Bookkeeping for independent practices.
Dental, physical therapy, chiropractic, optometry, mental health, small family medicine. Usually one to six providers, with billing running through a practice management system that never quite agrees with the books. I've worked inside clinical settings for most of my career, so you won't spend the first three calls explaining how a clinic works day to day.
What I already know about your books
These are the things that get missed.
Your A/R does not belong in QuickBooks. It lives in your practice management system or billing service provider. Recreating A/R in QuickBooks just creates a copy that will disagree with the other, even with constant updating.
Billed, allowed, and collected are three different numbers. Mishandling billed charges, contractual adjustments, denials can turn financial statements into a confusing mess.
The money and the paperwork arrive separately. Payers send money by ACH and the remittance advice travels separately. Matching a lump deposit to the claims they are paying for is the actual work.
A rejection isn't a denial. A clearinghouse rejects due to formatting issues, the payer is the one who adjudicates and decides to pay or deny.
Most small practices are modified cash basis. Cash for revenue/operating expenses, accrual for fixed assets and debt. I make sure your file is ready to send to your tax preparer.
How the work is set up
- We will discuss the workflow you already have for your business and how you currently interact with your QuickBooks file.
- A business associate agreement where the work touches records covered by health privacy law. I'll sign one.
- I work inside your own QuickBooks Online file, under access you grant and can revoke at any time
- No access to your funds, ever. I don't sign, transfer, or pay anything.
- Books closed and reconciled monthly, with statements by a stated date. Every client has a set day each week when I work their file.
I record what your billing produces. I don't do billing, coding, claim submission, or denial appeals, and I don't work inside your practice management system. If that's what you need, you need a billing company, and I'll say so rather than take the work.
Start with a free consult
Start with a conversation about where the practice's books stand. We will talk about any concerns you have and what services you need.