Software
HIPAA-aware offshore accountants for medical groups, dental practices, specialty clinics, and ASCs. EHR integration, payer mix analysis, revenue cycle reconciliation, multi-location consolidation – with BAAs in place and PHI controls built in.
Scope
Software
Most healthcare practices don't have a bookkeeping problem – they have a revenue cycle problem that looks like a bookkeeping problem. Insurance claims submitted months ago haven't been posted. Contractual adjustments (the difference between billed and allowed) sit uncategorized. Patient balances roll over because statements stopped going out. Generic bookkeepers treat these as accounting errors; the work is actually revenue cycle reconciliation.
The job is bridging the EHR/practice management system (Epic, Athenahealth, Dentrix, Open Dental, Kareo) and the accounting software (QuickBooks, Sage Intacct). Daily deposits from payers get reconciled to EOBs/ERAs. Contractual adjustments post as revenue reductions, not as expenses. Patient responsibility becomes AR. Claims denials flow to the denial management process (run by your US team) instead of just sitting unpaid.
Practice owners want to know what percentage of revenue is coming from commercial insurance, Medicare, Medicaid, and self-pay – and they want to know the average reimbursement rate per payer category. This is trivial to track if the chart of accounts is set up correctly; nearly impossible to produce if it isn't. Healthcare-trained accountants build payer mix reporting into month-end close.
DSOs, MSOs, and multi-location medical groups often have shared-service structures where the holding company pays for management, marketing, and infrastructure, and allocates costs to individual practices. Healthcare accountants handle the allocation mechanics, intercompany eliminations, and consolidated P&L by location.
Pair with offshore bookkeeping and offshore AP as the core stack. HIPAA handling detailed on our security page. Broader offshore accounting context on the homepage.
FAQ
Yes. We sign Business Associate Agreements with healthcare practices whose engagements touch PHI. Additional HIPAA-specific controls (enhanced logging, role-limited access, annual HIPAA training) apply.
We don't manage the EHR itself – the clinical workflow stays with your US team. We reconcile daily deposits and revenue data from the EHR to the accounting system and handle the downstream accounting.
Yes. Multi-location dental groups with shared-service structures, practice-level P&L, and consolidated financials are a common engagement type.
Yes. Provider productivity tracking (encounters, wRVUs), compensation schedule execution, bonus and profit-sharing calculations. Complex comp structures are common.
Yes. Specialty practices typically have more complex revenue cycles (facility fees, professional fees, technical fees) and more capital-intensive accounting. We match specialists with the right background.
For the accounting data that feeds Medicare cost reports, yes. The actual cost report preparation is typically done by a specialized CPA firm; we support with the underlying data.
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