#healthcare
Financial management and accounting solutions for healthcare businesses
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.
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 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 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.
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.
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.
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 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.
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.
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.
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.
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.
