Indiana healthcare accounting that shows what you actually collect.

Medical practices collect far less than they bill, so the books turn on insurance-payer reconciliation — billed vs. collected by payer with contractual write-offs — plus per-provider tracking and HIPAA-aware handling that standard bookkeeping doesn’t do. Indiana adds its own wrinkle: multi-provider and staff payroll carries the county local income tax for each person’s county of residence, which matters across the IU Health, Parkview, and Deaconess ecosystems where providers commute. We build all of that into your QuickBooks file so the numbers are real and CPA-ready.

Yes. We track billed vs. collected by payer, post contractual adjustments and write-offs, and reconcile deposits to your practice-management system and clearinghouse remittances (ERA/835). That gives you real collections instead of gross charges and shows where revenue leaks between the charge, the allowed amount, and what lands in the bank — including which payers underpay or pay slowly.

Yes. We track production and collections per provider so compensation formulas, productivity, and partner economics rest on real figures rather than a blended practice total. For group practices and multi-specialty clinics, that’s what makes comp decisions defensible and shows who actually drives revenue.

We run multi-provider and staff payroll with the correct county local income tax (LIT) withheld for each person’s Indiana county of residence as of January 1, reported on Form WH-4; for someone who lives outside Indiana, the rate of the Indiana county where they principally work applies (Departmental Notice #1, effective January 1, 2026). Because providers and staff often commute across county lines, we map each person’s county code and apply the current rate from the Indiana DOR list so payroll reconciles. Full payroll runs through our global payroll service; your CPA files income taxes.

We follow strict, HIPAA-aware data-handling and confidentiality discipline on every file — access controls, secure document exchange, and minimum-necessary handling of any patient-adjacent financial data. To be precise: your practice remains the covered entity responsible for its own HIPAA compliance, and we work as your bookkeeping partner under that discipline. We keep the financial records clean and controlled; we don’t touch clinical records.

Often, yes. The Indiana Department of Revenue’s Sales Tax Information Bulletin #48 says sales tax applies to the bandages, splints, and other medical supplies a licensed practitioner consumes in professional use, and if the practitioner buys taxable items without paying sales tax, the practitioner becomes liable for the use tax and must remit it directly to the Department. A practitioner or health care facility can buy certain medical supplies and equipment exempt, but only where the end-user patient acquires the item on a prescription or drug order and the item fits one of the specific statutory categories. In QuickBooks we code supply bills taxable or exempt as they are entered and accrue use tax on taxable supplies a vendor didn’t tax, so the liability ties to the return; your CPA confirms what qualifies and files.

With a cleanup. We rebuild payer reconciliation and per-provider tracking, fix write-off and entity coding, reconcile deposits to the practice-management system, and reconcile to a CPA-ready baseline — then move into a monthly close with billed-vs-collected reporting. Prefer to talk first? Call (877) 751-5575 and a client advisor will scope it with you.