Home Healthcare Agencies (Specialty)
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bookkeeping tailored specifically for home health agencies
monthly financial statements (P&L, balance sheet, cash flow)
bank and credit card reconciliations
setup of a home-health-specific chart of accounts
general ledger cleanup and catch-up bookkeeping
revenue recognition aligned with Patient-Driven Groupings Model (PDGM) and payor rules
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posting/reconciling deposits from Medicare Administrative Contractors (MACs), Medicaid, Managed Care Organizations (MCOs), and Private home care agencies
A/R aging by payor (if available)
identification of old or at-risk receivables
explanation of adjustments
denials and delayed cash flow review
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audit-ready financial organization
recommendations for documentation that supports financial records
separation of duties and fraud-prevention controls
organized records
(non-legal, non-clinical)
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We help keep your books organized so year-end reporting is smoother.
expense categorization and documentation
trial balance support and bookkeeping tie-outs
clear reporting to assist your cost report preparer
audit-ready financial organization
Note: We do not prepare or file Medicare cost reports at this time.
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Gain visibility into cash flow patterns and reimbursement timing.
categorizing deposits by payor type when identifiable
tracking reimbursement timing trends
visibility into adjustments, recoupments, and takebacks (as reflected in deposits)
financial reporting that supports cash flow awareness
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We work with home health agencies to set up strong financial foundations, including accounting systems, bookkeeping structure, payor-specific revenue tracking, and audit-ready organization. Specifically:
consultation on entity type
EIN & basic business tax account guidance
accounting system setup (QuickBooks Online, etc.)
chart of account designed for home health agency
payor-specific tracking categories (Medicare, Medicaid, MCOs, Private pay)
bank feed connection and rules setup
basic financial policy templates
training session on:
reading financial statements
month-end close basics & checklist
first-month bookkeeping or review (optional add-on)
Note: Services relate to financial setup and bookkeeping structure only.
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We provide the expert oversight and reconciliation to ensure your financial statements are accurate and compliant.
We do not currently provide payroll processing or billing services, but we’re happy to coordinate with your vendors in these areas for accurate reporting.
Running a home health agency means juggling patient care, compliance, and cash flow. We understand the financial structure of reimbursement-based healthcare businesses and the importance of accurate, consistent records.
Our services focus on bookkeeping, reporting and tax preparation, tailored to home health agencies, so your financial records remain clear, dependable and ready for growth.
Click on services below for details.

