Prexision provides bookkeeping, accounting, tax preparation, and financial reporting for service-based small businesses, with a specialty in home health agencies. Services include monthly bookkeeping, cleanup and catch-up work, tax preparation, and process improvement to keep financial records accurate, organized, and dependable.

Please visit our “Services” or “Service Packages” page for further details.

Yes. While Prexision specializes in home health agencies, we also work with service-based small businesses that value clear records, accurate bookkeeping, and reliable financial reporting.

Yes. Monthly bookkeeping services include transaction recording, account reconciliations, financial reporting, and review of financial activity to help business owners stay informed and organized throughout the year.

Yes. Prexision provides tax preparation for small businesses, including Schedule C, partnerships, and corporations. Clean, organized bookkeeping helps ensure tax returns are prepared accurately and efficiently.

Most clients use QuickBooks Online, but we can review other systems as needed. Using a consistent accounting system helps maintain accurate records and reliable financial reporting.

Yes. Cleanup and catch-up services are available for businesses with incomplete or disorganized records. This includes correcting past transactions, reconciling accounts, and preparing financial reports so your books are current, compliant and ready for tax preparation.

Yes. Prexision specializes in home health agencies. We have experience working in healthcare and regulated environments, and understands the importance of accurate records, reimbursement tracking, and audit-ready financial reporting for home health agencies.

At this time, Prexision focuses on bookkeeping, financial reporting, and tax preparation. Payroll, billing, and claims processing are not included unless specifically agreed as part of a custom engagement.

Specifically for HHAs:
While we do not process payroll directly, we provide high-level payroll oversight. We reconcile your third-party payroll data (Gusto, ADP, etc.) against your general ledger to ensure labor costs and vendor payments are accurately reflected and compliant with your internal policies.

Yes. Prexision is based in Connecticut and works with local clients as well as select remote/national clients, depending on the services needed and the ability to maintain accurate and timely records.

Our fees are based on the complexity, volume, and professional oversight required for your business. As a CPA-led firm, we don't just record data; we provide financial oversight and risk assessment. Factors that influence your custom quote include the number of bank/credit accounts, monthly transaction volume, and industry-specific requirements like HHA labor tracking or audit readiness.

Pricing depends on transaction volume, number of accounts, and the condition of existing records. Monthly bookkeeping services typically start at a base level and increase based on complexity. A quote is provided after an initial free consultation and reviewing your needs.

We combine a thoughtful, human-centered approach with clear communication and reliable results. It’s not just what we do, it’s how we do it that sets us apart.

Background in public accounting, external and internal audit, and government processes and accounting, with a lean six sigma approach.

Getting started is simple. You can start by scheduling a free consultation through the Contact page or completing the Discovery Form. We will review your current bookkeeping, reporting needs, and tax situation to determine the right level of service.