Healthcare & Medical Practice Accounting
Accounting for medical practices, clinics, and provider groups.
What we deliver
We reconcile insurance and patient payments, track provider productivity, and deliver clean financials for clinics and physician groups.
We provide accounting services for medical and dental practices, multi-site clinics, physician groups, behavioral health providers, and allied health businesses. Our team posts revenue from insurance payers, patient responsibility, and ancillary services, then reconciles 835 remittances and EFT deposits against the practice management system and bank. We track adjustments, write-offs, refunds, and patient credits, and book accruals for incurred but not reported services where needed. Reports cover practice and location-level profit and loss, provider productivity, payer mix, and cost per visit, so owners can manage capacity, staffing, and overhead with real data. We also handle payroll and benefits accruals, equipment depreciation, lease accounting under ASC 842 or IFRS 16, and tax workpapers for the IRS, HMRC, CRA, or ATO. Engagements stay within HIPAA and other privacy expectations, and we work alongside billing teams rather than replacing them.
Built for teams like yours
Who it's for
- Solo and group medical practices
- Dental and orthodontic practices
- Behavioral health and therapy clinics
- Multi-site physician groups
- Veterinary and allied health providers
Pain points we solve
- EOB and bank deposits that do not reconcile
- Hidden provider productivity differences
- Payer mix shifts that are not visible until year end
- Refunds and patient credits stuck in suspense
- Lease and equipment accounting that misses ASC 842 or IFRS 16
Capabilities
Everything we cover in this engagement.
- Insurance and patient revenue posting
- EOB and 835 reconciliation
- Provider productivity reporting
- Payer mix and visit analysis
- Payroll and benefits accruals
- Lease accounting under ASC 842 and IFRS 16
- Multi-location financial reporting
- Year-end tax workpapers
Our process
A clear, predictable path from kickoff to outcomes.
Practice review
We map your billing system, payers, providers, and locations.
Setup
We align the chart of accounts to provider, location, and service lines.
Integration
We connect billing data, bank feeds, and payroll into the ledger.
Monthly close
We post activity, reconcile payers, and issue practice and location reports.
Review
We meet with owners to discuss productivity, margins, and tax planning.
Deliverables & outcomes
What you get
- Monthly financial statements
- Provider productivity report
- Payer mix and visit analysis
- EOB reconciliation summary
- Lease and depreciation schedules
- Year-end tax-ready package
Outcomes you can expect
- Clean revenue reconciliation
- Visible provider performance
- Stronger margin management
- Compliant lease accounting
- Audit-ready year-end records
What clients say
Our LCP was 4.8 seconds and Google was punishing us for it. They audited the build, dumped two plugins we did not need, moved hero images to a real CDN, and rewrote the critical CSS. LCP came down to 1.6 seconds within three weeks. Bounce rate on the pricing page dropped by a quarter without us touching the copy.
My books were 90 days behind and I was avoiding my accountant. They cleaned up nine months of mis-categorized Shopify and Stripe entries, set up proper rules in QuickBooks, and now my close lands on day four of every month. First time in three years I opened a P&L without wincing. Cash forecasting actually makes sense now.
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ExploreFrequently asked questions
Quick answers to the questions we hear most.
Do you work inside our EHR or billing system?
How do you handle insurance reconciliations?
Can you support multi-location groups?
Do you handle lease accounting?
Is your work HIPAA aware?
Need cleaner numbers for your practice?
Let us reconcile payers, track provider performance, and tighten your monthly close.