Clean books between you and the payers
Healthcare bookkeeping has a reconciliation problem that other industries don't: what you bill, what the payer allows, and what actually lands in the bank are three different numbers. Until those tie out, practice profitability is guesswork.
What makes healthcare & medical practices books different
These are the places we see go wrong most often — and the first things we fix.
Billed vs allowed vs collected
Contractual adjustments and payer write-offs mean gross charges tell you almost nothing about real revenue.
Insurance remittance reconciliation
EOB and ERA detail has to be matched to deposits, which arrive batched and lagged.
Provider-level profitability
Multi-provider practices need to know what each provider contributes after direct costs — rarely visible in a standard P&L.
Built for how you actually operate
- Insurance remittance and deposit reconciliation
- Contractual adjustment and write-off tracking
- Provider-level and location-level profitability
- Payroll with shift differentials and overtime
- Accounts payable and vendor management
- Monthly financial package for practice owners
Software we work in
- QuickBooks
- Xero
- Gusto
- ADP
- Bill.com
Using something else? We adapt to your stack — just ask.
Flexible pricing
from $10/hour
- Hourly, dedicated, or fixed monthly
- Free first-month trial
- Onboarding in 24 hours
Where we usually start
Healthcare & Medical Practices, answered
We work from the reports and remittance data your PM or EHR system produces and reconcile it to the accounting ledger. We don't require direct access to clinical systems.
We work with financial and remittance data, not clinical records, under secure remote access with strict access controls. Any PHI-handling requirements should be confirmed with your compliance advisor.
Yes — with the right cost allocation set up, we report revenue and direct costs by provider and by location so you can see genuine contribution.
Other industries we know well
Leave the accounting to us
Your first month is free, onboarding takes as little as 24 hours, and rates start at $10/hour. No lock-in.