Yes. We match payer and patient deposits to what was billed, separating adjustments and writeoffs so revenue reflects real collections.
Healthcare
Healthcare Accounting & Bookkeeping for Medical & Dental Practices
Healthcare accounting has to keep pace with how a medical or dental practice actually gets paid: from insurers, patients, and plans on very different timelines, which makes the books hard to keep honest. We give practices accurate, real time financials that reconcile every payer deposit, keep accounts receivable under control, and show profit by provider.
Why practice finances get complicated
Care is delivered now and paid later, often in pieces, by more than one payer. Deposits arrive net of adjustments and writeoffs, patient balances trail behind, and it is easy to lose track of what you actually earned versus what you collected. Without clean books, you cannot see which providers and services carry the practice — the core problem medical practice accounting has to solve.
What healthcare accounting has to get right
Payer and deposit reconciliation
We reconcile insurer and patient deposits back to what was billed, separating adjustments and writeoffs, so your revenue reflects real collections — the daily discipline behind good medical practice bookkeeping.
Accounts receivable and aging
We keep receivables and aging visible so slow payers and stuck claims surface early instead of quietly draining cash.
Provider level revenue and profit
We build reporting that shows revenue and profit by provider, so compensation and capacity decisions rest on real numbers — the view an accountant for doctors should always have ready.
Payroll and cash flow
Payroll is the largest cost in most practices. We keep it clean in the books and keep your cash position current so payroll is never in question, which is accounting for medical practices that treats payroll as the priority it is.
How we support practices
Practice bookkeeping
Payer reconciliation, AR visibility, and clean monthly financials — bookkeeping for medical practices built around how they actually collect.
Explore BookkeepingBooks cleanup and catch up
If deposits and adjustments were never reconciled, we rebuild an audit ready baseline — the fix a medical practice accountant runs first when the books are behind.
Explore Books cleanupCash flow forecasting
Plan hiring and equipment against a forward view of cash.
Explore ForecastingBudgeting
Set an operating budget and track it monthly.
Explore BudgetingFractional CFO advisory
Adding providers or locations? We bring senior financial leadership on a part time basis.
Explore Fractional CFO advisoryTools we work in
We work in QuickBooks Online and Xero and reconcile against the deposit and billing data your practice management system produces. You do not need to switch systems, and we handle any migration during onboarding — it is how we deliver medical accounting without asking the front desk to change how it works.
Dental Practice Accounting & Bookkeeping
Dental practices collect through a mix of insurance reimbursement and patient pay, often for the same procedure. Our dental practice accounting reconciles both sides of that split, keeps production and collections visible by provider, and gives the owner a clean number for what the practice actually earned each month.
Healthcare results from our client work
Every number below is from a real engagement. Only names are changed.
4 Physician Medical Practice, Provider Level Revenue and AR RecoveryDental Practice, Insurance Billing Audit, $62K RecoveredMulti Specialty Clinic, Physician Expansion Decision Model3 Physician Medical Clinic, First Formal Operating BudgetAmbulatory Surgery Center, Payer Mix Optimization, $2.1M Revenue Uplift
View all case studiesWhy Healthcare businesses choose us
Secure and confidential
High level encryption and strict access controls protect your data.
One point of contact
A dedicated accountant who knows your business, not a support queue.
Flat monthly pricing
No setup fees and no long term contracts. Scale up or down anytime.
Book a free consultation
Book Free ConsultationSee profit by provider and get your receivables under control.
In a 30 minute call we review your setup and give you a flat fee quote, with no obligation.
FAQ
Healthcare Accounting Questions
How we reconcile payers, manage AR, and report profit by provider.
Yes. We build provider level reporting so compensation and capacity decisions rest on real numbers.
Yes. We surface aging and stuck claims so slow collections get attention before they hurt cash.
We reconcile against the deposit and billing data it produces and keep the books in QuickBooks Online or Xero.
With a books cleanup to rebuild an audit ready baseline, then monthly bookkeeping to keep it current.
A flat monthly fee based on transaction volume and providers, with no setup fees. Exact quote after a free consultation.