Independent practice
Implementation manual for practice partnerships
This sequence covers partner review, written agreements, credentialing, billing, compliance work, and the checks required before a medical office opens a service to patients.
DINOMO — Democratized Independent Network of Medical Offices is Ignite Health Partnership’s network for independently owned medical offices. Each office decides whether to use the physician directory, credentialing, payer-contract, revenue-cycle, or MEDFlow services. The office retains its own clinical and business decisions.
Section 01
Review the proposed partner
Confirm the legal entity, ownership, licenses, insurance, debt, litigation, sanctions, payer status, billing history, and individuals who can bind the organization. Verify material claims from records.
- Identify the people who approve clinical policy, spending, contracts, staffing, and system access.
- Review financial statements, tax filings, bank obligations, billing reports, and unresolved denials.
- Check licenses, credentialing status, malpractice coverage, exclusions, and open compliance matters.
- End the review when a required record remains unavailable after the agreed follow-up process.
Section 02
Write the operating agreement
State the payment method, duties, clinical authority, data rights, audit rights, response times, breach process, termination process, and record-transfer duties. Assign each recurring task to a named role.
- Define how the parties approve payer contracts, fee schedules, service lines, and outside vendors.
- Set deadlines for credentialing documents, billing files, bank reconciliations, and compliance reports.
- Specify what happens to active appointments, referrals, orders, prior authorization requests, and claims after termination.
- Have qualified legal, tax, and compliance advisers review the arrangement for the practice location and ownership structure.
Section 03
Complete the launch work
Open the service after required registrations, contracts, staffing, software configuration, testing, and patient communication are complete. Use a written launch checklist with evidence for each item.
- Complete entity filings, licensure, malpractice coverage, credentialing, payer enrollment, and prescribing registrations that apply.
- Test scheduling, documentation, orders, referrals, prior authorization, claims, payments, refunds, and record exports.
- Train each role with the approved policy and confirm system permissions before access is granted.
- Review early claims, denials, schedule capacity, patient messages, and cash receipts against the launch plan.