1. Develop a business plan: Create an outline of what you’d like your medical claims evaluation business to accomplish and how you will achieve it, including estimated costs, potential sources of revenue, marketing plans, and goals.
2. Research local requirements: Research the legal regulations that must be met in order to open a medical claims evaluation business in your local area.
3. Establish an office: Secure the necessary permits and licenses for operating a professional office, and make sure all space is properly outfitted for conducting medical evaluations (including setting up computers, software and any other necessary equipment).
4. Hire employees: Hire qualified staff that are knowledgeable in medical claims evaluation and any related areas.
5. Set up records: Design a system to record incoming paperwork, patient data, and billing information for your business.
6. Market services: Create a website and other marketing materials that detail the services offered by your medical claims evaluation firm. Promote these materials in the medical community to attract potential clients.
7. Establish billing procedures: Put in place a system for billing clients for services rendered and collecting payment for services completed.
8. Get insurance coverage: Obtain the necessary forms of business liability and workers compensation insurance required by your state or local government regulations.
9. Monitor progress: Regularly evaluate your business plan goals, and adjust processes and procedures as needed to maximize efficiency.
10. Stay up-to-date on industry standards: Pay attention to current trends in the medical claims evaluation industry, and make sure that you are aware of any new regulations or requirements that may affect your business operations.