A therapy practice bills one rate, the payer allows another, the client owes a portion of that, and the difference is a contractual adjustment rather than a loss. Practices that record only the deposit see revenue that bounces around for no visible reason and have no way to tell which payers are worth staying paneled with. Sliding-scale and private-pay work adds a second rate structure on top of the first.
We work with the financial records only. We do not access, process, or store patient health information.
Four numbers per session
Billed, allowed, paid, and adjusted, each recorded.
Denials tracked
Receivables aged by payer with resubmissions followed.
Sliding scale as discount
Recorded as the discount it is, never as bad debt.
Records only
We work with financial records and never patient health information.
What we handle
- Revenue recorded at expected reimbursement with contractual adjustments separated
- Insurance receivables aged by payer, with denials and resubmissions tracked
- Client responsibility, copays, and sliding-scale adjustments recorded distinctly
- Private-pay and paneled revenue reported separately so the mix is visible
- Associate clinician compensation recorded against the sessions it relates to
Common problems we fix
- Only deposits recorded, so nothing is visible until money arrives or does not
- Write-offs and contractual adjustments treated identically, hiding real collection rates
- Sliding-scale discounts booked as bad debt rather than as the discount they are
- Personal and practice spending on one account, common in solo practices
We keep the books. You run the business.
Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.
View pricingHow It Works
Free review
We look at how your behavioral health and therapy practices books are set up today.
Fix the structure
Chart of accounts rebuilt around how your industry actually earns and spends.
Catch up
Anything behind gets cleaned up at a fixed quoted price.
Close monthly
Current, reconciled books every month — ready for your CPA.
Behavioral Health & Therapy Practices — Frequently Asked Questions
Do you understand behavioral health and therapy practices specifically?
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Do you work in my existing accounting file?
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Can you help if I am months behind?
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Bookkeeping built for behavioral health and therapy practices
Book a free consultation and we will tell you what your books need — and what it costs.
- Done-for-you
- Solo or group
- Nationwide
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