Bookkeeping and payroll for medical practices
Clear separation of collections, adjustments and owner pay, so you see how the practice is truly performing, not just how busy it is.
Receivables from insurers and patients
A practice’s revenue is not what it bills; it’s what it collects. Insurance receivables, patient balances, contractual adjustments and write-offs all need to be recorded distinctly. We reconcile deposits to your practice-management or billing reports so your books reflect real collections and your aging shows what’s outstanding.
Owner compensation and distributions
Physicians and owners often blur salary, distributions and personal expenses. We help you keep them separate and recorded correctly, which matters for your CPA, for lenders and for understanding what the practice actually earns.
Clinical and administrative payroll
A typical practice payroll includes physicians, nurses or hygienists, medical assistants and front-office staff, some hourly, some salaried. Our payroll service handles the mix, keeps deposits on time and produces accurate year-end forms.
Supplies, equipment and overhead
Medical supplies, equipment leases and rent form large recurring costs. We categorize them consistently, track equipment on the fixed-asset listing and highlight overhead trends month over month.
A note on confidentiality
We work from financial records, not clinical records. Matkht is a bookkeeping firm, and we do not need patient charts to keep your books. Share only what’s necessary, and talk to your compliance advisor about your obligations.
How we set up your books
- Revenue split by payer type (commercial insurance, Medicare, self-pay) so collection trends are visible
- Contractual adjustments and write-offs recorded separately from gross charges
- Insurance and patient receivables with an aging report you can act on
- Owner salary, distributions and personal expenses clearly separated
- Clinical and administrative payroll on separate lines, with benefits and taxes tracked
Common mistakes we clean up
- Recording billed amounts as revenue instead of what the practice actually collects
- Letting insurance deposits sit unmatched to the claims they paid
- Mixing owner draws with payroll, which distorts both labor cost and owner pay
- Skipping the receivables aging, so old balances quietly become uncollectible
- Expensing equipment purchases that should be tracked as assets
If any of these sound familiar, it’s fixable. We review what’s there, tell you what’s wrong and give you a written estimate to correct it, including catch-up work for past months.
What you get every month
- Reconciled bank and credit card accounts
- Accounts payable and receivable managed
- Financial statements with comparisons by the 15th
- Payroll and payroll taxes that reconcile to your books
See the full scope of our bookkeeping and payroll services.
Serving medical practices across South Florida
Medical Practices bookkeeping questions
Do you work with dental practices too?
Yes. Dental, chiropractic, therapy and other health practices have similar collections, adjustment and payroll needs.
Can you reconcile insurance deposits?
Yes. We match deposits to your billing reports so collections and adjustments are recorded accurately.
Books that fit how your medical practice business works
Book a free call. We’ll look at where your books stand and give you an honest estimate before we start.