Industry Expertise

Medical & Healthcare
Bookkeeping

Scope of Work & Integrations. Tailored financial management for independent practices, clinics, and healthcare providers.

Part 1 — Scope of Work

Comprehensive bookkeeping tasks designed specifically for your healthcare practice.

A. Standard Bookkeeping

Categorization

Patient/insurance payments and operational expenses sorted into correct accounts.

Reconciliation

Monthly bank and credit card reconciliation ensuring zero discrepancies.

A/R & A/P

Vendor bills, payment tracking, A/R & A/P aging reports.

Payroll & Contractors

Employee payroll bookkeeping plus 1099 contractor payment tracking.

Financial Statements

P&L, Balance Sheet, Cash Flow Statement.

Month/Year-End Close

Journal entries, cleanup/catch-up, fixed asset tracking, CPA-ready books.

B. Healthcare-Specific Scope

Insurance/Payer Reconciliation

Match Medicare/Medicaid/private insurance/self-pay/copay reports to deposits and adjustments.

EHR/PM ➔ QBO Reconciliation

Reconcile charges, claims, payments and adjustments in the EHR/PM system against QuickBooks.

Insurance & Patient A/R

Payer-wise A/R, outstanding claims, denied claims, and aging (often 30-60+ days).

Contractual Adjustments

Correctly treat the gap between billed amount and insurance-allowed amount as a write-off, not an expense.

Patient/Copay Reconciliation

Match copay, deductible, coinsurance, and self-pay collections to bank/processor deposits.

Daily Deposit Reconciliation

Explain and reconcile differences between the daily production/payment report and the batched bank deposit.

Revenue Cycle Reconciliation

Financial-side reconciliation of the claim ➔ payment ➔ adjustment cycle.

Provider Compensation

Track salary, % of collections, production-based pay, contractor pay, and draws per provider.

Payroll & Benefits

Payroll taxes, PTO, health/dental/vision insurance, HSA/FSA, retirement, workers' comp.

Medical Supplies

Gloves, PPE, disposables, lab/dental supplies tracked as expense or COGS where applicable.

Medical Equipment & Assets

Capitalization, depreciation schedules, and financing/loan reconciliation for equipment.

Multiple Location Accounting

Revenue, payroll, rent, and supplies tracked by location for per-location P&L.

Provider-Level Profitability

Revenue, cost, and profit calculated per individual provider.

Practice Inventory

Frames/lenses/contacts (optometry), lab materials (dental) reconciled against EHR inventory.

Refunds & Credit Balances

Track patient/insurance refunds, overpayments, and credit balances.

Bad Debt/Uncollectible

Track outstanding patient balances, collection status, and write-offs.

Multi-Entity/DSO Accounting

Intercompany transfers, shared expenses, management fees, and consolidated reporting.

Healthcare KPI Reporting

Revenue by payer/provider/location, payroll %, days in A/R, denial rate, net collection rate.

Service Package Flow

The step-by-step lifecycle of managing your healthcare financials securely and accurately.

Setup/Cleanup
Chart of Accounts & Provider/Location Structure
Monthly Bookkeeping
EHR/Insurance & Patient Payment Reconciliation
Payroll & Provider Compensation
Provider/Location Profitability Reporting
A/R & Denial Tracking
Financial Statements
KPI Dashboard

Part 2 — Software Integrations

Connecting the best tools to streamline your practice operations.

Tier 1 — Highly Useful
EHR/Practice Management ➔ QBO
Reconcile charges, insurance payments, patient payments, adjustments & refunds against QuickBooks — the core niche skill.
Tebra (Kareo)
Widely used billing/practice-management platform for small-to-mid independent practices.
athenahealth (athenaOne)
Leading EHR/practice-management platform for larger physician practices.
Stripe / Square
Patient card and in-person payments — syncs sales, fees, refunds, and payouts to QBO.
QuickBooks Payroll
Payroll, benefits (health/dental/vision/HSA/FSA), payroll taxes, and workers' comp.
Tier 2 — Useful
AdvancedMD
Combined practice management + EHR + billing workflow, common in larger clinics.
SimplePractice
Leading platform for therapy/behavioral & mental health practices.
DrChrono
All-in-one EHR and medical billing, popular with small/mobile-friendly practices.
Dentrix / Open Dental
Dental-practice patient payments, insurance, and supply tracking.
Bill.com
AP automation for medical supply, lab, and equipment vendor bills/payments.
WebPT
Physical therapy practice billing and patient management.

Integration Flow by Business Size

Business Size Recommended Integration Flow
Small
DrChrono or a single EHR (Patient Billing) ➔ Stripe/Square (Patient Payments) ➔ QuickBooks Online
Medium
Tebra (Kareo) or SimplePractice (Practice Management) ➔ Stripe/SquareQuickBooks PayrollQuickBooks Online
Large
athenahealth or AdvancedMD (Multi-Location EHR) ➔ QuickBooks PayrollBill.com (AP) ➔ Dext (Receipts) ➔ QuickBooks Online