Managed Closure

Solo Internal Medicine Practice Closure

Physician retirement with full patient transition

Location

Nevada

Duration

90 days

Result

100% compliant

Service

Managed Closure

Overview

A 30-year solo internal medicine practice in Henderson, Nevada announced retirement. With 3,200 active patients and decades of medical records, the physician needed a compliant wind-down that protected patients, preserved records, and recovered outstanding receivables.

The Challenge

After 30 years, this physician had 3,200 active patients who needed to be properly notified, helped to find new providers, and have their records transferred. Nevada state law required a 30-day minimum notification period via certified mail and local publication. $180K in AR was aging but recoverable with focused effort.

Our Approach

Brad managed the full closure over 90 days: drafted and executed the Nevada-compliant patient notification campaign, coordinated relationships with 4 accepting practices for patient referrals, arranged a HIPAA-compliant records custodian for the required 10-year retention period, and recovered $180K in AR on a contingency basis.

What We Did

  • Full Nevada state medical board notification filed on day 1
  • 3,200 patients notified via certified mail and newspaper publication per NRS requirements
  • Coordinated patient referral relationships with 4 accepting internal medicine practices
  • Arranged HIPAA-compliant records custodian for mandatory 10-year Nevada retention period
  • Recovered $180K in outstanding AR on contingency — no upfront cost to physician
  • Medicare/Medicaid withdrawal filed and confirmed
  • All insurance panel termination letters issued with proper notice periods

Outcome

Full practice wind-down completed in 90 days with 100% regulatory compliance. All 3,200 patients notified and helped to transition to new providers. $180K in AR recovered on contingency. Records custodianship arranged through required 10-year retention period.

After 30 years, closing my practice was the hardest professional decision I have ever made. Having someone manage every regulatory detail let me focus on my patients during the transition.

Retiring Physician, Henderson NV

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