Florida · Healthcare Accounting

Florida medical-practice accounting that reconciles what you’re actually paid.

For a Florida practice or clinic, revenue is what payers actually remit, not what was billed. We reconcile claims and remittances to bank deposits, run clean provider payroll and compensation reporting, keep the PA/PLLC corporate-tax figures straight, and track equipment for the April 1 tangible personal property return, by your TechBrot team, with every close reviewed by a Certified QuickBooks ProAdvisor. Books only; we never touch PHI.

If your file needs our paid diagnostic first, its fee is credited in full against the cleanup. Either way, you get a fixed fee in writing before any work starts.

Bookkeeping & advisory · Books only · no PHI access

Or send the details instead

By TechBrot · Published · Updated

Florida, 67 counties, with the cities that have their own TechBrot page markedMiamiOrlandoTampaJacksonvilleTallahasseeMiamiOrlandoTampaJacksonville
State rule

Florida rule: a clinic licensed under the Health Care Clinic Act needs a medical or clinic director who conducts systematic reviews of clinic billings to ensure they are not fraudulent or unlawful; claims reconciled to remittances and deposits give that review its record. Source: Fla. Stat. §400.9935.

Florida · Healthcare AccountingNavigation, not an office
§ The short version

Florida healthcare accounting from TechBrot reconciles each payer’s remittance to the claims it pays and to the bank deposit, so a practice sees what it was actually paid. Provider payroll, PA or PLLC corporate-tax figures at Florida’s 5.5% rate and equipment for the April 1 property return stay clean, from financial data only, never PHI.

They took something that felt overwhelming to me as a first-year business owner and made it simple.
Food & Beverage client · Read the review on Clutch
What stood out the most was TechBrot Inc’s attention to detail.
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Intuit QuickBooks Certification Level 2 badge (exam-based, issued by Intuit)QuickBooks Workforce Certification badge (exam-based, issued by Intuit)
Intuit QuickBooks Certification Level 2 and QuickBooks Workforce Certification,held by TechBrot’s senior reviewer (verification on request) · TechBrot, Inc. · Delaware corporation · est. 2023
§ 01 · Why Florida practice books break

Three places Florida practices lose the numbers.

Billed isn’t collected, and payroll is complex. Knowing which gap you’re in tells us where to start.

01Collections

Billed but never collected

Contractual adjustments, denials, and clawbacks mean collected revenue is often well below billed — and a practice that tracks billed numbers is flying on a figure that isn’t real.
02Payroll

Provider & staff payroll complexity

Multiple providers, mixed W-2 and contractor arrangements, and benefits make practice payroll complex — and errors here are expensive and recurring.
03Entity & tax

PA/PLLC corporate-tax figures

Depending on its tax election, the practice may owe Florida’s 5.5% corporate tax — and without clean revenue and payroll figures, it can’t be computed accurately.
§ 02 · What TechBrot handles

How we reconcile a Florida practice’s collections.

Every engagement is scoped to your practice, delivered in your own QuickBooks file by your TechBrot team — from financial data only.

01

Insurance-AR reconciliation

Collected reconciled to billed — contractual adjustments, denials, and clawbacks accounted for — from billing summaries, not patient records.

Bookkeeping services
02

Provider & staff payroll

Clean payroll for providers and staff, W-2 and contractor arrangements handled, coordinated with your payroll provider.

Payroll
03

PA/PLLC tax figures

Revenue, payroll, and expenses kept clean so your CPA can compute the corporate tax where the entity election requires it.

Corporate tax help
04

Equipment on the TPP return

Medical and dental equipment tracked on a fixed-asset schedule so the tangible personal property return (DR-405) is ready.

Monthly bookkeeping
05

Provider-level profitability

Reporting that shows profitability by provider or location so compensation and capacity decisions rest on real numbers.

Financial statements
06

Monthly close that ties

A monthly close with collections reconciled and payroll clean — CPA-ready and decision-ready.

QuickBooks accountant
07

Claims to remittances to deposits

Each payer’s remittance totals matched to the claims they pay and to the EFT or lockbox deposit that carried them, with contractual adjustments, denials, recoupments and patient balances posted to their own accounts.

Monthly bookkeeping
08

Provider compensation reporting

Charges, adjustments and collections reported by rendering provider from the billing system’s summaries, so collections-based or production-based compensation is paid from figures that tie to the bank.

Healthcare bookkeeping
09

A billing-review pack for licensed clinics

For a clinic licensed under the Health Care Clinic Act, a monthly pack by payer — billed, allowed, paid, adjusted, refunded — that the medical or clinic director’s systematic billing review can start from.

Bookkeeping services
§ 03 · Tools we work alongside

Connected to how you bill — financials only.

  • Financial exports from your practice-management / EHR system
  • QuickBooks Online or hosted Desktop — your file
  • Gusto, ADP, and healthcare payroll providers
  • Merchant and patient-payment processors (summary level)
  • Bill.com for vendor and supply AP
  • Payer remittance summaries (financial data only)

We reconcile from the financial summaries your systems produce — deposits, remittance totals, payroll — never from patient records or PHI.

§ 04 · How engagements work

From billed to actually collected.

Every Florida healthcare engagement follows the same rhythm — books accurate first, collection visibility second, advisory third.

  1. Step 1

    Free practice review

    A QuickBooks ProAdvisor reviews your collections reconciliation, payroll, and entity setup — from financial data only, at no cost.
  2. Step 2

    Written fixed-fee scope

    A written scope and fixed fee within 3 business days — setup, cleanup, or monthly.
  3. Step 3

    Reconcile & clean

    Insurance AR reconciled to collected, payroll cleaned, corporate-tax figures organized — from financial summaries.
  4. Step 4

    Monthly collected-revenue close

    A monthly close showing real collected revenue and provider profitability, CPA-ready.
§ 05 · Beyond the books

Clean collections are the start. Practice profitability is the point.

When collections reconcile and payroll is clean, the decisions get real: which payers and services actually pay, whether to add a provider or location, where overhead is outrunning collected revenue — answered from numbers that tie, not billed figures that flatter.

That’s where fractional-CFO advisory picks up, on cleaned-up books, in coordination with your CPA.

Get the free file review

§ 07 · Around this page

Around Florida.

Not sure where your file stands? Start with the free QuickBooks file review · how Florida compares: state-by-state tax quirks.

§ 08 · FAQ

Florida healthcare accounting questions.

Do you access patient records, PHI, or our EHR?

No — this is a firm boundary. We work strictly from financial data: deposits, payer remittance totals at the summary level, payroll, and expenses. We never access protected health information, patient records, or the clinical side of your EHR. The financial summaries your systems export are all we need, and they contain no PHI.

How do you reconcile insurance reimbursement against billing?

We reconcile what was actually collected against what was billed, accounting for contractual adjustments, denials, and clawbacks, so your books show real collected revenue rather than billed revenue that overstates the picture. The data comes from your billing system’s financial summaries and your deposits — not from patient-level records.

How is a Florida medical or dental practice taxed?

Florida has no personal income tax. Many practices operate as a professional association (PA) or PLLC; if the entity is taxed as a C-corporation it owes Florida’s 5.5% corporate income tax, while a pass-through election generally avoids it (an S corporation is reached only where it pays federal income tax). The entity election determines it, so your CPA confirms how it applies. We keep the revenue, payroll, and expense figures clean so the computation is straightforward; your CPA computes and files.

Can you handle payroll for multiple providers?

Yes — we keep payroll clean for multiple providers and staff, including mixed W-2 employee and contractor arrangements and benefits, coordinated with your payroll provider. Practice payroll mixes salaries, productivity pay and contractor arrangements, so getting it right and reconciled every period matters.

Do you work in my own QuickBooks file?

Yes — your file, your data, in QuickBooks Online or hosted Desktop, with a senior bookkeeper assigned to your file, and every close reviewed by a Certified QuickBooks ProAdvisor before it reaches you, reconciling from the financial exports your practice-management system produces.

Do you file my Florida taxes or handle HIPAA compliance?

No. TechBrot does not prepare or file tax returns; we work with your CPA or EA. TechBrot is a bookkeeping and advisory firm — we keep the books CPA-ready from financial data. We don’t access PHI, provide HIPAA or regulatory-compliance advice, or represent clients before authorities, and we are not affiliated with Intuit Inc.

Does Florida’s Health Care Clinic Act affect our books?

It can. Under the Act, an entity that provides health care services and tenders charges for reimbursement is a clinic that needs a license unless an exemption applies; one exemption covers a sole proprietorship, group practice, partnership or corporation wholly owned by one or more licensed health care practitioners (Fla. Stat. §400.9905). A licensed clinic must have a medical or clinic director who, among other duties, conducts systematic reviews of clinic billings to ensure they are not fraudulent or unlawful and takes immediate corrective action on an unlawful charge (§400.9935). Whether your practice needs a license is a question for your health-care attorney. If it does, books that tie every claim to its remittance and every remittance to a deposit, with refunds and recoupments on their own accounts, give the director’s review a record to start from; we prepare that from financial summaries, never from patient records.

Can you report provider compensation from collections?

Yes. From the billing system’s financial summaries we report charges, adjustments and collections by rendering provider each month, reconciled to the deposits the payers actually made, so a collections-based or production-based compensation formula runs on figures that tie to the bank. The formula itself is set by your agreements with your providers and your attorney; we supply the numbers it runs on and keep provider pay clean in payroll.

Florida healthcare practices start here

See the gap between billed and collected — and close it.

Or send the details insteadWe reply within one business day. Written fixed-fee scope within 3 business days of your call. No hourly billing.
What happens after you call
  1. 01We talk for up to 30 minutes.You tell us where the books stand; we ask the questions that decide the scope. No charge.
  2. 02We look at the file if we need to.You add us as an accountant user in your own QuickBooks file, and you can remove us at any time. If the file cannot be priced without working inside it, we say so and propose the paid diagnostic, whose fee is credited in full against the cleanup.
  3. 03You get a fixed fee in writing.What we will fix, what you will receive and one fixed fee. Nothing starts until you accept it.
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