Bookkeeping and reporting for medical and allied health practices.
Healthcare practices have their own financial challenges. Medicare and DVA reconciliation, practitioner arrangements, and mixed billing all need someone who understands how practices are set up, not just someone who processes transactions.
East Coast Bookkeeping & Business Solutions works with healthcare and allied health practices, from GP clinics to physiotherapy practices. We keep the financial side of your practice running as smoothly as your patient care, in person or online.
What we do
Medicare and DVA reconciliation
We reconcile Medicare and DVA payments against your billing records, so your practice income is recorded correctly and any gaps are found and fixed quickly.
Practitioner payroll and contractor arrangements
We manage payroll for all practice staff, including employed practitioners, associates, and admin teams. Where practitioners are engaged as contractors, we review the arrangement and flag any risks, including super and payroll tax obligations. See our payroll and HR services.
BAS preparation and lodgement
As registered BAS agents, we prepare and lodge your BAS. Many health services are GST-free, but some services and products aren’t, and we make sure each is treated correctly. Lodging through us usually gives you about four extra weeks to lodge and pay most quarterly BAS.
Bank reconciliation and financial reporting
We keep your practice accounts reconciled and prepare reports that clearly show your revenue, expenses, and profit.
Management reporting for practice owners
Regular management reports cover the measures that matter in a practice, such as billing performance, practitioner revenue, and costs. You get the information you need to make decisions, explained in plain language. See our business advisory, analysis and reporting services.
Cash flow and budgeting
From the timing of Medicare payments to planning for new equipment or premises, we help you stay ahead of your cash position rather than react to it. See our cash flow forecasts and budgeting services.
Software setup and training
We set up Xero or MYOB for healthcare practices and connect it with your practice management software where possible, so your financial records stay current.
Who this is for
- GP practices and medical centres
- Allied health providers, including physiotherapy, occupational therapy, psychology, speech pathology, and dietetics
- Dental and specialist practices
- Solo practitioners and small group practices
- Practice managers looking for specialist financial support
Why choose East Coast BBS
- Experience with both medical and allied health practices
- A clear understanding of Medicare and DVA reconciliation
- Registered BAS agents who get the GST treatment of health services right
- Plain-language reports that practice owners can use
- Confidentiality and discretion as standard
- A team of bookkeepers, accountants, and registered BAS agents in one place
- A local office in South Nowra, with support available online Australia-wide
Talk to a bookkeeper who knows healthcare
Book a free 30-minute consultation by phone, online, or in person. We’ll look at how your practice runs now and what support would help. Obligation free.
Contact us to book a free consultation.
Frequently Asked Questions
Do you understand how Medicare and DVA payments work?
Yes. We understand how bulk billing, DVA payments, and patient gap payments need to be recorded and reconciled against your billing system. We manage that process, so your practice income is always correct in your accounts.
Some of our practitioners are engaged as contractors rather than employees. How does that affect payroll?
Whether a practitioner is a contractor or an employee has real compliance consequences, including for super and, in NSW, payroll tax. We review how you engage your practitioners and make sure the financial treatment is correct. Contractors generally don’t have tax withheld unless they haven’t provided an ABN, but some are still entitled to super. If an arrangement needs changing, we’ll flag it clearly and work with your accountant or adviser on the next steps.
We are not based in Nowra. Can you work with us remotely?
Yes. We work with practices across the Shoalhaven, Illawarra, and Australia-wide. Most of our work is done through cloud accounting software, so we can work fully online or visit in person, whichever suits you.
What accounting software do you recommend for allied health practices?
For most allied health practices, we recommend Xero. It connects with many practice management systems and has strong reporting. MYOB can suit some practices better, depending on the systems you already use. We’ll look at your setup before recommending anything, then handle the setup for you.
How hard is it to switch bookkeepers?
We handle the changeover from start to finish. We review your current records and systems, then take over in a clean, organised way. When needed, we work directly with your previous bookkeeper and make sure nothing is missed during the handover. Most clients find it much simpler than they expected.
