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Healthcare

Financial management and accounting solutions for healthcare businesses

ABA Therapy Practice Bookkeeping: The RBT/BCBA Guide to Billing, Authorizations, and Cash Flow
·mike

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.

healthcare
payroll
bookkeeping
Occupational Therapy Private Practice Bookkeeping: A 2026 Guide
·mike

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.

healthcare
bookkeeping
cash-flow
Medicare Routine Foot Care Rules: A Podiatry Bookkeeping Guide to Q7/Q8/Q9 Modifiers
·mike

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.

healthcare
bookkeeping
accounts-receivable
AI Receptionist vs. Human Front Desk: The Real 2026 Cost Comparison for Small Businesses
·mike

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.

ai
small-business
automation
Translation and Medical Transcription Bookkeeping: Per-Word Billing, 1099 Risk, and HIPAA Recordkeeping
·mike

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.

bookkeeping
freelance
independent-contractor
Virtual Medical Scribe Agency Bookkeeping: Billing, Provider Shifts, and the BAA You Can't Invoice Without
·mike

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.

healthcare
compliance
bookkeeping
WA Cares Fund: A Washington Employer's Payroll Withholding Guide for 2026
·mike

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.

payroll
tax-compliance
compliance
Locum Tenens Taxes and Bookkeeping: A Complete Guide for 1099 Clinicians
·mike

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.

healthcare
self-employment-tax
self-employment
Non-Emergency Medical Transportation (NEMT) Bookkeeping: Trip Logs, Broker Reimbursement, and False Claims Act Risk
·mike

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.

healthcare
compliance
fraud-prevention
Home Health Agency Billing Under PDGM: How the 30-Day Payment Period and 5-Day NOA Deadline Determine What Medicare Pays
·mike

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.

healthcare
small-business
bookkeeping
HSA Comparability Rules: Why You Can't Pay Yourself More Than the Front Desk
·mike

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.

healthcare
employee-benefits
tax-compliance
Portable Benefits for Gig Workers: What the New State Laws Actually Do in 2026
·mike

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.

self-employment
freelance
healthcare
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