Connect practice collections to the general ledger.
Identify what the billing or practice-management system reports and how deposits, adjustments and other receipts reach the books. A deposit may need explanation from the practice; the accounting file does not automatically establish the billing reason behind it.
Agree the reports the practice will provide and the person responsible for answering reconciliation questions. Send only the information needed through an agreed transfer method. This service description does not request patient records or assert a HIPAA compliance service.
Understand operating costs before discussing profitability.
Payroll, contractors, occupancy, equipment financing and routine supplies affect cash differently. Distinguish expenses, debt payments and capital purchases before using the bank balance as a measure of practice earnings. Reporting by location or provider requires reliable allocations and a defined purpose.
CTAS can discuss financial reports supported by the records. Provider productivity studies, reimbursement analysis and clinical performance conclusions are not implied by general practice accounting.
Bring owner compensation and staff benefits into planning.
Entity treatment, owner duties, staff and benefit-plan eligibility can change the questions around owner pay and retirement contributions. A practice with eligible employees should not assume an owner-only retirement-plan example applies.
Provide current payroll reports and plan documents before deciding which analysis to commission. CTAS can coordinate agreed tax work with the practice’s payroll and plan advisers; accepting accounting work does not automatically include benefit-plan administration.
References: IRS one-participant 401(k) plans · IRS S-corporation retirement contributions
Review equipment purchases before committing cash.
Identify the business purpose, purchase or financing terms, expected use and timing of a proposed acquisition. The tax question is one part of the decision, alongside cash commitments and the practice’s operating needs. A deduction does not make a purchase free.
Depreciation, expensing and applicable tax-year rules need a specific review. No deduction amount, reimbursement result or return on investment is promised. Medical billing, HIPAA compliance and healthcare regulatory services are outside the offering described here.
References: IRS business-expense resources
Questions before the next step.
Do you provide medical billing or HIPAA compliance?
No such service is represented here. This page concerns agreed accounting and tax work; medical billing and healthcare regulatory matters require appropriate providers.
Can owner and business tax questions be coordinated?
Yes, discuss the related records, returns and planning decisions. Each service, taxpayer and jurisdiction must be included in the engagement.