Skip to content
Accounting & Finance

Healthcare & Medical Practice Accounting

Accounting for medical practices, clinics, and provider groups.

Overview

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.

Fit Check

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
What's included

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
How we work

Our process

A clear, predictable path from kickoff to outcomes.

01

Practice review

We map your billing system, payers, providers, and locations.

02

Setup

We align the chart of accounts to provider, location, and service lines.

03

Integration

We connect billing data, bank feeds, and payroll into the ledger.

04

Monthly close

We post activity, reconcile payers, and issue practice and location reports.

05

Review

We meet with owners to discuss productivity, margins, and tax planning.

What you get

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
Timeline

3 to 6 weeks for setup, then monthly cadence

Engagement

Monthly retainer, Project, Sprint

Tools we use

QuickBooks Online, Xero, Sage Intacct, Kareo, athenahealth

KPIs we track

Revenue per provider, Collection rate, Payer mix, Cost per visit, Days in accounts receivable

Client stories

What clients say

"

We had 14 cornerstone pages stuck on page two for 18 months. Their SEO crew rewrote the internal linking, cleaned up our schema, and shipped 22 supporting briefs over a quarter. Eight of those pages broke top three by month five. Organic pipeline went from a trickle to our second-largest source. Felt like watching interest compound.

James T.
"

We had been prototyping an AI quoting agent for nine months and could not get it past demo quality. They came in, scoped a real eval set, swapped our retrieval layer, and added guardrails for the edge cases that kept burning us. Went live in seven weeks. It now handles 41 percent of inbound quote requests without a human touching them.

Kyle A.
FAQ

Frequently asked questions

Quick answers to the questions we hear most.

Do you work inside our EHR or billing system?
We pull reports and reconcile against the GL but do not replace your billing team or clinical system.
How do you handle insurance reconciliations?
We tie 835 remittances and EFTs to deposits, post adjustments, and clear patient credits each month.
Can you support multi-location groups?
Yes, we produce location and provider-level reporting and consolidate up to the practice entity.
Do you handle lease accounting?
We apply ASC 842 in the US and IFRS 16 internationally, with schedules ready for audit and tax.
Is your work HIPAA aware?
We follow strict access and data handling practices and work with only the minimum information needed for accounting.

Need cleaner numbers for your practice?

Let us reconcile payers, track provider performance, and tighten your monthly close.