Advisory · 6 min read
CPA for Medical Practices: What Services Are Needed?
Medical practices run on insurance reimbursement timing, payer mix, and compliance requirements that a general small-business CPA rarely handles well. Here's what a practice-focused CPA actually delivers.
Core services a medical practice CPA provides
- Payer mix and reimbursement tracking — revenue recognized against insurance contracts, not just cash received
- RVU (relative value unit) tracking for physician compensation models in group practices
- HSA/FSA-aware payroll setup and employee benefits administration
- Entity structure guidance — PLLC, S-corp election, and multi-owner practice buy-in/buy-out tax treatment
- Accounts receivable aging by payer, since insurance AR ages very differently than commercial AR
- Section 179 and bonus depreciation planning for medical equipment purchases
Compliance and industry-specific issues
- HIPAA-aware workflows for any financial data that touches patient billing systems
- Stark Law and anti-kickback considerations in physician compensation and referral arrangements (coordinate with healthcare counsel)
- Practice valuation support for partner buy-ins, buy-outs, or a sale
- Multi-location or multi-specialty group consolidated reporting
