--- title: "Monthly financial reporting for medical practices & clinics" description: "Monthly financial reporting for medical practices & clinics: monthly P&L, balance sheet, cash flow, budget-vs-actual and plain-English commentary by." url: https://ledgerbpo.com/industries/medical-practices/financial-reporting/ updated: 2026-09-11 publisher: LedgerBPO (SS Support Network LLC) language: en-US --- # Monthly financial reporting for medical practices & clinics Outsourced financial reporting for medical practices & clinics should show what each provider and location contributes, how much of net revenue goes to staff and overhead, and where cash is stuck. We build the monthly package from reconciled books and practice-management exports: net collections by provider and payer, payer mix, staff cost as a percent of net revenue, overhead by category, credit balances and refunds, and days in AR by payer. - Since 2020 - US · UK · CA · AU - Named accountant plus backup - Your software, no lock-in [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Updated September 2026 ## How it runs for medical practices and clinics Physician groups receive a compensation-ready collections summary. Each report ties to the bank, and the package includes a short note on the few changes that matter this month. ## What is outsourced financial reporting? Outsourced financial reporting means a remote accounting team prepares your periodic financial statements and management reports instead of an in-house controller. The team works from your own accounting file, applies a consistent close and review process, and issues a report pack on a fixed date each month. You keep the data, the software and the decisions. ## What we handle for medical practices and clinics - Report net collections by provider, location and payer each month - Show payer mix and the effective collection rate against contracted fee schedules - Track staff cost and overhead as a percent of net revenue by location - Present days in AR and credit balances by payer with trend lines - Deliver a compensation-ready collections summary for physician groups ## The KPI that matters here Monthly package delivered with net collections by provider tied to reconciled books and the payer aging. ## Medical practices compliance notes ### HIPAA Claims, remittances and patient statements are protected health information. We sign a BAA, staff are HIPAA-trained, access to your practice-management system is role-limited with MFA, and ledger entries carry claim or batch numbers rather than patient names or diagnoses. ### Payer rules and timely filing Every payer contract sets timely-filing limits, appeal windows, coordination-of-benefits rules and refund procedures. Medicare allows 12 months from the date of service to file; many commercial payers allow less. We log deadlines per payer so unpaid claims are worked before they age out. ### Overpayment refunds Identified Medicare and Medicaid overpayments must be reported and returned within 60 days of identification under the Affordable Care Act. We age credit balances by payer, prepare refund batches for your approval, and document the dates so the practice can show it acted in time. ### Patient credit balances and unclaimed property Patient overpayments that go unrefunded may become reportable unclaimed property under state law after a dormancy period. We list patient credits monthly, prepare refunds for your approval, and keep records that support any state filing your counsel advises. ## Medical practices software we work in - [Kareo (Tebra)](https://ledgerbpo.com/software/kareo-tebra/) - [AdvancedMD](https://ledgerbpo.com/software/advancedmd/) - [QuickBooks Online](https://ledgerbpo.com/software/quickbooks-online/) - [Gusto](https://ledgerbpo.com/software/gusto/) - [Bill.com](https://ledgerbpo.com/software/bill-com/) - [Stripe](https://ledgerbpo.com/software/stripe/) - athenahealth - eClinicalWorks - [All 50 platforms](https://ledgerbpo.com/software/) ## More for medical practices and clinics Other services for medical practices - [Bookkeeping](https://ledgerbpo.com/industries/medical-practices/bookkeeping/) - [Invoicing and billing](https://ledgerbpo.com/industries/medical-practices/invoicing-and-billing/) - [Accounts receivable](https://ledgerbpo.com/industries/medical-practices/accounts-receivable/) - [Accounts payable](https://ledgerbpo.com/industries/medical-practices/accounts-payable/) - [Bank reconciliation](https://ledgerbpo.com/industries/medical-practices/bank-reconciliation/) - [Month-end close](https://ledgerbpo.com/industries/medical-practices/month-end-close/) - [All medical practices services](https://ledgerbpo.com/industries/medical-practices/) Financial reporting in other industries - [Marketing agencies & consultancies](https://ledgerbpo.com/industries/agencies/financial-reporting/) - [Auto repair shops & dealerships](https://ledgerbpo.com/industries/auto/financial-reporting/) - [Behavioral health practices](https://ledgerbpo.com/industries/behavioral-health/financial-reporting/) - [Daycares, schools & education](https://ledgerbpo.com/industries/childcare-education/financial-reporting/) - [The full financial reporting page](https://ledgerbpo.com/services/financial-reporting/) ## Frequently asked questions ### Which reports matter most for a medical practice? Net collections by provider and by payer, payer mix, staff cost as a percent of net revenue, overhead by category, days in AR by payer, credit balances and refunds, and cash summary. Those explain most changes in physician income. We add balance-sheet and location views, but partners usually read the provider and payer pages first. ### Can you report by provider for compensation purposes? Yes. Collections by provider come from the practice-management system and are reconciled to the bank before they are reported, so the numbers used in a compensation formula are the numbers that actually arrived. Provider-specific costs such as malpractice and CME are tagged where your agreement charges them. The formula itself is yours; we apply it. ### How do you calculate the effective collection rate? Net collections divided by charges after contractual adjustments, by payer, over a rolling period. Comparing that rate to the contracted fee schedule shows whether a payer is paying what it agreed, and comparing it across providers shows documentation or coding differences. We present it as a trend so a slow slide is visible before it becomes a cash problem. Next step ## Books closed. Invoices paid. Every month. Tell us what is going on with your books or billing. You will hear from a named person within 1 business day, with a custom quote and a plan for the first close. - Reply from a named person within 1 business day - No setup fee, month-to-month - Your software, your data, no lock-in Start with a custom quote [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Or call [+1-657-777-0006](tel:+16577770006) during US, UK or Australian business hours. --- Source: https://ledgerbpo.com/industries/medical-practices/financial-reporting/ · Contact: https://ledgerbpo.com/contact/ · Full site map for agents: https://ledgerbpo.com/llms.txt