Logistics of establishing an office-based interventional pain practice

Establishing a successful office-based interventional pain practice takes time and hard work but is achievable with proper planning. The question asked by most physicians contemplating starting their own practice is, “Where do I start?” Using a chronologic framework, this article provides an outline of necessary steps to establish an office-based pain practice, from planning, implementation, and management phases through opening day. Topics reviewed include practice location; billing, accounting, and financial services; licensure and provider applications; leasing vs buying office space and capital equipment; staffing; policies and procedures; electronic health records; utilities; insurance needs; and others.