Gods I hope I can get this into one last post. I tend to elaborate too much or else I assume people know/understand things they couldn’t possibly, unless they were there. so.
I incorporated, I got a Tax ID, I got a group NPI (a must to take insurance payment), a bank account, and I researched what all was involved in getting credentialed with Medicare and Medicaid (or in my state’s case, AHCCCS). But. I drug my feet HARD on actually starting it. Because that, in my mind, was the final step – the step that meant I was really going to do this. Which meant I was really going to quit my not cushy but mostly predictable job. Which is a rather frightening thought.
I suppose I should say what I wanted to do for a business. I never wanted to compete with the other office, that was never my intention. What I wanted to do was make it easier for those with debilitating chronic illnesses, those without their own vehicles and dependent on medical taxi services, those who were too sick to go to the office, to see a medical provider. I wanted to do HOUSE CALLS. I did a lot of research on the idea and it really seems like an idea whose time has come once again.
Mr. TinFoil was initally EXTREMELY against the idea of starting our own business. He asked one of his medical directors for advice – without consulting me. The medical director, who just the week before had told Mr. TF he was making so much money working for Mr. TF’s company that he was only seeing patients in his *own* practice 2 days per week, said it was a very bad idea and “the only way to make any money at this is to save up to buy your own business and have the waiting room full all the time.” Hmmm…not a very reliable source in my opinion, given the apparent hypocrisy and inconsistency between the two statements.
But then he asked some of his coworkers what they thought of it, and all were universally enthusiastic about it. One of the NP’s who works for his company even asked him to keep her in mind if I expand enough to hire someone else. Which I thought was a fairly ringing endorsement.
I had already done WEEKS worth of research on Medicare pricing structures for our area so our superbill could be updated (and corrected). It was simple enough to add in the pricing for home visits to my research. I kept the results of my research in a separate folder on my computer and also in hard copy to make sure I had access to it even in the event of a computer failure. Thank the Gods I did, because with the change in ownership and the loss of my job, it was already done and easy enough to put to use.
So after I got canned, I started the processes for getting credentialed. UGH. It took me 2.5 days to wade through the Medicare applications, IRS forms, etc I needed for myself and for the business. And I mean 10 -12 hour days, not 2 hours here and there. I suppose it’s faster if you’ve done it before though. Then I began the process for getting credentialed with the insurance companies. Which has been a problem, because if you don’t have a Medicare number you basically can’t get credentialed with the insurances. Much of that work time has been wasted, and will have to be done all over again when I get my Medicare number.
This week I will begin marketing my business in earnest. I live in a retirement state, there are huge numbers of people that this will appeal to!