Write a Killer Medical Billing Business Plan

A strong medical billing business plan is crucial for starting your billing and coding business. Here are the core elements of a business plan...

If you're thinking about starting a medical billing and coding business of your own, consider that you'll probably need to raise private capital, and for that, a strong business plan.

A well-constructed business plan allows potential financiers to learn about you and the potential your home-based medical billing business has to succeed.

If you're unsure about how to create a business plan, consider this page as your guide. You can also look for qualified business plan writers in your area.




Medical Billing Business in a Box

Medical Billing Business
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A successful business plan contains the following components (click to skip to that section):

  1. Mission statement
  2. Team member bios
  3. Business Profile
  4. Economic Assessment

1. Mission statement

This part of your business plan highlights why you want to get into business and what your goals are. Think of the mission statement like a personal essay.

You're asking people to invest money into your business. The mission statement explains why they should spend their money on your dreams.

Include well thought objectives and reasons for your business to exist, and briefly outline your competitive edge.


2. Team Member Bios

Include a thorough biography of yourself and your professional and academic history. If there are other members involved, include them as well.

This provides potential investors with a clear understanding of your character and ability.

Use the biography section to highlight moments where you have stood out from the crowd or overcome adversity to achieve a goal. If you intend to own a business, potential investors will want to know you have what it takes.

Use this section to highlight moments where you have stood out from the crowd or overcome adversity to achieve a goal. If you intend to own a business, potential investors will want to know you have what it takes to achieve success.

The biography section is also a good place to underline any specialties you've developed as part of your medical billing and coding education. This shows that you're able to develop an in-depth understanding of your subject matter.

Investors know that if you're an expert in your area, you're more likely to succeed.


3. Business Profile

You should explain in detail how viable your business idea is

The business profile section of your plan should examine your concept and feasibility in detail.

This means that you'll need to spend time thinking about and illustrating the specific functions of your medical billing and coding business so that they're easy to understand.

Back up these business functions with data to show that you've done your homework on the expected time and cost that will go into creating your business.

The business profile section should take into account how much capital you're asking for, and how long it will take to pay it back. Also aim to express an understanding of the medical billing and coding industry in your area and any market shifts on the horizon.

If you've identified potential for change in your market (either good or bad), illustrate how you intend to respond.

The more educated you are about medical billing and coding and your potential market in general, the easier it will be to entice investors.


4. Economic Assessment

Include biographies of you and your team

The economic assessment shows...

  • the current state of your market
  • its potential strength or weaknesses
  • where you expect to stack up relative to your competition.

This is the section of your business plan where you illustrate the potential economic impact of your business and how you can create a profit.

Describe in detail:

  • the market opportunity
  • the potential long-term stability of your business
  • your competitive advantage.

If you can't make a case for yourself based on the numbers, it's unlikely that lenders will feel comfortable loaning you a significant amount of money.

Because of this, make sure you take great care in preparing the economic assessment. Don't be afraid to seek the help of qualified financial professionals if you need to.

You can find an example medical billing business plan here.


A typical medical billing business plan is long and full of in-depth information about your individual business idea and the industry in general.

It provides a holistic picture of where your business fits in the rest of the medical field and medical billing market, both locally and beyond.

If you run into questions about your business plan, we recommend that you search for a local business plan writer to help you. Often they can help you get through those tricky sections in a way that will be sure to catch the lenders eye.


Click for more on properly starting a medical billing business.

Need a kick start? We recommend the Medical Billing Business in a Box.




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