
In healthcare, financial precision supports better patient care. An outsourced controller brings healthcare-savvy controls, revenue cycle discipline, and board-ready reporting—without the full-time overhead. At Henriquez Accounting & Tax Services, we pair monthly closes with proactive compliance and KPI dashboards so practices make decisions with confidence. Explore our Accounting & Bookkeeping, Outsourced Controller/CFO, and Business Consulting.
6 Ways an Outsourced Controller Elevates Healthcare Finance
- Streamlined operations: standardized close checklists, AP/AR oversight, and cash controls.
- Compliance-first processes: controls aligned with GAAP plus payer/billing rules and documentation discipline.
- Revenue cycle optimization: clean claims, faster reimbursements, and fewer denials reduce days in A/R.
- Decision-ready reporting: monthly P&L, Balance Sheet, Cash Flow, service-line margins, provider productivity.
- Forecasts & budgets: model staffing, payer mix, and capital needs to protect margins and cash runway.
- Lower overhead, higher leverage: CFO-level thinking without full-time cost; scale as the practice grows.
Month–Quarter–Year: What We Do
Monthly
- Close the month; reconcile banks/credit cards; lock user permissions.
- Revenue cycle reviews: clean claims rate, denials by reason code, A/R aging, and charge capture checks.
- Provider & location KPIs; payer mix and collection effectiveness.
Quarterly
- Variance analysis and budget refresh; cash forecasting and covenant/DSO tracking.
- Control testing (segregation of duties, approval thresholds, audit trails).
- Tax estimates and officer comp reviews for S-Corps where applicable.
Annually
- Audit/tax package prep; capitalization and depreciation reviews.
- Payer contract and fee schedule analysis; strategic planning for growth.
- Policy updates: close calendar, purchasing limits, documentation standards.
Healthcare KPIs We Track
- Days in A/R, denial rate, net collection rate, first-pass resolution rate.
- Payer mix, average reimbursement per CPT/visit, charge capture %.
- Service-line margins, provider productivity (wRVUs/visits), overtime ratio.
- Cash runway, budget vs. actual, capex pipeline, debt service coverage.
Common Gaps We Fix
- Unclear charge capture → missed revenue and inconsistent coding.
- Weak approvals/segregation → spend leakage and audit exposure.
- Late closes → leaders fly blind; decisions lag the data.
- No KPI cadence → payer issues and denials go unresolved.
How to Choose the Right Outsourced Controller
- Healthcare depth: RCM, payer rules, and practice ops experience.
- System fluency: QuickBooks + EHR/PM integrations (billing/claims/export workflows).
- Governance: written policies, close calendars, role-based approvals, audit trails.
- Cadence: monthly closes, quarterly reviews, and annual planning.
- Transparent pricing: fixed-fee scope with SLAs and dashboards included.
What You’ll Get Working With Us
- Healthcare-specific monthly close with reconciliations and variance notes.
- Revenue cycle scorecard: denials, DSO, clean-claims %, collections.
- Board-ready financials and KPI dashboard (provider/location/service-line).
- Audit & tax-ready packages; policy documentation and control testing.
- Growth planning: budgeting, staffing models, and cash runway forecasting.
FAQs
Do you work with small and mid-sized practices?
Yes—solo providers to multi-location groups. We scale the close, KPIs, and RCM reviews to your size and systems.
Can you integrate with our EHR/PM system?
We align your EHR/PM exports with QuickBooks, standardize mappings, and reconcile charges, payments, and adjustments monthly.
Will this replace our billing team?
No—we complement your internal or outsourced billing by tightening controls, reporting, and denial remediation cadence.
What onboarding records do you need?
Prior financials, bank/credit statements, EHR/PM export samples, payer lists, and access to accounting/payroll systems.
Ready to strengthen your practice’s finances?
From revenue cycle scorecards to decision-ready reporting, we’ll build the finance rhythm your clinicians can trust. Talk to an Enrolled Agent today. Schedule Consultation

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