Medical Practice Bookkeeping (Doctors, Dentists & Chiropractors)

Clinical revenue flows through EHRs/clearinghouses with adjustments, write-offs, and delayed reimbursements. Your books must separate patient payments, insurance reimbursements, adjustments, chargebacks/refunds-and tie out to the bank.

Chart of accounts (COA) essentials

• Patient revenue vs. insurance revenue
• Adjustments/write-offs and refunds
• Provider comp/benefits, malpractice, licensing/CE
• AR and deposit clearing for EOB timing

Reconciliation workflow

1. Pull EHR remittance and merchant data
2. Match to deposits and investigate denials
3. Track AR days & collection rate
4. Resolve variances monthly during close

Related: Accounting 101

Payroll & compliance

• Salary + productivity comp models
• Stipends (CME), licensing, premiums
• HIPAA-aware handling of supporting docs

Typical pricing bands

• Solo/1-2 providers: $400-$900/mo
• Multi-provider: $800-$1,600/mo
• Multi-location: $1,400-$2,500+/mo
  Compare: Cost by State

Healthcare-specific close checklist on request. Start Free

FAQs

How do EHR payouts map to my books?
We match EHR remittances and merchant settlements to bank deposits, post write-offs/adjustments, and reconcile AR so revenue and cash timing are accurate.

What KPIs do clinics track monthly?
AR days outstanding, collection rate, denial rate, net revenue per visit, and payroll ratio are common.

How much should a small practice expect to pay?
Typically $400-$900 per month depending on volume, number of payment channels, and payroll complexity.