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Home  /  Specialized / Industry-Specific  /  Healthcare and medical practice accounting

Books that keep up with a full schedule.

Reimbursement reconciled against what was billed, provider-level reporting, and a close that does not depend on you finding time for it.

Healthcare and medical practice accounting in Cedar Park, TX

Medical practice books have a problem most businesses do not. What you bill and what you get paid are different numbers, they arrive weeks apart, and the difference is split across contractual adjustments, patient responsibility, denials, and takebacks.

Practice accounting connects the practice management system to the general ledger so revenue is recorded at what will actually be collected. Without that, the profit and loss reports gross charges and the reported margin is fiction.

  • Reimbursement reconciled to billing

    Deposits matched against remittance advice so contractual adjustments, denials, and patient payments are visible rather than netted into one number.

  • Revenue recorded at realizable value

    What you expect to collect, not what you charged. This is the single change that makes practice financials meaningful.

  • Provider and location reporting

    Where a practice has multiple providers or sites, contribution reported by each, with overhead allocated on a stated basis.

  • Payroll and benefit costs coded properly

    Clinical and administrative staff separated, benefits and insurance allocated, so the true cost of clinical capacity is visible.

Practices this is built for

Independent practices with real payer complexity and no internal finance function.

Independent physician and specialty practices

One to a handful of providers, contracting with multiple payers, where nobody in the building has time to reconcile remittances.

Therapy, behavioural health, and allied practices

A mix of insurance and private pay, often with session-based billing and high volumes of small transactions.

Practices that just added a provider

Adding a provider changes cost structure and capacity at once. Without provider-level reporting the effect is invisible for a year.

Getting a practice file straight

  • 1

    Understand the revenue cycle

    How charges are captured, how claims go out, who follows up on denials, and where the practice management system and the ledger currently disagree.

  • 2

    Rebuild revenue recognition

    Recording revenue at expected collection with adjustments visible, which usually changes reported profit materially in month one.

  • 3

    Bring the accounts current

    Reconciliation of every account including merchant processing, which in practices is often several months behind.

  • 4

    Report monthly, provider by provider

    A monthly package showing collections against production, payer mix, and contribution by provider.

Practices in a growing Austin healthcare market

The corridor from Cedar Park, TX through Leander, TX, Round Rock, TX, and Georgetown, TX has added healthcare capacity quickly as the population has grown, and independent practices there compete for staff with much larger systems. Knowing your true cost per clinical hour is what makes a staffing decision defensible. We work with practices in San Diego County on the same basis. We keep the books and produce the reporting. Filings go to your outside tax partner.

What practice owners want to know

  • Do you work inside our practice management system?

    We work from its reports rather than in the clinical record. We need billing, collections, and adjustment data, not patient information, and the engagement is structured to keep it that way.

  • Why does our profit and loss look nothing like our billing report?

    Almost always because revenue is being recorded at gross charges while cash arrives net of contractual adjustments. Correcting the recognition basis fixes it.

  • Can you tell us whether a provider is profitable?

    Yes, once overhead allocation is agreed. The allocation basis matters more than the arithmetic, so we agree it with you in advance rather than choosing one quietly.

  • Do you handle the practice's year-end filings?

    No. Those sit with an outside tax partner. We provide the closed books and the supporting schedules they need.

Related services for practices

Monthly financial reporting package

The monthly read most practices need first.

Read about it →

Dental practice accounting

The same discipline applied to dental economics.

Read about it →

Cash flow analysis and forecasting

Modelling the lag between service delivered and money received.

Read about it →

Back to the full specialized / industry-specific overview, or see every service in one place.

Want to see what your practice actually collects?

Book a consultation and we will look at how your billing and your books currently line up.

Book a Consultation

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