Question 1

How does the consultation process work?

Accepted Answer

Start with a free assessment at closurerx.com/get-started. You'll tell us about your practice, state, closure reason, and urgency. Brad will personally review your case within 24 hours and schedule a consultation call. During that call, he'll walk through your state-specific requirements, build a preliminary closure timeline, estimate costs, and assess your AR recovery potential. If you decide to engage, Brad manages the entire process — there's no handoff to a junior team. From first conversation to final filing, you're working directly with someone who's been through it.

Question 2

How long does it take to close a medical practice?

Accepted Answer

Most orderly practice closures take 60-120 days from initiation to completion. The timeline depends on your state's patient notification requirements (typically 30-90 days), the number of insurance panels to terminate, and the complexity of your records transfer. Bankruptcy-related closures take longer, typically 6-18 months for Chapter 11 and 3-6 months for Chapter 7, driven by the court proceedings timeline. Brad can give you a specific estimate in your first consultation based on your state and situation.

Question 3

What regulatory agencies are involved in practice closure?

Accepted Answer

Closing a medical practice involves coordination with 13 or more regulatory agencies. At the federal level: the DEA (controlled substance surrender), CMS (Medicare withdrawal), and OIG. At the state level: your state medical board, state pharmacy board, state department of health, and department of labor. You will also need to notify all contracted insurance payers, manage HIPAA compliance for records, handle COBRA for staff, and potentially file with your state's secretary of state for entity dissolution. The exact agencies depend on your state, practice type, and whether you prescribe controlled substances.

Question 4

What happens to my patients when I close?

Accepted Answer

Your patients must be properly notified and given adequate time to find new providers and request their records. Every state specifies notification requirements, typically 30-90 days written notice. Notification methods vary by state and may include direct mail, email, publication in local newspapers, or posting at your office. You have an ethical and legal obligation to provide continuity of care during the transition, which includes referrals to other providers and timely transfer of medical records. ClosureRx handles the entire patient notification campaign for you, ensuring compliance with your state's specific requirements.

Question 5

How much does it cost to close a medical practice?

Accepted Answer

ClosureRx offers several engagement tiers. Managed Closure runs $15,000-$35,000 and depends on practice size (number of patients), number of locations, state regulatory complexity, and whether controlled substances are involved. Bankruptcy Operations range from $25,000-$75,000 and varies based on chapter type, number of creditors, locations, and duration of proceedings. Our AR Recovery service is offered on a 15-25% contingency basis with no upfront cost. The AR recovery from a single engagement often covers the entire consulting fee. Brad can provide a specific estimate based on your practice size, state, and situation during your consultation.

Question 6

What is the first step in closing my practice?

Accepted Answer

Start with a free assessment at closurerx.com. Brad will review your situation — your state, practice type, patient count, and circumstances — and schedule a consultation call to walk through your state-specific requirements, timelines, and cost estimates. From there, you can decide how to proceed. There is no cost or obligation for the initial assessment.

Question 7

What about my outstanding accounts receivable?

Accepted Answer

Outstanding AR is often the largest untapped asset in a closing practice. Many physicians leave tens or hundreds of thousands of dollars on the table when they close. ClosureRx offers AR recovery on a contingency basis (15-25% of recovered amounts) with no upfront cost. We perform a comprehensive aging analysis, develop payer-by-payer recovery strategies, manage denials and appeals, and track final claims submission deadlines. We have recovered over $2 million in AR that physicians had written off. The minimum AR threshold for our contingency service is $50,000.

Question 8

What happens to medical records after I close?

Accepted Answer

Medical records must be maintained for your state's mandated retention period, which is typically 7-10 years for adult patients and longer for minors. This obligation persists long after the practice closes. ClosureRx arranges HIPAA-compliant records custodianship through our vetted partner network. We handle the transition of records, establish patient access protocols, and ensure documentation meets your state's requirements. Failure to properly maintain records after closure can result in HIPAA violations with penalties up to $1.9 million per violation category.

Question 9

Can you help with practice bankruptcy?

Accepted Answer

Yes. Our founder, Brad Palubicki, led a multi-location medical corporation through Chapter 11 bankruptcy as its President and CFO. ClosureRx provides operational management alongside your bankruptcy counsel, handling the day-to-day wind-down while your attorney handles the legal proceedings. This includes creditor communication management, patient care continuity, staff coordination, regulatory compliance, and AR recovery during proceedings. We also provide access to CourtCase Search (courtcase-search.com) for real-time case monitoring and PACER research.

Question 10

What is the difference between Chapter 7 and Chapter 11 bankruptcy for a medical practice?

Accepted Answer

Chapter 7 is a liquidation bankruptcy where the practice ceases operations and assets are sold to pay creditors. It typically takes 3-6 months. Chapter 11 is a reorganization bankruptcy that allows the practice to continue operating while restructuring debt. It can take 6-18 months or longer. In both cases, the regulatory obligations of practice closure still apply. You still need to notify patients, surrender your DEA registration, terminate insurance panels, and comply with state medical board requirements. ClosureRx manages these operational requirements under either chapter. For case research and monitoring, our sister product CourtCase Search at courtcase-search.com provides AI-powered PACER access.

Question 11

Do I need a lawyer in addition to ClosureRx?

Accepted Answer

For voluntary closures, you may not need an attorney, though legal review of lease termination and entity dissolution is advisable. For bankruptcy, you absolutely need bankruptcy counsel. ClosureRx is not a law firm. We provide operational consulting — think of it as: your lawyer handles the legal strategy, Brad handles the operational execution. We coordinate with your attorney but never provide legal advice.

Question 12

What types of practices do you work with?

Accepted Answer

We primarily work with medical practices, dental practices, and pharmacies — they share DEA, HIPAA, and CMS regulatory frameworks. We also support veterinary practices, law firms, and physical therapy clinics. Brad's expertise is deepest in medical practice closure and healthcare bankruptcy operations.

Question 13

Do you serve practices in all 50 states?

Accepted Answer

Yes. ClosureRx provides practice closure consulting across all 50 states and the District of Columbia. Brad has deep knowledge of state-specific requirements for every jurisdiction, including patient notification periods, records retention requirements, medical board notification procedures, and controlled substance regulations. For multi-state practices, we coordinate compliance across all applicable jurisdictions simultaneously. Our consulting is delivered remotely, so we can serve physicians anywhere in the country from our Henderson, Nevada office.

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