A Physicians Guide To Successful Medical House Call Practice

Medical House Calls a Historical Perspective ...................................................	4
Articles on Medical House Calls ......................................................................	5
Who is HouseCall Doctors, LLC......................................................................	20
Why the time is right to do medical house calls; Dollars and Sense ....................	21
Making the Decision to Start a Medical House Call Practice .............................	24
Advantages and Disadvantages of Owning Your Own Business ........................	25
Characteristics of the Successful Entrepreneur ..................................................	26
Market Analysis ..............................................................................................	30
Market Research..............................................................................................	31
Primary Research.............................................................................................	32
Secondary Research.........................................................................................	33
Organizing your Business..................................................................................	34
Hiring Employees..............................................................................................	34
The Hiring Process............................................................................................	34
Personnel Programs and Organizations..............................................................	40
Regulations of Working Conditions....................................................................	47
The Hidden Costs of Employing........................................................................	52
Temporary Help Services/Locum Tenems..........................................................	53
Hiring Professional Medical Personnel (Physicians/Physician Assistants).............	53
Getting Started..................................................................................................	55
The Home based Office....................................................................................	55
The Commercial Office.....................................................................................	56
Leasing Checklist..............................................................................................	60
Office Layout....................................................................................................	60
Outfitting the Office...........................................................................................	61
Buying Equipment.............................................................................................	63
Depreciation of Equipment................................................................................	64
Dealing with Suppliers.......................................................................................	67
Phones and Utilities...........................................................................................	68
Office Equipment and Fixtures...........................................................................	71
Legal Requirements...........................................................................................	72
Legal Forms of Operation.................................................................................	72
Choosing a Name for the Business.....................................................................	91
Licenses and Permits.........................................................................................	92
Attorneys...........................................................................................................	93
Insurance: Risk Management..............................................................................	94
Record Keeping and Taxes................................................................................	97
Accounting Methods.........................................................................................	97
Record Keeping................................................................................................	97
Other Records you Should Retain.......................................................................	102
Accountants......................................................................................................	103
Taxes................................................................................................................	104
Tax Reporting Summary....................................................................................	107
Standard Business Deductions............................................................................	108
Tax Adjustments................................................................................................	111
Tax Planning......................................................................................................	112
Financial Management Basics.............................................................................	114
Working Capital.................................................................................................	116
Analysis Methods...............................................................................................	118
Financial Statements...........................................................................................	122
Medical/Business Operations..............................................................................	126
Physician/Provider Licensure Credentialing.........................................................	126
Insurance Credentialing......................................................................................	129
Medical Billing, Coding, and Reimbursement.......................................................	133
HIPPA and Medical Records............................................................................	139
Medical Charts and Forms.................................................................................	142
Documentation and Filing Charting......................................................................	147
Medical Equipment: “Tools of the Medical House Call Trade”...........................	150
Patient Selection, Scheduling, and Transfer of Medical Care in a MHC Setting....	153
Liability Issues in a Medical House Call Setting...................................................	158
Most Commonly Encountered Diagnosis’ in a MHC Setting..............................	160
Emergency (STAT) and Hospital Admission Logistics........................................	162
Referring to Medical Specialist and Ancillary Services in a MHC Setting............	163
Patient Follow-Up.............................................................................................	168
Quality Control in a Medical House Call Setting.................................................	170
Patient Care Management..................................................................................	171
Personal Safety in a MHC Setting.......................................................................	173
Vehicles and Vehicle Maintenance.....................................................................	176
Medical Assistants and Medical Personnel (M.D.’, PA’)...................................	178
Medical Assistant Hiring Criteria in a Medical House Call Setting.......................	179
Transportation and Navigation in a Medical House Call Setting...........................	182
Planning Daily Itineraries and Patient Volume......................................................	182
Answering Phones and Telephone Triage............................................................	182
Marketing and Advertising your Medical House Call Business............................	183
Developing a Marketing Plan..............................................................................	183
Television Advertising and your Medical House Call Business............................	185
Phone Book Advertising and your Medical House Call Business........................	194
Radio Advertising and your Medical House Call Business..................................	198
Direct Mail and Your Medical House Call Practice...........................................	200
Display Ad Advertising for Your Medical House Call Practice...........................	210
Brochures for Your Medical House Call Business.............................................	215
Advertising Specialties: (Refrigerator Magnets, Pill Boxes).................................	218
A Web Site for Your Medical House Call Business.............................................	220
Health Fairs......................................................................................................	222
Health Lectures................................................................................................	223
Specialized and Niche Markets in a MHC Setting...............................................	225
Creating an Identity (Logo Presence, Shirts).......................................................	228
Start Up Costs...................................................................................................	229
The Business Plan..............................................................................................	230
Financing..........................................................................................................	234
Success Factors in This Business........................................................................	236
Advantages to Owning a Medical House Call Practice.......................................	237
A Medical House Call Practice: An Business Opportunity of a Lifetime!..............	240
Frequently asked Questions...............................................................................	243
State Medical Societies......................................................................................	245
State Board of Medicine....................................................................................	252
State Board of Pharmacies.................................................................................	259
National/Regional DEA Offices.........................................................................	266

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