations into your startup structure, ensuring you are not inadvertently limiting future options or creating obstacles you’ll need to unwind years from now.
Why Physicians Choose AIE
We understand the physician practice startup process not as outside observers, but as practitioners who have guided practices through every stage of development.
- Process-Driven Execution: Established protocols with defined milestones.
- Payer Experience: Understanding how to navigate requirements efficiently.
- Compliance-First Approach: Every recommendation considers regulatory implications.
- Integrated Perspective: Addressing credentialing, contracting, and operations together.
Start Your Practice With a Clear Path Forward
Launching a private medical practice is entirely achievable with proper planning, realistic timelines, and experienced support. The physicians who succeed are the ones who build their operational foundation correctly from the start.
If you are preparing to transition from employment to ownership, or you’ve already begun the process and encountered obstacles, we are available to discuss your specific situation.
