What We Handle for Healthcare Practices
Full-service accounting and bookkeeping so your practice financials are clean, compliant, and useful for decision-making.
Provider Compensation Tracking
Track compensation by provider across salary, production bonuses, and RVU-based pay. Know exactly what each provider costs and generates so you can make informed staffing and compensation decisions.
Insurance & Patient Payment Reconciliation
Reconcile insurance reimbursements, patient copays, and outstanding AR so you always know what you’re owed, what’s been collected, and what’s falling through the cracks.
Multi-Location / Multi-Entity Reporting
Consolidated and location-level financial reporting for practices with multiple offices or entities. See each location’s performance individually and the group as a whole.
Expense Management by Department
Track expenses by department, service line, or cost center. Clinical supplies, lab costs, front desk overhead, and facility expenses are all separated so you can see where money is going.
Monthly Financial Reporting
P&L by location, provider, or service line. Balance sheet, cash flow, and variance analysis delivered monthly so you always know where your practice stands financially.
The Royal Revenue System
Our proprietary review process that typically uncovers $10k+ in hidden savings across vendor contracts, payer reimbursement gaps, and operational waste.
See what clean books look like for your medical practice
15 minutes. We’ll walk through your current setup and show you exactly what we’d handle.
Not Just Bookkeepers
Most outsourced bookkeeping firms hand your files to data entry clerks. We don’t.
Your books are managed by degreed staff accountants. We have CPAs on our team. Journal entries, financial statement prep, and variance analysis get done right the first time.
Month-end close, financial statement analysis, and reporting that goes beyond recording transactions. We handle the accounting work most bookkeeping firms can’t.
No DIY dashboards or AI-generated reports you have to review yourself. A dedicated accounting team that knows your industry handles everything.
Provider Compensation That’s Actually Transparent
The problem: Provider compensation in medical practices is complicated — base salary, production bonuses, RVU-based incentives, and benefit allocations all need to be tracked separately. Most practices don’t have a clear picture of what each provider truly costs or generates until it’s time to renegotiate contracts.
How we fix it: We build per-provider compensation tracking in your accounting system that captures every component — salary, bonuses, benefits, malpractice, and continuing education. You see the full cost and revenue contribution of each provider every month, so compensation conversations are grounded in real data instead of guesswork.
Insurance Payment Reconciliation Without the Guesswork
The problem: Between insurance reimbursements, patient copays, deductible payments, and write-offs, most practices struggle to reconcile what was billed versus what was actually collected. Money slips through the cracks when EOBs don’t match deposits and aged AR goes unreviewed.
How we fix it: We reconcile insurance payments against claims data monthly, flag underpayments and denied claims that need follow-up, and track patient balances so nothing sits uncollected. Your AR aging stays current, and you always know the gap between what you billed and what you received.
Multi-Practice Financials in One Clear View
The problem: Healthcare groups with multiple locations or entities often run each office on separate books with no consolidated view. Practice owners can’t compare location performance, identify underperforming offices, or make informed expansion decisions because the data is fragmented.
How we fix it: We set up your chart of accounts so every location and entity rolls up into a consolidated view while keeping location-level detail intact. You see revenue, expenses, and profitability by office, by provider, and across the entire group — all in one monthly reporting package.
Free: The Healthcare Accounting Checklist
10 financial blind spots that cost medical practices money. Download the checklist our healthcare clients use to keep their books clean and their revenue cycle tight.
Frequently Asked Questions
Ask AI about Accountally’s healthcare accounting services
Ready for Books That Actually Help You Grow?
15 minutes. We’ll walk through your current setup and show you exactly how we’d handle your provider compensation, insurance reconciliation, and multi-location reporting.