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Healthcare
Financial management and accounting solutions for healthcare businesses
Translation and Medical Transcription Bookkeeping: Per-Word Billing, 1099 Risk, and HIPAA Recordkeeping
How translation agencies and medical transcription services can cost freelance linguist payables against per-word client billing, avoid 1099 vs. W-2 misclassification risk, and meet HIPAA business associate recordkeeping requirements.
Virtual Medical Scribe Agency Bookkeeping: Billing, Provider Shifts, and the BAA You Can't Invoice Without
A virtual medical scribe agency needs a signed Business Associate Agreement before billing a single shift, and its pricing model — hourly, monthly subscription, or per-encounter — determines when revenue should be recognized and how the chart of accounts should be structured.
WA Cares Fund: A Washington Employer's Payroll Withholding Guide for 2026
Washington employers must withhold 0.58% of gross wages with no cap for the WA Cares Fund, the state's employee-funded long-term care program that began paying benefits up to $36,500 per worker in July 2026, and file combined quarterly reports with the Employment Security Department.
Locum Tenens Taxes and Bookkeeping: A Complete Guide for 1099 Clinicians
Locum tenens and travel-healthcare clinicians are 1099 contractors who owe 15.3% self-employment tax, must establish a valid IRS tax home to deduct travel costs, and often file non-resident state returns for every state where they worked.
Non-Emergency Medical Transportation (NEMT) Bookkeeping: Trip Logs, Broker Reimbursement, and False Claims Act Risk
NEMT providers face a documented audit risk unlike most small businesses — a 2022 federal audit found 72% of sampled New York claims non-compliant, and billing a no-show as a completed trip can trigger False Claims Act penalties starting at roughly $14,000 per claim plus treble damages.
Home Health Agency Billing Under PDGM: How the 30-Day Payment Period and 5-Day NOA Deadline Determine What Medicare Pays
PDGM prices every home health claim in 30-day case-mix periods, docks roughly 1/30th of the period's payment per day for a late Notice of Admission, and switches to a flat per-visit rate if a period falls under its LUPA visit threshold.
HSA Comparability Rules: Why You Can't Pay Yourself More Than the Front Desk
Employer HSA contributions outside a Section 125 cafeteria plan must be identical across comparable employees, or the IRS imposes a 35% excise tax on the full contribution pool, not just the excess.
Portable Benefits for Gig Workers: What the New State Laws Actually Do in 2026
Utah, Tennessee, Alabama, Georgia, and West Virginia have passed portable benefits laws letting businesses fund contractor health, retirement, or PTO accounts without that contribution counting as evidence of misclassification under state law — but the safe harbor is state-only and doesn't touch federal IRS or DOL tests.
Urgent Care Clinic Bookkeeping: A Guide to Payer Mix, A/R, and Ancillary Revenue
Urgent care clinics typically target 28-35 days in accounts receivable, an 8-15% denial rate, and a 95%+ clean claim rate, while losing 15-25% of ancillary revenue to uncaptured charges — tracking these by payer category is what catches billing problems before they become a cash crunch.
Veterinary Practice Bookkeeping: AAHA Chart of Accounts and Drug Inventory Controls
Pharmaceuticals and supplies run 20-25% of revenue at a typical small-animal practice, and the AAHA/VMG chart of accounts plus DEA-compliant drug logs are what keep that margin from quietly leaking away.
Direct Primary Care Meets Your HSA in 2026: The OBBBA Rule That Makes Monthly Doctor Fees Tax-Free
OBBBA Section 71308 and IRS Notice 2026-05 let you pair a Direct Primary Care membership of up to $150/month per adult ($300 family) with an HSA starting January 2026, reclassify all Bronze and Catastrophic marketplace plans as HSA-eligible, and make the telehealth pre-deductible safe harbor permanent. Here is how freelancers, solo S-corp owners, and small employers should stack DPC, marketplace coverage, HSAs, and QSEHRA/ICHRA reimbursements without double-dipping.
The 2026 ACA Subsidy Cliff Is Back: A Survival Guide for Self-Employed Owners, Freelancers, and Early Retirees
The enhanced premium tax credits expired January 1, 2026, restoring the 400% FPL cliff. This guide walks self-employed filers, S-corp owners, freelancers, and early retirees through the 2026 applicable percentage schedule, MAGI levers like Solo 401(k), SEP-IRA, HSA, and Section 162(l), and Form 8962 reconciliation strategies to avoid five-figure repayments.