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Healthcare & Medical

Bookkeeping for Medical & Healthcare Practices

Insurance reimbursements, patient payments, payroll and provider payouts. We keep clean, confidential books so you can focus on patients, not paperwork.

QuickBooks & Xero certified Colorado LLC · US business hours
Bookkeeping for Medical & Healthcare Practices
200+US businesses served
4.9 217 reviews on Fiverr®
5 YearsIn business
QuickBooksCertified ProAdvisor
XeroPlatinum Partner
See it clearly

What you billed and what you were paid are different numbers.

One month of claims, through to the bank.

Actually received$41,300After insurers apply their contracted rates.
Billed chargesWhat went out to insurers and patients+$68,500
Contractual adjustmentsThe negotiated write-down, never a bad debt−$21,400
Denied & pending claimsRecoverable, if somebody chases them−$3,900
Patient balances outstandingCollected slowly, or not at all−$1,900
Booking billed charges as revenue overstates a practice by 30% or more. Contractual adjustments are not bad debt and should never be recorded as one, and denied claims sitting unreviewed are simply money left with the insurer.

Illustrative figures, shaped like real books. Your numbers will differ; the pattern will not.

How we untangle it

From chaos to clean books.

Insurers · PatientsReimbursements and payments on different timelines
flows in →← reconciled
Clean monthly booksRevenue reconciled and complete, profitability by provider or location
Healthcare & Medical

Practice finances are their own specialty.

We handle the money side so you can handle the care.

Insurance & patient payments

Payments arrive from insurers and patients on different timelines. We reconcile both so your revenue is accurate and complete.

Payroll & provider payouts

Staff payroll plus provider and contractor payouts get handled accurately, with year-end W-2s and 1099s.

Profitability by provider/location

We track performance by provider or location so you can see what's driving the practice.

Confidential & organized

We keep your financial records organized and handled with discretion. No clinical records, just clean books.

Equipment & overhead

Equipment, supplies and overhead are categorized properly so margins and deductions are accurate.

Tax-ready year-round

Estimated taxes, deadlines and clean records kept current so tax season is a non-event.

What's included

Healthcare clients get.

Clear deliverables, every month, nothing vague.

Reconciliation of insurance reimbursements and patient payments
Payroll for staff plus provider and contractor payouts
Profitability tracking by provider or location
Clean categorization of equipment, supplies and overhead
Estimated taxes, deadlines and year-end readiness
Monthly P&L, Balance Sheet and Cash Flow + a dedicated contact

Tools we work with.

Your practice management and billing systems, reconciled into QuickBooks or Xero with insurance reimbursements and provider payouts tracked separately.

AthenahealthDrChronoTebraSimplePracticeJaneWaystarStripe logoSquare logoDocuSignGusto logoQuickBooks logoXero logoAthenahealthDrChronoTebraSimplePracticeJaneWaystarStripe logoSquare logoDocuSignGusto logoQuickBooks logoXero logo

Using something else? We almost certainly work with it, just ask.

Medical practice reception area with a clinician at the desk

Bookkeeping for practices, done with discretion.

Healthcare practices (clinics, dental, therapy, veterinary and specialty offices) have a revenue cycle unlike most businesses. Money arrives from insurers and from patients on completely different timelines, and matching it to services is fiddly. We reconcile insurance reimbursements and patient payments so your revenue is accurate and nothing goes missing, and we keep everything organized and confidential. To be clear: we handle your financial books, not clinical records or protected health information.

We also track profitability by provider or location, so as your practice grows you can see exactly what's driving it and where overhead is creeping.

Who keeps your books

One team, one point of contact.

You contract with a US company. A small team led by our founder does the work, and you always know who is in your books.

Usama, founder of Cloud AccountantsUsamaFounder · QuickBooks ProAdvisor
How our team works
  • A US company on your contractCloud Accountants LLC is registered in Colorado. Your agreement, invoices and business-hours phone support are all US-based.
  • One point of contactThe same person keeps your books every month and joins your monthly review call. No ticket queue.
  • Founder-led team, stated up frontUsama, a QuickBooks ProAdvisor, leads the work. Our accounting team is based outside the US, and we tell you that before you sign.
  • Your data stays yoursWe work inside your own QuickBooks or Xero, with the access level you choose. We never hold funds or ask for banking passwords.
  • Consent before tax data movesUS rules require your written consent before tax return information goes to a preparer outside the US. We ask first, in writing.
  • Leave any time, books includedNo long contracts. Your QuickBooks or Xero file stays under your own login, so if you ever move on, everything stays with you.
★★★★★
“Great experience from start to finish. He made everything easy to understand and handled my accounts perfectly.”
Ryan Parker
Read on Trustpilot →
Why Cloud Accountants

How we’re different.

Accurate books, clear reporting and proactive support, so you always know where your business stands.

Cloud Accountants

  • Cloud-based bookkeeping with real-time access
  • Monthly reconciliations for accurate records
  • Automated payroll with digital compliance
  • Online sales tax & federal e-filing
  • Cloud budgeting and cash-flow planning
  • AP/AR management through digital workflows
  • QuickBooks Online and Xero setup support
  • Monthly meetings to review progress

A traditional setup

  • Files only your bookkeeper can open
  • Irregular reconciliations and manual updates
  • Payroll handled separately, often by hand
  • A last-minute scramble before each deadline
  • No forward look at cash
  • Bills and invoices chased by email
  • Software set up by trial and error
  • No regular reviews
Good to know

Healthcare bookkeeping FAQs.

Everything a healthcare business owner usually wants to know.

QDo you reconcile insurance and patient payments?
A

Yes. We reconcile reimbursements from insurers and payments from patients so your revenue is accurate and complete.

QDo you access clinical records or PHI?
A

No. We handle your financial books only: bookkeeping, payroll and tax readiness, not clinical records or protected health information.

QCan you handle payroll and provider payouts?
A

Yes. We run staff payroll and manage provider and contractor payouts, including year-end W-2s and 1099s.

QCan you show profitability by provider or location?
A

Yes. We track performance by provider or location so you can see what's driving the practice.

QWhich software do you use?
A

QuickBooks Online or Xero, integrated with your payment/practice-management tools and Gusto for payroll.

Keep exploring

Other industries we serve.

Focus on patients. We'll keep the books.

Book a free call and we'll review your practice's books and recommend the right plan.

No long contracts · Reply within 1 business day · Or call (719) 314-3014
Findings in 48 hoursNo card, no obligation
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