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Condensed, printable versions of the guides. Each links back to its full recipe.

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Practice launch checklist

Full guide: Launching your practice 101 Foundation (months 1–2)
  • Healthcare attorney and practice-experienced CPA engaged
  • Entity formed (correct professional form for the state), buy-sell if co-owned
  • Tax election filed (Form 2553 if S corp)
  • EIN issued · Type 2 NPI issued · CMS I&A account created
  • Bank accounts opened (operating / tax / savings) under the EIN
  • Loan term sheets compared (≥2), loan closed, draw schedule set
Credentialing (start month 2, longest lead time)
  • CAQH profile complete and attested; payers authorized
  • Commercial payer applications submitted (track per payer: credentialed → contracted → enrolled)
  • Medicare 855 series via PECOS + CMS-588 EFT; Medicaid per state
  • Fee schedules received and filed for top 20 codes per payer
Build (months 3–8)
  • Lease signed (healthcare attorney reviewed TI allowance, exclusivity, assignment)
  • Build-out and equipment on draw schedule
  • EHR/PM selected against the money-side criteria; implementation scheduled
  • Payroll, benefits, malpractice, business insurance in place
Pre-open (months 8–10)
  • EFT + ERA enrolled per payer; VCC declined in favor of ACH
  • Test claims run through the full cycle per top payer (submit → 835 → deposit → reconcile)
  • Mail/check intake decided (lockbox or controlled alternative)
  • Access controls: role-based banking access, approval thresholds, dual control

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Acquisition banking checklist

Full guide: Buy a practice C-60 to C-30: entity + EIN + Type 2 NPI done · accounts opened · credentialing in flight with every payer on the target’s remittance-derived list · loan draw mechanics confirmed C-14 to C-1: payroll configured and test-run · EFT changes submitted, effective dates straddling close · seller straddle-period agreement signed (who sweeps strays, schedule, reporting) · outflow cut-over list staged C to C+90: every payer tracked to verified deposit · both accounts reconciled deposit-side from day one · credit balances/refunds resolved per agreement · C+90 close-out review, seller account closed

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Bank-switch checklist

Full guide: Switch banks
  • 12-month deposit map built (payers by dollars, aggregators identified by descriptor)
  • Outflow map built (payroll, taxes, loans, autopays, processor settlement)
  • New accounts opened; enrollment packet assembled
  • Payer re-enrollments submitted top-down by dollars, batched by portal (directory)
  • Medicare CMS-588 refiled via PECOS
  • Each payer tracked: submitted → accepted → verified in new account
  • Payroll cut over after one validated cycle; taxes, loans, vendors follow
  • Old account monitored to zero deposits for 2–3 weeks → swept → closed; final statements archived

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Monthly financial hygiene checklist

Concepts: Reconciliation, denial codes, refunds
  • Every payer deposit matched to a remittance; every remittance to a deposit; exception list worked to explainable
  • Denial summary by CARC reviewed; top 3 causes assigned owners
  • Credit-balance report worked; refunds issued and logged
  • Tax reserve transfer made at the CPA’s percentage
  • Recoupment/audit correspondence reviewed against PLB activity
  • CAQH attestation current; any practice changes propagated to payers