Precision Medical Billing Solutions

Words in [brackets] are blanks you fill in with your own details when you adopt this sample in Supreme Plan AI.

Executive Summary

Precision Medical Billing Solutions is a medical billing and revenue cycle company in Orlando, Florida, owned by Carla and James Bennett. We submit claims, work denials, handle credentialing and support collections for small practices.

Why this fits. Billing rules keep changing, and small practices cannot afford a full billing team. A local, certified team with clear reporting and strict privacy practices can help them collect more of what they earn.

Here is what our numbers show. In Year 1 we plan about 60 client-months of billing service, 30 credentialing and consulting projects and 60 collections support projects. That brings in sales of $142,500, growing to $750,140 by Year 5. We expect a loss of about $44,200 in Year 1, a profit of about $18,900 in Year 2, a profit of about $77,700 in Year 3 and a profit of about $179,700 by Year 5. Billing specialist pay, software and our own pay are our largest costs, and the plan counts all of them.

We need $115,000 in total. Of that, $35,500 is startup costs (computers and secure workstations, a phone system, insurance, billing and clearinghouse software, branding and launch marketing), and the rest is cash for the first months. We are putting in $15,000 of our own savings and asking for a $100,000 SBA 7(a) loan.

We are Carla and James Bennett, owners of Precision Medical Billing Solutions. These numbers are estimates based on the assumptions listed at the end of this plan, not promises.

Company Description

Precision Medical Billing Solutions will be a limited liability company (LLC) in Orlando, Florida, owned and run by Carla and James Bennett. Carla is a certified professional coder with years of experience in physician billing offices, and James has managed practice operations and finance. They want to give small medical practices accurate billing and fewer denied claims.

What we do:
- Claim submission, payment posting and denial follow-up for physician practices.
- Insurance credentialing and enrollment.
- Patient statements and collections support.
- Coding review and documentation feedback.
- Monthly reports on collections, denials and accounts receivable.

Who we serve: Small independent physician practices, therapy practices and specialty clinics in the Orlando area and across Florida.

Licensing and insurance. We will register the LLC, carry errors and omissions, cyber liability and general liability insurance, sign HIPAA business associate agreements with every practice, use secure software and train staff on privacy and security. We bill only for services documented by the provider, follow payer and Medicare rules, do not upcode or alter documentation and refer coding questions to the provider. We do not give legal or medical advice. We follow HIPAA privacy and security rules, keep records in secure systems, use business associate agreements with vendors and tell every client how their information is used.

Our promise. Accurate claims, fast follow-up and clear reports so practices get paid for the care they provide.

Where things stand today. The business plan, client agreement and onboarding checklist are written. The next steps are the insurance, the software and the first practices.

Problem & Opportunity

Small practices lose revenue to denied claims, slow follow-up and understaffed billing, and many cannot afford a full billing team.

What customers run into:
1. Denied claims that are never appealed.
2. Slow payments and growing receivables.
3. Staff who juggle billing and front desk work.
4. Little visibility into what is owed.

Why it matters. Every unpaid claim is care that was delivered without payment. Better billing helps practices stay open and serve patients.

Products & Services

Precision will be the billing partner Florida practices trust to get paid correctly.

What makes us different:
1. Certified coders and clean claims on the first try.
2. Denial follow-up every week.
3. Transparent reports and a named account manager.
4. Fair fees that depend on collections.
5. Strict privacy and compliance practices.

How a new client works:
1. The practice signs an agreement and we connect to their records system.
2. We submit claims daily, post payments and work denials.
3. We send patient statements and follow up on balances.
4. We send monthly reports and meet with the practice to review them.

Why customers stay. Practices keep a billing partner that improves their collections and communicates clearly.

Market Analysis

Who we serve:
- Small physician practices.
- Physical, occupational and speech therapy clinics.
- Mental health practices.
- Specialty clinics that need credentialing help.

How we sized the market. Our Year 1 plan is about 60 client-months of billing service, 30 credentialing and consulting projects and 60 collections support projects, a small share of the practices in a state with many small clinics. Replace this estimate with your own count of practices near you.

Why now. Billing rules keep changing and staffing is hard, so many small practices look for outside help.

Competitive Landscape

What customers can do today:

1. Large billing companies. Wide capabilities and impersonal service.
2. In-house billing staff. Controlled and costly for small practices.
3. Practice management software with billing add-ons. Convenient and limited.
4. Freelance billers. Cheap and varied.
5. Doing nothing. Common and costly.

Where we fit. Precision will be a local, certified billing team that is transparent and responsive.

Marketing & Sales Strategy

How customers will find us.

Before opening:
- Meet practice administrators and physician groups.
- Prepare a sample report and an onboarding checklist.
- Set up a website and a Google Business Profile.
- Offer a free review of a practice's denied claims.

After opening:
- Ask clients for references.
- Share monthly collections results.
- Host webinars on billing topics.
- Visit practice managers regularly.
- Partner with accountants and consultants.

What we will measure. How practices heard about us, how many audits become clients and how many clients stay.

Operations Plan

How the business will run.

Season and schedule. Billing runs all year, with higher volume at month end and in the first quarter when insurance changes. We keep backup staff and cross-train our team.

Team. Carla leads coding and quality and James manages clients and operations in Year 1. Billing specialists join as clients are added.

Quality and safety. Staff access records only through secure systems with unique logins, complete HIPAA training and sign confidentiality agreements. We encrypt data and follow incident response procedures.

Equipment. We will buy computers and secure workstations, a phone system, billing and clearinghouse software and office setup.

Paperwork and money. Clients sign an agreement and are invoiced monthly based on collections, and pay within about two weeks. We follow up on late invoices after one week. We keep the books in simple accounting software and set aside money for taxes and insurance every month.

Management & Organization

The people who will run Precision Medical Billing Solutions.

Carla Bennett, owner and coding lead. She leads claims quality and compliance. James Bennett, owner and operations lead. He manages clients, staff and the books. (Replace this paragraph with your own background.)

Team. One billing specialist in Year 1, growing to six, each trained and certified.

Office. James handles the office with part-time help as clients grow.

Outside advisors. An accountant, an insurance broker, an attorney who reviews contracts and a free mentor from SCORE or the Small Business Development Center.

Staff pay in this plan is a full year per person: owner / Billing Manager $56,000; billing Specialist $40,000. Replace them with the pay you can offer where you live.

Milestones Narrative

Our goals and when we plan to reach them.
- Before opening (3 months ahead): register the LLC, set up insurance and software, prepare the onboarding process and sign the first practices.
- Year 1: about 150 client-months and projects with Carla and James and one specialist; $142,500 in sales and a loss of about $44,200.
- Year 2: about 270 and a second specialist; $281,780 in sales and a profit of about $18,900.
- Year 3: about 390 and a third specialist; $429,200 in sales and a profit of about $77,700.
- Year 4: about 510 and a fourth specialist; $585,120 in sales and a profit of about $141,700.
- Year 5: about 630 and a sixth specialist; $750,140 in sales and a profit of about $179,700.
Growth depends on winning and keeping customers, so treat the later years as goals, not promises.

What we check every week: clients, claims submitted, collections, denial rate, days in accounts receivable, unpaid invoices and cash in the bank.

Funding Request

How much we need and how we will use it. Total we are raising: $115,000.

How we got that number. The Funding Need Calculator in this plan adds up three things:
- Startup costs of $35,500, listed item by item in the Startup Costs section: $6,000 for computers and secure workstations, $3,000 for phone system and office setup, $3,000 for LLC filing and attorney review of agreements, $5,000 for errors and omissions, cyber and general liability insurance, first payment, $9,000 for billing and clearinghouse software, first year, $3,000 for branding and website, $4,000 for launch marketing, $2,500 for certifications and HIPAA training.
- The cash the business uses before it breaks even, about $42,100. Clients sign over the first months and revenue follows their collections, so the business pays staff and software before revenue catches up.
- A cash cushion of about $36,300: three months of Year 1 operating costs.
- Together, the cash used before break even and the cushion come to about $78,400, and the three pieces add up to about $113,900, rounded up to the nearest $500: $114,000.
We are raising $1,000 more than that, $115,000 in all, to cover a slower first season than planned. With this funding, the lowest year-end cash balance is about $47,300, at the end of Year 1.

Where the money comes from:
- Our own money: $15,000.
- SBA 7(a) loan: $100,000.

Kind of funding we are looking for. An SBA 7(a) loan from a lender that finances healthcare and small businesses, backed by our savings and the equipment as collateral.

How we will pay it back. We expect a loss of about $44,200 in Year 1, a profit of about $18,900 in Year 2, a profit of about $77,700 in Year 3, a profit of about $141,700 in Year 4 and a profit of about $179,700 in Year 5. With this funding, the business has money in the bank at the end of every year of the plan. Our loan is the SBA 7(a) loan at 10.5% over 10 years, $1,349 a month. That payment is already included in our cash flow. We chose these as cautious planning rates; ask the lender for the real rates, which may be lower or higher.

What we are offering the lender: the equipment and a personal guarantee.

A smaller first step, if needed. If we cannot raise the full amount right away, we can start smaller and grow into this plan:
- Phase 1: start with a few practices and one specialist, which lowers the startup costs and the loan.
- Phase 2: once the first practices are steady, add specialists and clients and follow this plan.
To plan the smaller start, make a copy of this plan (use Duplicate) and lower the numbers to match.

All numbers in this plan are estimates. We will update them as real results come in.

Appendix Notes

Documents to attach before you send this plan:

- Your resume and a personal financial statement (a list of what you own and what you owe; lenders usually provide a form).
- Business registration papers and your EIN (your business tax number from the IRS, free at irs.gov).
- Your coding certification and proof of insurance.
- A sample client agreement and business associate agreement.
- Quotes for software and workstations.
- A list of practices you plan to approach.
If you don't have any of this yet, no worries - let's continue.

The assumptions behind our numbers (change them in the Financials section to match your own):
- Monthly Billing Contracts (per client month): about $1,800 in Year 1, rising to $2,026; about $400 in direct costs, rising to $450; about 60 in Year 1, growing to 300.
- Credentialing and Consulting Projects: about $650 in Year 1, rising to $732; about $100 in direct costs, rising to $113; about 30 in Year 1, growing to 110.
- Collections Support Projects: about $250 in Year 1, rising to $281; about $40 in direct costs, rising to $45; about 60 in Year 1, growing to 220.
- A billing client averages about $1,800 per month, a credentialing or consulting project about $650 and a collections support project about $250.
- Prices rise about 3% a year.
- Equipment ($9,000 in Year 1) covers computers and secure workstations, a phone system and office setup, and later years ($1,000, $2,000, $1,000 and $2,000) replace and add equipment.
- Pay (a full year, per person): owner / Billing Manager $56,000; billing Specialist $40,000.
- Other yearly costs in Year 1: billing and Clearinghouse Software $14,000, insurance $6,000, marketing $10,000, office $12,000, training $4,000, admin $3,000. These grow between 4% and 6% a year.
- Customers and payers pay about 29 days after service, so at the end of Year 1 about $11,400 is still owed to us. Income tax at 21%.
- Every dollar amount is an estimate. Replace them with your own quotes and research.

Startup Costs