Articles


The Practice Transition (Part II): Navigating the Exit - Sale or Succession?

Author: Matt Basham, Associate Management Consultant

Discover how to plan your medical practice exit with purpose and confidence. This blog breaks down the two main paths — selling to an outside organization or transferring ownership to internal physicians — and compares their financial, cultural, and strategic impacts. With real examples and practical steps for operational, legal, and leadership readiness, it’s essential for any owner thinking about the future.

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The 2026 Private Practice Playbook: How Independent Groups Are Surviving Margin Compression

Author: Trevor McElhaney, JD, Director of Consulting

Facing shrinking reimbursements and rising costs, independent practices need more than volume to stay alive — and that’s exactly what this blog delivers. The post outlines a “2026 playbook” full of actionable strategies: lean but smart cost-control, ancillary-service expansion, smarter staffing & compensation models, data-driven decision-making, better patient access workflows, and diversified revenue streams — all aimed at keeping physician-owned practices profitable and sustainable when margins are tight.

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Accounting as a Strong Foundation for your Medical Practice

Author: Andrew Ashton, Director of Accounting

Summary: Lay the groundwork for a stable, thriving medical practice with this guide. The blog explains why solid accounting, from monthly bank and credit‑card reconciliations to meticulous transaction categorization, is your practice’s financial “foundation.” With accurate records and smart bookkeeping, you’ll get reliable reports, stay compliant with taxes and regulations, and gain confidence when making growth or staffing decisions.

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Healthcare Compliance Training in 2025: New Standards and Effective Programs

Author: Gene Good, JD, CEO

Dive into how healthcare compliance training is evolving in 2025 to meet smarter regulations and real-world needs. This post explores tech-driven, role-specific learning, proactive enforcement strategies, and measurable competencies, while showing how your organization can scale, personalize, and prove the ROI of compliance education.

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Building a Bulletproof Chart Audit Program: Frameworks and Tools for 2025

Author: Gene Good, JD, CEO

Get a behind-the-scenes look at building a modern, risk-focused medical chart audit program. This blog offers a strategic framework for auditor roles, sampling methods, and key audit types, plus guidance on tech tools, reporting standards, and measuring ROI. It’s a must-read for practices that want to turn auditing into continuous improvement, not just compliance.

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Optimizing Front Desk Management in Medical Practices

Author: Matt Kolinski, DO, Associate Management Consultant

Discover how to transform your front desk into a powerhouse of efficiency and patient satisfaction. This blog outlines strategies—from clear job roles and smart hiring to KPI tracking, written SOPs, and weekly team huddles. With better communication between your office manager and front-desk staff, you’ll build consistency, accountability, and a smoother patient experience.

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Beyond Profitability: A Practical Framework for Assessing the Financial Health of Your Medical Practice

Author: Trevor McElhaney, JD, Director of Consulting

Discover how to evaluate the true financial health of your medical practice extending beyond profit margins. In this article, the team at Doctors Management introduces a practical “Four Pillars” framework: Revenue Strength, Cost Efficiency, Cash-Flow Sustainability, and Value Creation, designed to help physician-owners benchmark performance, anticipate risks, and plan for long-term success.

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How Healthcare Consultants Help Physician Owned Practices Save Time and Money

Author: Doug Graham, Senior Management Consultant

Thinking about whether a healthcare consultant could benefit your physician-owned practice? This blog walks you through how consultants help minimize regulatory risk, streamline workflows, improve billing and collections, and boost long-term strategy. It’s a smart resource for practices looking to reduce admin burden, improve efficiency, and increase profits.

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Is Your Employee Handbook Up To Date and Compliant?

Author: Tom White

Is your medical practice’s employee handbook up to date with the latest federal and state laws? This post explains why periodic updates aren’t optional; they’re essential to staying compliant, protecting your business, and maintaining consistency across your team. It also outlines which policies you must include (like Equal Employment Opportunity, ADA, FMLA depending on size), and when updates aren’t just smart, but required

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How to Conduct a Medical Coding Audit: A Step by Step Guide for Compliance and Accuracy

Author: Gene Good, JD, CEO

Is your practice’s coding accurate and audit-ready? This post walks you through a step-by-step guide to conducting your own medical coding audit; from planning and sampling to analyzing errors, estimating financial impact, and creating corrective action plans. It’s ideal whether you’re new to compliance or want to level up your existing audit process.

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How to Add (and What to Add) to Your Practice for Ancillary Revenue Opportunities

Author: Trevor McElhaney, JD, Director of Consulting

Looking to boost your practice’s revenue and patient satisfaction? This blog explores how adding ancillary services (such as labs, imaging, therapy, or chronic-care programs) can diversify income while enhancing care. It covers compliance considerations, financial modeling, and selecting services that align with your patient base and long-term goals, helping you make informed, impactful decisions.

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5 Common Revenue Cycle Management Mistakes That Hurt Your Bottom Line

Author: Trevor McElhaney, JD, Director of Consulting

Is your practice bleeding money from billing and collections missteps? This blog exposes five common revenue cycle management flaws (like skipping eligibility checks, mishandling denials, and weak patient collections) that quietly erode your cash flow. By spotlighting the KPIs you might be ignoring and the processes you’re not optimizing, it offers tactical fixes that can make a real impact on your bottom line.

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How to Achieve 0% Overhead in Your Medical Practice: A Proven Five-Step Strategy

Author: Trevor McElhaney, JD, Director of Consulting

Achieving zero overhead in your medical practice is possible with a strategic approach. This blog outlines a five-step strategy to eliminate overhead costs, including identifying fixed expenses, integrating high-margin ancillary services, optimizing operations, cutting waste, and scaling intelligently. By implementing these steps, you can create a self-sustaining revenue system that maximizes income and allows you to focus on patient care.

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The Complete Guide to Starting a Medical Practice in 2025: Step-by-Step for Physicians

Author: Trevor McElhaney, JD, Director of Consulting

Starting a medical practice in 2025 requires more than clinical expertise, it demands strategic planning and compliance. Doctors Management’s guide provides a step-by-step roadmap covering credentialing, payer enrollment, HR, compliance, accounting, operations, and marketing. Whether launching a private practice, concierge service, or telehealth clinic, this resource offers essential insights to navigate today’s complex healthcare landscape.

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Starting Your Practice: Coding & Compliance Billing

Author: Shannon DeConda, Partner, Founder and President of NAMAS

Starting a medical practice requires more than clinical skills, it demands proper coding, billing, and compliance to protect revenue and stay legal. This blog from Doctors Management guides physicians step-by-step on creating a clear service menu, ensuring accurate billing, deciding whether to outsource or manage in-house, and maintaining a compliance plan, helping practices build a strong, financially secure foundation.

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The Cost to Start a Medical Practice: What You Need to Know

Author: Jordan Brinkman, JD, Senior Management Consultant

Considering starting your own medical practice? This guide breaks down the real costs: from leasing or renovating space to equipment, insurance, IT, EHR software, credentialing, and staffing. Learn how to create a practical startup budget, understand the difference between a lean launch and a full-scale setup, and get the insights you need to plan, finance, and launch successfully.

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Why a Feasibility Study is Essential for a Medical Practice Startup

Author: Jordan Brinkman, JD, Senior Management Consultant

Launching a medical practice without a feasibility study is like setting sail without a map. This blog explains why a comprehensive feasibility study is essential for assessing market demand, understanding financial viability, and identifying potential risks before opening your doors. It outlines how this critical step can guide strategic planning and ensure long-term success.

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Is it Time to Start Your Own Clinic?

Author: Doug Graham, Senior Management Consultant

Considering starting your own medical clinic? This blog from Doctors Management helps you evaluate your readiness by highlighting six key traits for success: visionary, passionate, problem solver, driven, risk taker, and responsible. It also stresses the importance of a systematic approach, including feasibility studies and financial projections, to build a strong foundation and make informed decisions.

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stethoscope and clipboard
By Alex Tate July 7, 2020
The key to success for any medical practice is always vested in keeping is practically profitable. In today’s hyper-competitive healthcare space, it becomes even more important to sustain your profitability while you’re over-burdened dealing with crushing administrative and ever-increasing operating costs.
nurse typing on computer
By Alex Tate June 16, 2020
For the smooth running of a practice, an electronic health record (EHR) software is a necessity, without which a practice cannot function optimally. Practices are making the switch from paper records to EHR on an ongoing basis. Partly, because of the HITECH act, which offers incentives to healthcare ventures for making use of EHR systems.
man and patient in clinic talking
By Frederick Martin March 26, 2020
In late 2011, I was becoming more and more dissatisfied with practicing medicine. I was being driven by what insurance companies dictated instead of the needs of the patients I was treating, in addition to having to see more patients in a shorter amount of time to maintain the income to which I was accustomed. I began seeing and reading articles about “direct primary care” models and how the doctor-patient relationship could be restored. So, in the spring of 2012, I decided to leave the practice I was part-owner of to start my own direct primary care practice.
medical confidentiality book
By Alex Tate March 25, 2020
Healthcare is one of the most highly regulated industries in the US, and the regulations just keep on increasing with the passage of time. Moreover, the series of regulations that affect a provider’s office are no exclusion. Keeping that in mind, physicians usually have a healthy professional relationship with an attorney who is focused on the relevant law, and is responsible for clearing all procedures before they are implemented, so that the risk of future complications is lowered.
business budgeting meeting with charts and graphs
By Alex Tate December 17, 2019
To make sure that your new healthcare venture does not get hindered by unpleasant surprises along the way, it is essential to carry out a financial feasibility analysis and conduct detailed budgeting, so that you know exactly how much capital you need and figure out how to acquire it. A financial feasibility study should be the direct follow up of your market study, and should include assumptions, potential income, expenses, cash flow, and balance sheet.
business plan chart
By Alex Tate December 10, 2019
Before you begin your practice, it is essential that you have a business plan in place. Any successful business starts with a business plan that is based on forward-thinking, and is thorough but simple. For a medical practice, your initial plan needs to be sufficient enough to cover and evaluate all important aspects of your business, and to communicate this information to all stakeholders involved.
business meeting with medical providers
By Alex Tate November 18, 2019
Are you ready to open up your own medical practice? The decision is indeed a significant milestone in your medical career and can be the defining moment of your future in the healthcare service industry. The current healthcare landscape is rapidly changing, as are patient expectations, and more and more physicians are now going solo. While this increased competition certainly means the service quality will get better, it also poses a greater risk to practice survival, especially for new startups.

Recent Posts

stethoscope and clipboard
By Alex Tate July 7, 2020
The key to success for any medical practice is always vested in keeping is practically profitable. In today’s hyper-competitive healthcare space, it becomes even more important to sustain your profitability while you’re over-burdened dealing with crushing administrative and ever-increasing operating costs.
nurse typing on computer
By Alex Tate June 16, 2020
For the smooth running of a practice, an electronic health record (EHR) software is a necessity, without which a practice cannot function optimally. Practices are making the switch from paper records to EHR on an ongoing basis. Partly, because of the HITECH act, which offers incentives to healthcare ventures for making use of EHR systems.
man and patient in clinic talking
By Frederick Martin March 26, 2020
In late 2011, I was becoming more and more dissatisfied with practicing medicine. I was being driven by what insurance companies dictated instead of the needs of the patients I was treating, in addition to having to see more patients in a shorter amount of time to maintain the income to which I was accustomed. I began seeing and reading articles about “direct primary care” models and how the doctor-patient relationship could be restored. So, in the spring of 2012, I decided to leave the practice I was part-owner of to start my own direct primary care practice.
medical confidentiality book
By Alex Tate March 25, 2020
Healthcare is one of the most highly regulated industries in the US, and the regulations just keep on increasing with the passage of time. Moreover, the series of regulations that affect a provider’s office are no exclusion. Keeping that in mind, physicians usually have a healthy professional relationship with an attorney who is focused on the relevant law, and is responsible for clearing all procedures before they are implemented, so that the risk of future complications is lowered.
business budgeting meeting with charts and graphs
By Alex Tate December 17, 2019
To make sure that your new healthcare venture does not get hindered by unpleasant surprises along the way, it is essential to carry out a financial feasibility analysis and conduct detailed budgeting, so that you know exactly how much capital you need and figure out how to acquire it. A financial feasibility study should be the direct follow up of your market study, and should include assumptions, potential income, expenses, cash flow, and balance sheet.
business plan chart
By Alex Tate December 10, 2019
Before you begin your practice, it is essential that you have a business plan in place. Any successful business starts with a business plan that is based on forward-thinking, and is thorough but simple. For a medical practice, your initial plan needs to be sufficient enough to cover and evaluate all important aspects of your business, and to communicate this information to all stakeholders involved.
business meeting with medical providers
By Alex Tate November 18, 2019
Are you ready to open up your own medical practice? The decision is indeed a significant milestone in your medical career and can be the defining moment of your future in the healthcare service industry. The current healthcare landscape is rapidly changing, as are patient expectations, and more and more physicians are now going solo. While this increased competition certainly means the service quality will get better, it also poses a greater risk to practice survival, especially for new startups.