Open Confidently: Your First 90 Days of Revenue Without the Guesswork
Launching a practice is equal parts exciting and overwhelming. Lease, staffing, EHR, payer contracts—meanwhile, day one cash flow depends on a clean billing foundation. Here’s a proven 3‑week plan to go live without revenue delays.
Week 1: Foundations That Prevent Denials Later
Week 2: Payers, Policies, and Patient Payments
- Credentialing plan: which payers first, sequencing to match your patient mix
- Financial policy: copays, coinsurance, payment plans, no‑show fees; get signatures on file
- Fee schedule alignment: ensure your fees track payer allowables to avoid underbilling
- Clearinghouse enrollment and ERA/EFT setup to speed remits and reconciliation
Week 3: Claim Flow, Testing, and Reporting
- Submit test claims and verify first‑pass acceptance
- Build daily claim submission and weekly denial review rhythms
- Configure dashboards: AR aging, denial categories, days in AR, zero‑pays
- Train staff on front‑desk scripts for eligibility, copay collection, and documentation reminders
Why Practices Choose ClaiMed for Launch
- Experience across cardiology, orthopedics, pulmonary, mental health, ENT, podiatry, and more
- Dedicated biller for continuity; meetings every 2 weeks during your first months
- Technology that scrubs claims pre‑submission and integrates with most EHRs
- Transparent pricing: 4–8% of collections with optional add‑ons
Common Pitfalls We Help You Avoid
- Starting patient visits before ERA/EFT is live (slows cash)
- Missing prior auth on common procedures
- Under-coding time‑based services
- Letting denials age >30 days before appeal
- Not documenting payer‑specific modifier rules
What “Good” Looks Like by Day 90
- First‑pass acceptance consistently high
- AR under control with clear follow‑up cadence
- Collections trending toward target with minimal write‑offs
- Providers focused on care, not corrections
