Healthcare accounting services
Services & Pricing

Three services, three clear prices

Each Zerova service addresses a specific area of healthcare finance. Scope is defined, pricing is fixed, and you know what you're getting before any engagement begins.

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Why three services

Focused on the areas where healthcare finances differ most

Healthcare accounting involves three challenges that standard accounting tools and frameworks don't handle well on their own: the ongoing complexity of managing a practice's books within a healthcare revenue model, the diagnostic need to understand where revenue is moving through the cycle, and the regulatory reporting obligations that require specific financial documentation throughout the year.

Zerova offers a service for each. Some practices need one; many find value in combining two or all three. We're direct about what fits which situation.

Medical Practice Bookkeeping

What's included

  • Accounts payable management and vendor payment tracking

  • Patient revenue recording and insurance reimbursement tracking by payer

  • Monthly bank and account reconciliations

  • Payer mix analysis and aging receivable tracking

  • Practice-specific monthly financial summaries

$2,000 / month
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Service 01

Medical Practice Bookkeeping

Bookkeeping for a medical practice isn't the same as bookkeeping for a retail business or a consulting firm. The revenue side involves insurance reimbursements that move through different timelines depending on the payer, patient payments that don't always match billed amounts, and a mix of sources that requires distinct tracking to understand what's actually coming in and when.

This service manages the full bookkeeping function for clinics, dental offices, and private practices — structured around how healthcare revenue actually flows rather than adapted from a general template.

Suited for

Practices with one to fifteen providers seeking consistent, healthcare-specific monthly bookkeeping. Works alongside existing billing arrangements — not as a replacement for billing operations.

Delivery cadence

Monthly reconciliations and practice-specific financial summaries delivered on a consistent schedule. Ongoing tracking of payer-specific receivables and vendor payments throughout each month.

What this changes

A clearer view of where revenue is coming from, when it arrives, and where it's delayed — organized by payer so that patterns are visible month over month rather than only at year-end.

Full service details
Service 02

Healthcare Revenue Cycle Analysis

The revenue cycle in a healthcare practice spans from the moment a patient encounter is documented to the point where payment is fully received and recorded. Between those two points, there are several places where revenue can be delayed, reduced, or lost entirely — through denied claims, slow payer timelines, charge capture gaps, or collection shortfalls.

This service is a structured diagnostic of that full cycle. We trace how revenue moves through your practice from encounter to final payment, identify where patterns suggest inefficiency or loss, and deliver a findings report with benchmarked analysis and clear observations about what the data shows.

Suited for

Practices that want a clearer understanding of where revenue may be delayed or reduced — and that want findings benchmarked against industry norms rather than viewed in isolation.

Deliverable

A findings report covering charge capture rates, claim denial patterns, collection timelines, and payer performance — with observations and benchmarks. Not a recurring engagement; a one-time diagnostic.

What this changes

A documented, benchmarked picture of your practice's revenue cycle — so you're working from evidence rather than assumptions about where the gaps are.

Full service details
Revenue Cycle Analysis

What's included

  • Charge capture rate analysis

  • Claim denial pattern review

  • Collection timeline assessment by payer

  • Payer performance comparison

  • Written findings report with actionable observations

  • Industry benchmarks for context

$3,500 one-time
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Regulatory Compliance Accounting

What's included

  • Cost reporting support for reimbursement programs

  • Tracking of compliance-related expenditures

  • Preparation of financial data for regulatory submissions

  • Ongoing monitoring of reporting obligations

  • Quarterly compliance check-ins

$4,000 / engagement
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Service 03

Regulatory Compliance Accounting

Healthcare organizations participating in public or private reimbursement programs carry financial reporting obligations that go beyond standard business accounting. Cost reporting for Medicare and Medicaid programs, tracking of compliance-related expenditures, and preparation of financial data for regulatory submissions all require specific record structures and documentation formats.

This service maintains the financial records and reporting structures needed to meet these obligations — with ongoing monitoring throughout the year rather than a reactive scramble when deadlines approach. Quarterly check-ins are built into the engagement so that compliance-related financial work stays current.

Suited for

Hospitals, clinics, and healthcare organizations participating in public or private reimbursement programs with ongoing compliance-related financial reporting obligations.

Delivery cadence

Ongoing engagement with quarterly check-ins. Compliance-related financial work happens throughout the year — not assembled under deadline pressure when submissions are due.

What this changes

Financial records organized and maintained according to compliance program requirements — reducing the effort and risk associated with regulatory submissions and reviews.

Full service details
At a glance

Which service fits which situation

Not sure which service is the right starting point? Here's a plain summary to help orient the decision.

If you need… Consider Price
Ongoing monthly bookkeeping designed for how a healthcare practice earns revenue Medical Practice Bookkeeping $2,000 / mo
A one-time diagnostic of where your revenue cycle may be losing or delaying money Revenue Cycle Analysis $3,500
Support with compliance-related financial reporting obligations throughout the year Compliance Accounting $4,000
Comprehensive financial management — monthly bookkeeping, cycle clarity, and compliance support together All three services combined Contact us
Common questions

Questions about how engagements work

Can I use more than one service at the same time?

Yes. Many practices benefit from combining services — for example, starting with a Revenue Cycle Analysis to understand where issues exist, then moving into Medical Practice Bookkeeping for ongoing management. We'll discuss which combination makes sense for your situation during an initial conversation.

How long does the Revenue Cycle Analysis take?

It varies depending on the volume and structure of financial data involved. We'll give you a clear timeline estimate after the initial conversation, once we understand the scope of records to be reviewed. The deliverable is a written findings report — not an ongoing engagement.

Does Medical Practice Bookkeeping replace our billing company?

No. Billing and bookkeeping serve different functions. A billing company manages claim submission, follow-up, and payer communication. Bookkeeping organizes and records the financial results of those transactions — reconciling what was received, tracking what's outstanding, and producing monthly financial records. They operate alongside each other.

Do you work with practices outside the US?

We work with healthcare organizations internationally. Our services are structured around healthcare finance as a sector — and while reimbursement program structures vary by country, the underlying financial management principles and reporting needs are broadly consistent. We'll discuss your specific regulatory context during an initial conversation.

How does an engagement typically start?

With a conversation. We discuss your practice's current situation — size, payer mix, existing financial setup, and what you're looking for. From there, we identify which service or combination fits and walk through exactly what would be involved. No forms, no lengthy intake processes — just a direct discussion.

Not sure which service fits your practice?

Send us a message with a bit of background on your practice and what you're working with. We'll point you toward what makes sense — or tell you honestly if none of our services are the right fit.

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