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ERA/EOB payments reconciled to your bank deposits, insurance reimbursement lag tracked by payer, contractual adjustments separated from bad debt, provider compensation reconciled monthly, and a payer-mix P&L — so you see collections by payer category and know exactly where revenue is being written off.
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We are a bookkeeping firm in Austin, Texas that works with medical practices and healthcare offices on ERA/EOB reconciliation, insurance reimbursement tracking, provider compensation accuracy, and payer-mix reporting — books that show you write-off rates and collections by payer every month, coordinated with your CPA on tax filings.
Medical practices don't run on invoices — they run on reimbursement cycles, contractual write-offs, and payer mix. ERA/EOB reconciliation, reimbursement lag, and provider compensation accuracy are where your books either give you management data or just report history.
Collections and provider payroll, tied out monthly.
Accurate categorization of insurance reimbursements, patient payments, contractual adjustments, provider compensation, and all operating expenses. Full monthly close with P&L, balance sheet, and commentary — with a payer-mix breakout so you know which payers are performing and which are eroding collections. See all services
Every ERA payment matched to the corresponding bank deposit and reconciled against claims billed. Underpayments, recoupments, and lagged payments surfaced by payer and date — so you catch the commercial payer that's paying 45 days late and the government payer that clawed back a payment without notice.
Provider salary, wRVU-based bonus, and owner distributions reconciled to payroll and documented monthly. Each provider's total compensation tracked separately so your books support the calculation if ever reviewed under fair market value standards — and so your CPA has clean data for Schedule K-1 or W-2 treatment at year-end.
Credentialing fees, DEA registration, state medical license renewals, malpractice insurance premiums, and hospital privileging costs tracked by provider and renewal date. Know what credentialing costs per FTE, and never miss a renewal that could interrupt your ability to bill a payer.
Patient overpayments create a refund liability — not income. We track your patient credit balance monthly by aging bucket, flag balances due for refund under your policy, and ensure they never flow through revenue. Keeps your collections reporting clean and your compliance posture defensible.
Medical supplies categorized by type — physician-preference implants and devices (high-cost, patient-specific), general consumables (exam gloves, syringes, wound care), and capital equipment. Gives you the cost granularity to see which supply categories are rising and where contract renegotiation makes sense.
Revenue, contractual adjustments, bad debt, and net collections reported by payer category — Medicare, Medicaid, commercial, and self-pay broken out separately. Know your effective reimbursement rate by payer and where write-offs are concentrated before your billing company tells you to renegotiate your contracts.
Tax filings and legal matters — coordinated with your CPA or attorney. Turnkey CFO does not provide tax or legal advice; we keep your books filing-ready and support the process end-to-end.
Not a static PDF weeks after month-end. A dashboard that shows collections by payer category, write-off rates, and cash conversion the moment your books close.
"We finally see our collections by payer category every month and understand our write-off rates. Turns out our Medicare Advantage write-offs were running 4 points higher than commercial — we had no idea until Turnkey CFO built that breakout for us."
A payer-mix breakout that surfaced a 4-point write-off gap the practice had never been able to see.
We learn your payer mix, practice management software, provider compensation structure, and where the books are currently breaking down — so we set up right the first time.
Revenue by payer category, contractual adjustment accounts, bad debt, patient credit balance liability, provider compensation, and credentialing expense — all built before we touch a transaction.
Full close every month with ERA/EOB reconciliation, payer-mix collections breakout, write-off rate analysis, and cash flow forecast — so you're managing with data, not calling the billing company every week.
Get your instant estimate, then book a 15-minute call to talk through fit and scope. No pressure, no sales pitch.