Medical practices don’t just “sell a service.” You might purchase vaccines & implants along and lab supplies. Then, bill through a mix of copays, deductibles, insurance reimbursements and patient refunds that can arrive weeks later. Our accountants for medical practices step in here — by turning that messy trail into clear records.
What are the Accounting Services for Medical Practices?
Our accounting services for medical practices cover the daily work that keeps transactions organized — plus the month-end close that produces solid financial statements. We present the core deliverables as below:
- A chart of accounts built for clinical supplies & equipment and provider pay along with admin overhead
- Clean categorization with documentation that holds up
- Reconciliations for bank and credit card as well as merchant deposits
- Reporting by location or service line or provider group
- Coordination with payroll and contractor payments — so compensation fully links with the books
- A tidy year-end package for tax documentation & third-party requests
Why is Medical Practice Bookkeeping Different from Typical Small Business Books?
It’s distinct, as one patient encounter can generate multiple payments and adjustments or write-offs that should land correctly for the numbers to stay meaningful. The below items generally are the main cause of confusion:
| Transaction type | What usually goes wrong | What solid records should show |
| Insurance remittances — EOB/ERA | Deposits don’t tie back to charges | Deposit splits into payer payment and patient portion & adjustments |
| Patient refunds | Refunds get posted as “expense” | Refund lowers the revenue amount — with a clear trail |
| Membership/concierge fees | Mixed with visit revenue | Separate stream — with exact timing & reporting practice |
| Supply inventory | Set a consistent policy for stocked items vs items consumed — and document it | The method in terms of “stocked items vs consumed items” |
| Equipment leases and loans | Principal and interest blended | Liability reduction separated from interest cost |
| 1099 contractors — locums & specialists | Payments posted without vendor detail | Vendor history that supports year-end forms |
How Does Our Close-and-Review Process Work?
Our practice is repeatable on a monthly basis — that starts with accurate inputs and ends with a short review as outlined below:
- Discovery and cleanup — we map your systems (EHR, payment tools, payroll) and fix obvious posting issues
- Book structure — our accountants for medical practices set accounts and tracking — so results can be read by location or provider
- Data alignment — our experts match bank feeds and merchant deposits as well as bill pay to real cash movement
- Month-end close — reconciling accounts, booking needed accruals and locking the period
- Owner review — walking through the numbers, highlighting unusual trends and recording decisions
- Quarterly check-in — updating projections and deadlines in order to prevent last-minute surprises
How Can Tax Planning for Medical Practices Cut Down Year-End Stress?
Such services cut down stress by linking real-time results to estimated payments & entity strategy and deductible spending — before deadlines hit.
Tax planning areas that generally move the needle:
- Choosing how the practice is taxed — and when an S-corp election fits
- Optimizing purchase time processes for equipment or software or build-out costs
- Coordinating practice income with owners’ individual taxation
- Building a calendar for estimated payments and payroll tax deposits
- Setting cash aside that fully complies with the collections cycle
What Do our Accountants for Medical Practices Deliver for Healthcare Teams?
We deliver medical practice accounting with medical practice CPA oversight — so our clients get precise books — plus advice that fits how clinics operate.
Our service menu is presented below:
- Ongoing month-end work and professional documentation
- Catch-up projects — when records are behind or inconsistent
- Entity and payroll setup support for new practices
- Packaging financials for lenders or investors or acquisitions
- Expert aid from accountants for medical practices who are aware of healthcare industry
Ready to Partner with Dimov Tax?
Send us a message with your practice type and the tools you use today. Our accountants for medical practices are ready to determine the correct next steps.
FAQs
What should I look for in accountants for medical practices?
Experience tying deposits to EOB/ERA activity & clean month-end close habits — and reporting that supports provider-level decisions.
Can a CPA for medical practice help lower tax surprises during the year?
Yes — regular check-ins plus tax planning for medical practices are able to fully align estimates with real collections — and avoid big catch-up payments.
How often should medical practice bookkeeping be reviewed by a medical practice CPA?
At minimum monthly, so reconciliations, adjustments, and owner reporting stay accurate while issues are still easy to fix.
What is the fastest way to clean up complex medical practice accounting?
Start with reconciliations and rebuild the chart of accounts. And then correct posting for deposits & refunds and contractor payments.