Medical Practice Startup Consultant for Clinicians Opening Their Own Practice
You picked a name for the practice. Maybe you even looked at a few office spaces. Now the questions start. LLC or PLLC? Which EHR will still work for you in two years? How much cash do you need to cover rent and payroll before the first insurance payment comes in?
Most doctors and other clinicians were never taught how to answer these. Practice Launch 90 works as a medical practice startup consultant for people in exactly this spot. We help you put the decisions in order, build a budget that is realistic, and set up the systems your practice will run on. If you want to start your own medical practice, our 90-day plan is built to get it ready to run day to day. Medical Practice Startup Consulting helps clinicians plan these important early decisions.
Our services
What a Medical Practice Startup Consultant Works On
Practice Launch 90 covers the business side of opening a practice. How much attention each area gets depends on your specialty, your state, and if you're opening alone or with partners. We plan and organize this work with you. Some of it still belongs to other people, so for legal or tax advice about your own situation you may want your own lawyer or accountant. Our healthcare consulting services are designed to help clinicians organize the business side of their practice.
- Build a business plan with a roadmap beyond the first year
- Create a startup budget and a twelve-month financial projection
- Plan your entity, licenses, compliance and insurance
- Map out billing, patient intake, scheduling and staffing
- Compare EHR options and plan setup and migration
Medical Practice Startup Consulting helps bring these tasks together into one organized launch plan.
Days 1 to 30
Foundation and readiness
The first month is for reviewing your practice idea and making the big early decisions. It starts with a launch meeting and listening sessions. What care will you offer, and to whom? Will you accept insurance, work on a direct-care basis, or combine the two?
- Build your business plan and roadmap
- Create your startup budget and twelve-month projection
- Plan entity setup, licenses and registrations
- Review insurance and build your compliance framework
- Map your credentialing roadmap
Our medical practice consulting services help you organize the groundwork needed before opening your doors.
Medical Practice Startup Consulting focuses on getting the right decisions made early in the process.
Days 31 to 60
Systems, technology and people
This is when the practice takes shape day to day. Here we map how work moves through the office, from the first phone call to the final payment. The EHR gets set up, billing and scheduling workflows are built, phone and technology systems go in, and the staffing plan and policies are finished.
- Set up your EHR and plan migration
- Build billing and scheduling workflows
- Put your phone and technology systems in place
- Finish your staffing plan, with job descriptions and onboarding
- Write policies tied to federal and state requirements
Our healthcare practice consulting approach connects technology, staffing and daily operations so they work together.
Medical Practice Startup Consulting helps clinicians prepare the systems they need to manage patients and run the business.
Days 61 to 90
Go-live and a first look at the numbers
The last phase covers a readiness checklist and support through go-live, plus help moving your patient panel if you're leaving an employer. After that, attention shifts to early results: first-month revenue, a dashboard that tracks visit volume, collections and denial rate, and a plan for the next ninety days.
- Complete a readiness checklist and go live with support
- Move your patient panel if you're leaving an employer
- Monitor revenue in your first month
- Track visits, collections and denial rate on a dashboard
- Plan the next ninety days after opening
Medical Practice Startup Consulting also helps you review early performance and prepare for the next stage of growth.
Who Gets the Most Out of This Service
Physicians who want to leave a hospital or large group and run their own practice are a good example, and so are nurse practitioners and physician associates who are allowed to own a practice in their state. Solo and group practices need different things. If you're opening alone, you'll wear every hat for a while. In a group, partners need to agree on who does what, how costs are shared and how decisions get made. Our physician practice consulting support helps clinicians plan for these different needs. Medical Practice Startup Consulting is useful for clinicians who need a clear plan before becoming independent.
Starting a Medical Practice After Years as an Employee.
When you work for a hospital or large group, someone else handles payroll, billing, IT and insurance contracts. Once you open your own practice, those jobs land on you, and starting a medical practice means deciding how each one will get done.
Our program includes help moving your patient panel if you're leaving an employer, along with a readiness checklist for opening day. It's also worth reading your employment contract before you give notice. Your lawyer can review any notice period or limits on contacting patients. Starting a medical practice requires planning for these business responsibilities before you leave your current role.
Medical Practice Startup Consulting can help you organize the steps involved in moving from employment to private practice.
Why Opening a Practice Is Harder Than It Looks
Medicine is usually not the problem. The business decisions are, because each one pulls on the others. Your budget changes depending on insurance or direct care. Your EHR touches billing, scheduling and telehealth. How many staff you need depends on how many patients you'll see early, and that depends on when your insurance enrollment is done. Timing is the big one. Credentialing with insurers commonly takes 90 to 120 days, sometimes more. Sign a lease before you know that, and you could pay rent for months with no insurer paying you.
Then there's the daily stuff nobody mentions while you're dreaming about your practice. Who picks up the phone after hours? Who checks insurance before a visit? Who chases a denied claim? A lot of new owners hire an accountant, a billing company and an IT person, all separate, and nobody looks at how it fits together. We try to look at all of it at once. Our healthcare business consultant approach helps bring these decisions into one coordinated plan. Medical Practice Startup Consulting helps you consider how financial, operational and administrative decisions affect one another.
Budget and Money
You get a startup budget and a month-by-month projection of what you'll spend and what you'll probably bring in. The main point is to see how much cash covers the gap before payers start paying. Accounting, payroll, banking and card processing are part of this too. Our medical practice management consulting support helps you prepare for the financial responsibilities of running a practice.
Setup, Compliance and Insurance
This part has the most paperwork including forming your entity, getting an EIN, and checking which business licenses and local permits you need. If you prescribe, there could be DEA and state controlled-substance registrations. Compliance includes HIPAA with a security risk analysis, OSHA, and business associate agreements. For insurance, think malpractice, liability and cyber, plus workers' comp once you hire. Credentialing is done by a specialized vendor. We coordinate it with them.
Medical Practice Startup Consulting helps organize these setup tasks and coordinate the different people involved.
Billing, Intake and Daily Operations
We write down your fee schedule, patient financial policies, scheduling templates, and the intake and consent packet. Then the billing flow: coding, claims, collections, and stopping denials before they start. Your policies are tied to real federal and state requirements, not copied from a generic template.
Our physician practice management consulting services help clinicians plan the administrative workflows that support daily patient care.
Choosing an EHR
Switching an EHR after patients are in it is slow and expensive. So the first pick matters. At Practice Launch 90 we look at your care model, expected visits and growth plans. Then we compare options with you on cost, how hard they are to run, and what a future move would take. We help with setup and migration too. Medical Practice Startup Consulting includes planning for technology that can support your practice as it grows.
Who this service is for
One good example is Physicians who want to leave a hospital or big group and run their own practice. They are experts in their speciality but know little about payroll, payer contracts or billing. Nurse practitioners, physician associates and other clinicians who are allowed to own a practice in their state often begin the same way. Our private practice consulting services help clinicians prepare for the business responsibilities that come with independence.
Solo and group practices need different things. If you're opening alone, you'll wear every hat for a while, so we focus on systems that one clinician and a small team can actually run. A group adds another layer. Partners need to agree on who does what, how costs are split and how decisions get made. Best to sort this out before anyone signs a partnership agreement. We help you work through these questions and write them down. The agreement itself is a legal document though, so have a lawyer review it. Medical Practice Startup Consulting helps solo clinicians and groups plan their responsibilities before the practice opens.
Support after your practice opens
Planning doesn't stop on opening day. Once patients are coming in, claims get denied for reasons you didn't expect. Some days the schedule has gaps, other days it runs over. Cash flow looks different from the projection.
Part of this is already inside the 90 days. The last phase includes early revenue monitoring, a dashboard and a plan for what comes next. After that, most clients move to an ongoing retainer for medical practice management consulting. It usually covers tracking revenue and key numbers, adjusting how the office runs, and planning for growth. It's a separate arrangement from the 90-day program and it isn't added automatically, so ask what it would include for your practice. Our medical practice management consultant support can continue after launch through a separate arrangement.
Medical Practice Startup Consulting provides a starting point for planning the practice, while ongoing consulting can help with later operational needs.
Why Practice Launch 90
The price is fixed before you start
The program is one package with a fixed scope, so you know the full cost before the work begins. No hourly billing. There are three tiers, Essentials, Complete Launch and Accelerator, and they match the size of the package to the size of your practice. Medical Practice Startup Consulting gives you a defined scope of work before the program begins.
A team works from one plan
Practice Launch 90 was started in 2025 by Jennifer Mayhew, founder of Vermont Healthcare Consulting. She has more than 13 years in health and human services. She holds an MPH, and she's a certified Project Management Professional and Lean Six Sigma Green Belt. A team of 27+ senior healthcare advisors works from the same plan, in areas like compliance, revenue cycle, finance, operations and credentialing. Our healthcare consulting firm brings different areas of healthcare business planning together under one coordinated plan.
You keep the documents
The Practice Foundation Package, Operations Playbook and Launch Scorecard are yours to keep. Also, in 2026 Vermont Healthcare Consulting was named the U.S. Small Business Administration's Vermont Woman-Owned Business of the Year. Medical Practice Startup Consulting gives you planning documents you can refer to as your practice develops.
Talk through your plans with us
If you’re thinking of opening a practice, a free strategy session is a good first step. Its a working conversation not a sales pitch. You tell us where you are, where you want to go. We identify the gaps in the legal, financial, operational and clinical pieces and plan the next 90 days together. After that you decide what happens next, no strings attached. You can book online or call 802-448-0760.
If you are seeking information on starting a medical practice, this session will provide you with an idea of the planning involved before opening. Medical Practice Startup Consulting begins with a discussion about your practice goals and how to reach them.
FAQs about medical practice startup consulting
What does a medical practice startup consultant do?
We handle the business side of opening a practice. That means planning, budgeting, setup, compliance, billing, hiring, and technology. You focus on the medicine.
Medical Practice Startup Consulting helps organize these responsibilities before your practice opens.
How long does it take?
Our program runs 90 days. Insurance credentialing is the slow part, though. It often takes 90 to 120 days and sometimes longer, so we start it early.
Can you give legal or tax advice?
No. We help you plan and organize the work, but for advice on your own situation you'll want a lawyer or accountant.
Do I need to take insurance?
Not necessarily. You can accept insurance, run a direct-care practice, or do both. We sort this out in the first month, since it changes your budget.
What happens after the 90 days?
The documents are yours to keep. If you'd like ongoing help, we offer a separate retainer for management consulting.
Our medical practice consulting services can help you plan your next steps, whether you're preparing to open or looking at ongoing support.
