Financial clarity is just a conversation away…
Accounting, Bookkeeping & Tax Services for Service-Based Small Businesses, with a specialization in Home Healthcare Agencies.
Welcome!
Prexision partner with owners to strengthen compliance, bring order to finances, and provide clear insight, so you can stay focused on your clients, your mission, and your growth.
Our services
Prexision provides bookkeeping, accounting, and tax preparation for service-based small businesses, with specialized experience supporting home health agencies. Our services focus on accurate records, clear financial reporting, and dependable systems designed to keep your business organized year-round.
Click on the images below for Service details and links to Service Packages.
*Home Health Agencies*
Specialized support for Home Health Agencies
We know your work is demanding, especially when your focus is patient care. Prexision helps home health agencies stay financially organized, audit-ready, and informed. Our work focuses on taking the stress out of financial systems and replacing it with clarity and order.
Home health agencies face unique pressure and operate in one of the most highly regulated and mission-driven industries. Reimbursement timing, adjustments, and compliance expectations can make it difficult to understand true financial performance.
Prexision provides bookkeeping and reporting structured for reimbursement-driven businesses, helping agencies maintain organized, audit-ready records and clear financial visibility.
We provide:
Monthly Bookkeeping & Reconciliations
Owner-Friendly Financial Reporting
Cleanup & Catch-Up Bookkeeping
Quick Books Setup & Optimization
Payor Mix Cash Visibility
Cost Report Readiness
Audit-ready financial organization
Startup & agency-launch services
About us
Prexision was founded by a Certified Public Accountant (CPA) with extensive experience in accounting, audit, and compliance, committed to helping business owners feel confident and informed about their finances.
As a CPA-led firm, we combine technical expertise with a thoughtful, client-focused approach, explaining financial information in plain language while maintaining clean, dependable records.
We don’t just record your numbers, we protect your vision. Whether you are a home health agency navigating complex Medicare and reimbursement requirements or a small business looking to scale efficiently, we bring a unique, audit-ready mindset to bookkeeping and accounting.
Rosalind H. Nash, CPA
Precision. Strategy. Peace of Mind.
Rosalind founded Prexision to bring enterprise-level financial rigor to small businesses. With over 14 years of experience across public accounting, audit, regulatory compliance, corporate finance, and investment operations, primarily in healthcare, she has managed complex reporting and compliance for organizations handling billions in assets. Today, she applies that same disciplined, big-picture strategy, to help home health agencies and small businesses thrive.
Her approach reflects her background in audit, compliance, and lean six sigma focusing on accurate records, efficient processes, and financial reporting that is clear, dependable, and audit-ready. By blending technical expertise with a collaborative, warm approach, she provides actionable insights, giving business owners the space to focus on their mission.
My Commitment to You:
More than an accountant, a dedicated partner in your success. My goal is to give you the clarity and confidence you need to make key business decisions.
Schedule a free consultation
Whether you’re a home health agency or a small business, Prexision can help you move from reactive to proactive with your finances. Let’s talk about where you are now and where you want to be.
