Medical Practice Bookkeeping That Understands Healthcare
From revenue cycle tracking and provider compensation to equipment financing and HIPAA-compliant reporting — we handle the financial complexity so you can focus on patients.
A guide by Taxstra Tax & Accounting — CPA-led tax strategy for business owners
Medical Practice Accounting Challenges
Medical practices have financial challenges that generic bookkeepers cannot handle. Revenue cycle complexity, provider compensation, expensive equipment, and regulatory requirements demand a CPA who knows healthcare. See our physician tax planning hub for individual physician strategies.
Revenue Cycle & Collections Tracking
Insurance reimbursements take 30–90 days, claims get denied, and patient balances go uncollected. We track your revenue cycle metrics — days in A/R, collection rate, denial rate — so you know exactly where the money is (and is not).
Provider Compensation Structures
Physician compensation models (salary + production bonuses, eat-what-you-kill, equal splits) are complex to administer. We track RVUs, collections by provider, and calculate compensation accurately every pay period.
Equipment Financing & Depreciation
Medical equipment is expensive — imaging machines, dental chairs, surgical instruments. We structure equipment purchases and leases for maximum tax benefit, tracking depreciation schedules and Section 179 elections.
HIPAA-Compliant Financial Processes
Your financial data intersects with patient data. We maintain HIPAA-compliant processes for handling financial records, ensuring our systems and workflows meet the security standards your practice requires.
Medical Practice Accounting Services
End-to-end financial management built specifically for medical, dental, and specialty healthcare practices.
Monthly Bookkeeping
Practice-specific bookkeeping with revenue recognition by payer class, insurance vs. patient pay tracking, and provider-level reporting. We reconcile bank deposits against your practice management system.
Learn More →Medical Practice Payroll
Multi-provider payroll with production-based compensation, benefit administration, retirement plan contributions, and multi-state licensing compliance. Accurate every cycle, on time every time.
Learn More →Tax Planning & Preparation
Proactive quarterly tax planning that accounts for equipment purchases, retirement plan contributions, practice expansion, and partnership distributions. We minimize tax legally and aggressively.
Healthcare Compliance
Financial reporting that aligns with healthcare regulations, proper handling of patient refunds and credits, Stark Law considerations for ancillary services, and documentation standards for audits.
Financial Reporting & KPIs
Practice dashboards with collections per visit, overhead ratio, provider productivity, payer mix analysis, and days in accounts receivable. The metrics that drive practice profitability.
CPA Oversight & Advisory
Every transaction reviewed by a licensed CPA. We advise on entity structure, partner buy-ins and buy-outs, practice valuation, associate compensation models, and retirement planning for physicians.
Physician Tax Hub →Tax Strategies for Medical Practices
High-earning medical professionals have powerful tax strategies available. We deploy these for every practice we serve.
Defined Benefit Pension Plans
Section 179 for Medical Equipment
Retirement Plan Stacking
Medical Practice Accounting FAQ
Common questions from physicians, dentists, and practice managers about bookkeeping and tax planning.
Focus on Patients. We Will Focus on Your Finances.
Join medical practice owners who stopped stressing about revenue cycle tracking, provider compensation, and tax planning — and started growing their practices.
Find Out What You're Overpaying in Taxes
Book a free 30-minute call to walk through your situation. We'll tell you exactly how our CPA-led team can help — and whether we're the right fit.