I've been part of a family business (not billing, though), so can give you some general business suggestions.
Most of the questions you need to ask are to yourself....you'll need a business plan. What's your approach? budget/expenses? marketing? Do you have clients lined up? How will you charge them? What services will you offer? Billing? Collections, coding, reporting, financial planning, credentialling? You'll definitely need an accountant, and probably a tax attorney, at least to consult with. You should have 6 months-1 years' salary in savings, in case cash flow is poor to begin with, or you may need to secure a business loan or a line of credit. You are bound by confidenitality guidelines, so you'll have to have a secure office space. You'll need a Business Associate Agreement with all of your clients. What software will you use, and does it provide the flexibility, reporting and security features that you will need? Will you have software support? What if your system crashes? What's your contingency plan in case you have a major catastrophe (illness, fire, earthquake) and can't work. Do you have liability insurance in case you lose, destroy or make a mistake with the billing records?
This is why I don't work for myself! But good luck with your business venture.
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