The main costs
- Business setup: forming your entity, an accountant and a healthcare lawyer to review contracts
- Malpractice insurance for each provider. See malpractice insurance.
- Enrollment and credentialing with every payer
- Billing, usually a percentage of collections
- Equipment and drugs, if you work in offices that don't supply them
The cost people forget
Money doesn't come in right away. Enrollment can take months, and claims take weeks to pay after that. You'll need cash to cover your own pay and costs in the meantime. See cash flow for a new CRNA group.
Keep it lean
Start with facilities that supply equipment and drugs, and add office-based work once you're steady.
This article is general information, not billing, legal or tax advice. Payer rules change; always check current guidance.
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