Service 01 — Monthly Accounting
Monthly accounting work built around the revenue cycle of medical and dental practices — not a general bookkeeping template with healthcare labels applied afterward.
What This Service Delivers
When your accounting is set up around how your practice actually runs, you spend less time interpreting numbers and more time doing the work you built the practice to do. Monthly reports land with context already built in — insurance reimbursement cycles, provider compensation, cost categorization — so the figures on the page mean something without a translation layer in between.
Patient revenue and insurance reimbursements tracked and cross-referenced each period. Discrepancies surface before they become entrenched problems.
Provider compensation calculated and documented according to your practice's structure — partnership arrangements, employment agreements, or production-based models.
Regulatory obligations tracked in advance. Records maintained in formats that hold up under audit — without scrambling when a deadline appears.
The Challenge
Most accounting frameworks were designed for businesses where revenue arrives predictably and expenses fit into standard categories. Healthcare practices don't work that way. Insurance reimbursements come in on a delay, often at negotiated rates that differ from billed amounts. Multiple payers apply different rules. Provider compensation models vary by specialty and arrangement.
When a general bookkeeper encounters these structures, they often work around them — grouping things in ways that make sense to an accountant but not to a practice manager or physician owner. The numbers balance, but they don't tell you much about how the practice is actually performing.
That gap between accurate books and useful books is where a lot of practices lose visibility. Not because the accounting is wrong, but because it wasn't set up with healthcare in mind.
Monthly reports arrive but require explanation before they're useful for any decision
Insurance reimbursement reconciliation takes more time than it should and discrepancies surface late
Compensation documentation is handled inconsistently from period to period
Compliance deadlines are managed reactively rather than tracked in advance
The Approach
Rather than fitting your practice into a general framework, this service is set up from the beginning around the financial structures specific to medical and dental operations. The categories, the reporting format, and the reconciliation process are all oriented to how healthcare practices actually earn and spend.
Insurance reimbursements tracked per payer, with billed versus received figures documented and discrepancies flagged on a consistent schedule rather than discovered at year end.
Each provider's compensation worked through according to the actual arrangement in place — with a traceable record each period that doesn't require reconstruction later.
Monthly financials structured to reflect how a healthcare practice earns — patient revenue, payer adjustments, and collections presented in context rather than generic P&L format.
Regulatory filing dates monitored and prepared for in advance. Records kept in formats that satisfy audit requirements without needing a last-minute documentation effort.
Working Together
Once the service is set up, the process runs on a predictable schedule. You're not chasing down reports or waiting for reconciliation to catch up. The financial side of the practice moves forward consistently, with your involvement concentrated in the places where your input genuinely matters.
Data Gathering and Entry
Transaction data collected and entered with healthcare-specific categorization. Clinical supplies, equipment costs, facility expenses, and provider costs recorded separately from the start.
Insurance Reconciliation
Reimbursements matched against billed amounts per payer. Adjustments and write-offs documented. Patterns that warrant follow-up flagged clearly.
Report Preparation
Monthly financial summary prepared and delivered. Formatted around your revenue cycle so the numbers reflect the practice's actual financial situation without needing translation.
Quarterly Check-In
A scheduled review each quarter to ensure the reporting remains accurate as the practice evolves — new providers, changed payer contracts, or shifted cost structures handled before they become reporting problems.
Most practices are fully up and running within two to three weeks. The initial setup involves reviewing your current financial structure and configuring the reporting framework around it — not a lengthy onboarding that demands significant time from your side.
After that, the process runs on its own schedule. Your involvement is focused on the quarterly reviews and any decisions that emerge from the monthly reports.
Investment
One predictable number each month — no billing surprises based on transaction volume or the number of payers you work with.
Healthcare Practice Accounting
$680
USD / month
What's Included
Monthly bookkeeping and financial records
Transactions recorded using healthcare-specific categorization throughout the period
Multi-payer insurance reconciliation
Reimbursements tracked per payer, discrepancies flagged each period
Provider compensation calculations
Documented per provider according to the arrangement structure in place
Compliance-oriented record-keeping
Records maintained in formats that meet regulatory documentation standards
Monthly financial summary delivery
Formatted to reflect healthcare revenue patterns, delivered on a consistent schedule
Quarterly review sessions
Scheduled check-ins to keep the reporting aligned as the practice changes
Pricing covers practices with two to fifteen providers. Arrangements outside this range are discussed separately. All prices in USD.
Why It Works
Healthcare accounting works differently from most industries because the gap between billed amounts, expected payments, and actual collections is wider and more variable. This service is designed around that reality.
Years in Healthcare Accounting
Working within medical and dental practice finances as a primary focus — not as a specialty within a general firm.
Provider Range Covered
Sized for practices where financial complexity is real but a full in-house accounting team isn't warranted.
Reporting Cycle
Consistent delivery on a fixed schedule — not batched at quarter-end or triggered only when something needs attention.
Our Commitment
Before anything is agreed upon, we review your practice's current financial setup and explain clearly what this service would involve. If it's a good fit, we proceed. If it isn't, we'll say so.
We look at your current setup and tell you honestly whether this service addresses what your practice needs.
What's covered is defined before work begins — no ambiguity about what the monthly fee includes.
Quarterly reviews keep the work relevant as your practice grows or changes structure over time.
Next Steps
The path from first contact to an up-and-running service is kept deliberately straightforward. No lengthy forms or complex intake processes.
Use the contact form to tell us a little about your practice — size, specialty, and what you're hoping to address. No formal brief needed.
We review your current setup and talk through what the service would look like for your specific practice structure.
The reporting framework is built around your revenue cycle. Most practices are running within two to three weeks of agreement.
From the first full accounting period onward, reports arrive on schedule. The process runs consistently from that point.
Healthcare Practice Accounting — $680 USD / month
If your practice's financial reporting could work better — or if you're putting off accounting work because the current setup doesn't quite fit — send a message. We'll take a look at the situation and give you a clear sense of whether this service fits.
Get in TouchThese services can be used alongside Healthcare Practice Accounting or as standalone arrangements depending on your practice's needs.
Detailed classification of healthcare operating expenses into clinical, equipment, facility, and staff cost categories. Quarterly trend summaries included. Designed as an add-on for healthcare accounting clients.
See DetailsFinancial reports and documentation prepared to healthcare regulatory standards. Deadlines tracked, submissions prepared in advance for government payer audits and accreditation reviews.
See Details