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Healthcare & Clinic Accounting Services

Healthcare businesses can have multiple collection channels, patient billing systems, insurer or TPA settlements, professional fees, medical supplies, payroll and location-level expenses. CorporateWalla can support clinics, diagnostic centres and other healthcare businesses with bookkeeping, bank and collection reconciliation, insurer/TPA settlement reconciliation, vendor accounting, medical inventory accounting and management MIS based on the records and agreed scope.

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What Is Healthcare Accounting?

Healthcare accounting records and reports the financial activity of healthcare organisations such as clinics, diagnostic centres and other medical businesses. Depending on the operating model, accounting may need to reconcile patient billing, cash/card/UPI collections, insurer or TPA settlements, professional fees, supplier purchases, medical consumables, payroll and operating expenses.

Patient or medical information should only be handled through appropriate secure processes and should not be unnecessarily included in accounting records.

What Our Healthcare Accounting Services Cover

Healthcare Bookkeeping

Depending on scope:

  • Revenue recording
  • Purchase and expense accounting
  • Bank reconciliation
  • Accounts receivable
  • Accounts payable
  • General ledger
  • Journal entries
  • Month-end close

Clinic Accounting

Possible reporting areas include:

  • Consultation revenue
  • Procedure/service revenue
  • Patient collections
  • Payment-gateway/card/UPI settlements
  • Doctor/professional payments
  • Rent and operating expenses
  • Medical supplies

The exact structure depends on the clinic.

Diagnostic Centre Accounting

Possible areas include:

  • Test/package revenue
  • Collection reconciliation
  • Corporate/insurer receivables
  • Lab/vendor expenses
  • Consumables
  • Equipment-related expenses
  • Location-wise reporting

Operational test-level data should come from the appropriate diagnostic system.

Hospital / Multi-Location Accounting

Where relevant, reporting may be structured by:

  • Location
  • Department
  • Service line
  • Revenue channel
  • Cost centre

The accounting structure should reflect the actual legal and operational setup.

Patient & Collection Reconciliation

A reconciliation may compare: Billing/POS System → Collection Report → Payment Gateway/Bank → Accounting Ledger.

Potential differences include:

  • Cash collections
  • Card settlements
  • UPI settlements
  • Refunds
  • Discounts
  • Payment fees
  • Timing differences

Gross billing should not automatically be treated as cash received.

Insurer / TPA Reconciliation

Healthcare businesses may have receivables from insurers or TPAs. Depending on the records, reconciliation may include:

  • Claims/billing schedules
  • Amounts submitted
  • Amounts approved
  • Receipts
  • Deductions
  • Rejections
  • Outstanding balances

Claim acceptance, reimbursement or settlement outcomes remain subject to the insurer/TPA process and are not guaranteed by accounting support.

Medical Inventory Accounting

Healthcare businesses may hold:

  • Medicines
  • Diagnostic consumables
  • Surgical consumables
  • Lab supplies
  • PPE
  • General medical supplies

Inventory accounting can include purchase and stock-record reconciliation where suitable records exist. See inventory accounting.

Physical stock counting is separate unless specifically included.

Healthcare Payroll & Professional Payments

Depending on the organisation, accounting may involve:

  • Employees
  • Doctors
  • Consultants
  • Technicians
  • Nurses
  • Administrative staff
  • Contract workers

Professional fees, payroll and contractor payments should be classified based on the underlying relationship and supporting documentation.

Payroll and labour compliance are separate services unless included.

Healthcare Management MIS

Possible reports include:

ReportPurpose
Revenue summaryReview collections and revenue
Location-wise P&LCompare clinics/centres
Service-line reportAnalyse service revenue
Receivables ageingMonitor outstanding balances
Insurer/TPA ageingTrack reimbursement balances
Payables ageingMonitor suppliers
Inventory reportReview medical stock records
Cash-flow reportReview cash movement
Budget vs ActualAnalyse material variances

Operational healthcare KPIs should be sourced from the relevant clinical or billing systems and clearly defined. See also MIS reporting.

Healthcare Accounting Software

Potential systems include:

  • Tally
  • Zoho Books
  • Healthcare practice-management systems
  • Diagnostic/lab systems
  • Hospital management systems
  • POS/billing systems
  • Payment gateways
  • ERP systems

Specific integrations must be technically verified before they are relied on.

Data Privacy & Sensitive Information

Healthcare businesses may handle sensitive patient information. Accounting workflows should follow appropriate data-minimisation and access-control practices.

For routine bookkeeping, only the information necessary for the accounting task should be shared. Patient-identifying or medical information should not be provided unless genuinely required for the agreed accounting task and handled through an appropriate secure process.

Common Healthcare Accounting Problems

Businesses may face:

  • Billing-to-bank differences
  • Insurer/TPA balances not reconciled
  • Payment-gateway settlement differences
  • Refunds not recorded consistently
  • Supplier balances not matched
  • Inventory records not reconciled
  • Multiple locations using inconsistent reporting
  • Professional payments incorrectly classified
  • Delayed month-end close
  • Personal and business transactions mixed

A difference does not automatically establish an accounting error and should be investigated against the source records.

Transparent 3-tier pricing

Pick the speed and depth that matches your need. Same quality, same CA team — only the timeline changes.

Clinic Bookkeeping

Custom quote

Timeline: Quoted on transaction volume and billing channels

Revenue, purchase and expense accounting
Bank reconciliation
Accounts receivable and payable
Patient collection reconciliation (cash, card, UPI)
Month-end close
Insurer/TPA reconciliation
Medical inventory accounting
MOST POPULAR

Healthcare Monthly

Custom quote

Timeline: Quoted on locations, insurers/TPAs and reporting

Everything in Clinic Bookkeeping
Payment-gateway and settlement reconciliation
Insurer/TPA receivable reconciliation
Medical inventory reconciliation where records exist
Professional-fee accounting
Monthly healthcare MIS
Physical stock counting

Multi-Location

Custom quote

Timeline: Quoted on locations, entities and system complexity

Everything in Healthcare Monthly
Location, department and service-line reporting
Cost-centre structure
Location-wise P&L
Budget vs actual reporting
Historical cleanup where separately scoped

Every price above is a professional fee, excluding GST and government charges. 50% on delivery.

Healthcare accounting is quoted on scope. Pricing depends on the number of locations, transaction volume, billing channels, number of bank accounts, insurer/TPA complexity, inventory volume, accounting software, reporting frequency and any historical cleanup.

How it works

Step 1

Understand the business

Identify clinics, centres, locations, services, billing channels and legal entities.

Step 2

Map billing and collection systems

Review billing/POS systems, payment gateways, bank accounts and relevant settlement reports.

Step 3

Record transactions

Maintain agreed revenue, purchase, expense and other accounting entries.

Step 4

Reconcile collections

Match billing and collection records with bank/payment settlements.

Step 5

Reconcile receivables

Review patient, corporate, insurer or TPA balances where applicable.

Step 6

Review inventory

Reconcile medical inventory data where included.

Step 7

Month-end close

Complete agreed bank, ledger and other reconciliations.

Step 8

Management reporting

Prepare the agreed healthcare MIS.

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Documents required

Trial balance
General ledger
Bank statements
Billing/POS reports
Collection reports
Payment-gateway statements
Insurer/TPA receivable schedules
Purchase register
Vendor statements
Inventory reports
Payroll reports
Professional-fee schedules
GST/TDS records where relevant
Existing budgets/MIS
Accounting-system exports

Why CorporateWalla®?

Collection reconciliation

Billing, collection, payment-gateway and bank records matched, so gross billing is not treated as cash received.

Insurer/TPA tracking

Submitted amounts, receipts, deductions, rejections and outstanding balances reconciled from available records.

Location-level visibility

Reporting by clinic, centre, department, service line or cost centre where the setup supports it.

Privacy-aware workflow

Only the information necessary for the accounting task is requested, with data-minimisation and access controls.

Frequently asked questions

Healthcare accounting covers financial recording, reconciliation and reporting for clinics, diagnostic centres, hospitals and related healthcare businesses.

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