Healthcare Accounting Services for Medical Practices & Providers

Healthcare accounting involves payer mix reporting, insurance receivable management, provider compensation calculations, and multi-location or multi-service-line revenue reporting. These disciplines require industry-specific expertise that generalist accounting firms typically do not have.

Payer mix accounting is the process of tracking and reconciling revenue, contractual adjustments, and reimbursements across different insurance payers and payer categories. It gives leadership an accurate view of true net revenue after adjustments, rather than gross charges.

Outsourced healthcare accounting means engaging a specialized external firm to manage part or all of your accounting and finance function rather than building that capability in-house. It gives healthcare businesses access to industry-specific expertise at a lower cost than hiring and managing an internal team.

We provide general accounting and bookkeeping, revenue cycle and payer accounting, accounts receivable, accounts payable, provider compensation accounting, financial reporting, and financial planning and analysis, all structured specifically for healthcare businesses.

We monitor insurance claims and patient receivables, track aging by payer, support collection follow-up efforts, and reconcile adjustments and write-offs so receivable balances remain accurate and current.

We calculate and reconcile compensation based on production, collections, or RVU-based models, provide provider-level reporting for transparency, and support the review of compensation structures as the practice evolves.

Yes. We structure financial reporting by location and service line, providing revenue, margin, and payer mix visibility at the location and provider level.

A healthcare business should review a monthly income statement, balance sheet, cash flow statement, payer mix and reimbursement report, AR aging report by payer, and provider compensation summary at minimum.

Yes. We prepare the clean, current financial records, revenue analyses, and structured reporting packages that investors and acquirers require during due diligence. We also support the financial modeling and scenario analysis needed for fundraising conversations.

We work with QuickBooks Online, QuickBooks Desktop, NetSuite, Xero, Sage, athenahealth, Kareo, and integrated healthcare practice management systems, among others.

Yes. We provide financial planning and analysis services specifically structured for healthcare businesses, including volume and payer mix forecasting, margin planning by location and service line, and provider compensation modeling.

Yes. Most Expertise Accelerated healthcare accounting engagements are structured as monthly fixed fees, which provides budget predictability as your business grows.

We support healthcare businesses across the United States, including businesses based in New York, Chicago, Los Angeles, Houston, Miami, and Austin, as well as multi-location groups operating across all U.S. regions.

Most engagements begin within two to four weeks of the initial agreement, depending on the complexity of your revenue cycle setup, payer relationships, and the current state of your financial records.