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Healthcare
Financial management and accounting solutions for healthcare businesses
When Does a Senior Living Placement Agency Actually Earn Its Referral Fee? A Revenue Recognition Guide
Senior living placement agencies earn 70–80% of a resident's first month's rent — but only at move-in, and often subject to 30-day clawback clauses. This guide explains when to recognize referral fee revenue under ASC 606, how to book refund liabilities from your historical clawback rate, and which pipeline metrics predict cash flow.
Urgent Care Clinic Bookkeeping: Why One Wrong Code Can Sink a Month's Revenue
Urgent care bookkeeping hinges on details generic templates miss: the POS-20 place-of-service code that sets the reimbursement rate (and triggers denials at payers who contract clinics as offices), denial-reason tracking for the ~60% of billing work that happens after claim submission, and Section 179's $2,560,000 limit plus permanent 100% bonus depreciation for X-ray and lab equipment in 2026.
Can You Reclassify an Exempt Professional as Non-Exempt? DOL Opinion Letter FLSA2026-1 Says Yes
DOL Opinion Letter FLSA2026-1 (January 5, 2026) confirms employers may voluntarily classify an overtime-exempt learned professional as non-exempt, because non-exempt status is the FLSA default. Here's what the letter says, the three-prong exemption test under 29 CFR § 541.301, and a practical reclassification checklist for small businesses.
New Jersey's Medicaid Employer Assessment (A5324): What the First-in-the-Nation Law Means for Your Payroll
New Jersey's A5324, effective July 1, 2026, bills employers $325–$725 per year for each Medicaid-enrolled employee or dependent once 50 or more are enrolled — matched by the state, not self-reported. Here is how the tiered fees work, which workers are exempt now and in 2027, and how to prepare your books for a bill you didn't calculate.
CMS Prior Authorization Final Rule: What the 7-Day and 72-Hour Deadlines Mean for Medical and Dental Practices
As of January 1, 2026, CMS-0057-F requires Medicare Advantage, Medicaid, CHIP, and ACA marketplace payers to decide prior authorization requests within 72 hours (expedited) or 7 calendar days (standard) and to give specific denial reasons — with FHIR-based prior auth APIs mandated by January 1, 2027. Here's what small medical and dental practices should do now.
Home Care Agency Bookkeeping: Reconciling Medicaid, Private Pay, and VA Reimbursement
Home care agencies collect from private pay, Medicaid MCOs, and VA Aid and Attendance on three different timelines while caregiver payroll runs on a fixed biweekly schedule, so tracking AR by payer separately (not blended) is the key to forecasting cash and catching the 2026 EVV hard-edit denials that make unresolved visit exceptions permanently unbillable.
Med Spa Bookkeeping: Why Packages, Gift Cards, and Memberships Aren't Revenue Yet
Med spas that book prepaid packages, gift cards, and membership fees as revenue at the point of sale overstate income and understate the deferred-revenue liability they owe clients — with the U.S. med spa industry at roughly $21.4 billion in 2026 and package sales now about 29% of client spending, the resulting distortion can turn a strong bank balance into an unexplained cash crunch two months later.
Is Medical Debt Still on Your Credit Report in 2026? A State-by-State Guide for Small Business Owners
The CFPB's nationwide medical debt credit reporting ban was vacated by a Texas federal court in July 2025, leaving protection to 15 state laws and the bureaus' voluntary policies — paid debts, collections under $500, and a 365-day grace period stay off reports everywhere. Here's what still applies in your state and how to keep a medical collection from raising your business loan rate.
ABA Therapy Practice Bookkeeping: The RBT/BCBA Guide to Billing, Authorizations, and Cash Flow
ABA practices bill in 15-minute units under CPT codes 97153 and 97155, face industry-wide denial rates of 15-30%, and see predictable cash-flow dips when six-month prior authorizations lapse before renewal paperwork clears.
Occupational Therapy Private Practice Bookkeeping: A 2026 Guide
A 2.5% CMS cut to OT evaluation codes, a $2,480 KX modifier threshold, and the 8-minute rule all shape 2026 revenue for occupational therapy private practices, and each one requires a specific change to how the books are kept.
Medicare Routine Foot Care Rules: A Podiatry Bookkeeping Guide to Q7/Q8/Q9 Modifiers
Medicare excludes routine foot care under Section 1862(a)(13) unless a Q7, Q8, or Q9 modifier documents a qualifying systemic condition, and a missed modifier produces a flat claim denial that podiatry practices often never trace back to a root cause in their books.
AI Receptionist vs. Human Front Desk: The Real 2026 Cost Comparison for Small Businesses
AI receptionist platforms cost $99–$299 a month versus $2,800–$4,500 for a fully-loaded human hire, but complex complaints, emotional calls, and HIPAA-covered patient information still require human judgment or a signed Business Associate Agreement — here's the real cost and capability comparison for 2026.