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Running a practice

Hiring the first CRNA for your group

Your first hire changes your group from a solo practice into a business. Here's what to get right.

W-2 or 1099

A W-2 employee gives you more control and loyalty. A 1099 contractor gives you flexibility. The IRS and your state have rules on who counts as which, so talk to an accountant. See W-2 vs 1099.

Start credentialing early

Your new CRNA can't bill under your group until enrollment and reassignment are done. That can take months. Start as soon as they sign.

Pay

Look at local rates, add the value of any benefits, and decide whether you'll share profits. A small share of profits keeps good people.

The contract

Cover duties, schedule, pay, notice, and non-solicitation of your facilities. Non-competes are limited or banned in some states. Ask a lawyer what's allowed where you are.

This article is general information, not billing, legal or tax advice. Payer rules change; always check current guidance.

Free checklist

CRNA Credentialing and Enrollment Checklist

The documents and steps you need to get a CRNA enrolled with payers and billing under your group.

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