Practice Startup in Missouri

1	PO Box	About $60 for 6mo, ideal for patient payments
2	Change of Address	AMA which links to pharmaceutical & free magazines; old office-- note postmaster won't forward business mail if business still there; hospitals, licensing, DEA, BNDD, web sites, Postmaster
3	Lease	Try for $1,000-$1,500 per month per doc
4	Bank 50K loan	Line of credit, use as you need
5	Bank Checking Account	Don't co-mingle home & office; location close to office
6	Cell Phone	Should include unlimited nights & weekends & voice mail
7	Answering Service
8	Business Cards	Kinko's is a quick fix & takes 10 minutes
9	Staff	Benefit list--vacation, holidays, health ins, sample meds, health care,
10	Federal EIN #	Usually can get number same day you call-- this is your unique identifier & how you are registered
10	State Tax I.D. #	Needed for payroll & taxes; request Form 2643
11	State Unemployment ID #	From Div. Employment Security
12	W-9 Form for Insurance Companies	Mail it to them; you are registered by your EIN
13	Clia #	you need this # to do accuchecks & guiacs & urine dipsticks
14	Medicare	Takes 4 - 6 weeks, retroactive to day you applied
15	RR Medicare	Takes 4 - 6 weeks, retroactive to day you applied yes-- These Medicare patients use a separate billing address.
16	Medicaid	Takes 90 days, retroactive to day you applied
17	Local Managed Care Participating Provider Network	Takes 30++ days, generally not retroactive
18	Hospital Staff Membership
20	Office Checks	Office Depot
21	Office Brochure	Tri-fold
22	Office Paper & Basic Supplies	Colwell, Medical Arts Press, Office Depot
23	Office Computer	Best Buy, Dell
24	Computer Network	Easy and total cost $100-- do it yourself
25	Key Office Equipment	Copy machine, fax machine, wireless phone
26	Office Phones	At least 2 incoming lines & at least 1 analog line
27	Software	$500 -$3000 to start & $100-$1,000 yearly renewal
28	Payroll System	Quickpay $100 / year
19	Office Forms-- long list of many options	Use a word processor & make your own
29	Key Forms for Office	Fax, letter, progress note, patient registration, superbill-office, superbill-hospital, collection letter, problem list, lab flow sheet, med sheet
30	Key Office Lists	Referral docs, pharmacies, hospital numbers, lab & xray sites
31	Key Phone Numbers	Hospitals, docs state med, county med, specialty society, AMA DEA, License, BNDD, Medicare, RR Medicare, Medicaid
32	Yellow Pages Ad	Due late January, book out first of May
33	Lab	Patients don't want to go to the hospital for routine lab-- DRAW IT IN YOUR OFFICE, then have a lab pickup.
34	Web Site ISP	Blue Genesis, CTSServer, Highway, ipowertheweb
35	Collection Agency	Only need 4-6 months into practice, late charge motivates pts
36	Group Health Insurance	Primarily for the larger office
37	OSHA	Blood & bodily fluid exposure precautions--esp needle stick
38	MSD	A simple notebook to file away for poison control & spill mgmt