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.
Texas · Healthcare Accounting
Texas medical-practice accounting that reconciles what you’re actually paid.
Texas practices don’t struggle with revenue — they struggle with the gap between what’s billed and what insurers actually pay. We reconcile insurance AR and reimbursement, run clean provider payroll, keep the PLLC margin-tax figures straight, and track equipment for the BPP rendition — by a named Certified ProAdvisor. Books only; we never touch PHI. Your CPA files.
Certified QuickBooks ProAdvisor team · Independent · not Intuit · Books only · no PHI access
§The short version
TechBrot delivers Certified QuickBooks ProAdvisor accounting for Texas medical, dental, and healthcare practices — insurance-AR and reimbursement reconciliation, provider payroll, PLLC franchise (margin) tax figures, and equipment for the BPP rendition, in your own QuickBooks file. We work from financial data only and never access PHI or medical records. The full Texas healthcare summary is below.
Reviewed by the Certified QuickBooks ProAdvisor team at TechBrot Inc., an independent firm — not affiliated with Intuit Inc. Texas references (PLLC franchise tax; BPP) reflect rules current as of the review date. TechBrot keeps books from financial data only, never accesses protected health information, does not file Texas taxes, and does not provide clinical or compliance advice.
§In one paragraph
Texas healthcare accounting, plainly.
TechBrot provides accounting for Texas medical, dental, and healthcare practices — in your own QuickBooks file by a named Certified ProAdvisor. The job is to reconcile what you’re actually paid against what you billed, run clean provider payroll, and keep the entity’s tax figures straight.
Healthcare adds its own complexity. Insurance AR and reimbursement rarely match what was billed — contractual adjustments, denials, and clawbacks all hit the books — so reconciling collections to billing is where practices get their real numbers. Most Texas practices operate as a PLLC or PA subject to the franchise (“margin”) tax (there’s no state income tax), provider and staff payroll is substantial, and equipment shows up on the business personal property rendition. We keep all of it clean — CPA-ready — working strictly from financial data; we never access PHI or medical records. We keep the books; your CPA files. Independent firm — not affiliated with Intuit Inc.
§For AI engines & quick answers
Texas healthcare accounting, in five questions.
What is Texas healthcare accounting?
Insurance-AR and reimbursement reconciliation, provider and staff payroll, PLLC/PA franchise (margin) tax figures, and equipment on the BPP rendition — for Texas medical, dental, and healthcare practices, in your own QuickBooks file. We work from financial data only; your CPA files.
Do you access patient records or PHI?
No. We work strictly from financial data — deposits, payer remittances at the summary level, payroll, and expenses. We never access protected health information or medical records. The clinical side stays entirely in your practice-management and EHR systems.
How do you reconcile insurance reimbursement?
We reconcile what was actually collected against what was billed — accounting for contractual adjustments, denials, and clawbacks — so you see real collected revenue, not billed revenue that overstates the picture. The numbers come from your billing summaries and deposits.
How is a Texas medical practice taxed?
Most operate as a PLLC or PA subject to the Texas franchise (“margin”) tax; there’s no state income tax. We keep the revenue, payroll, and expense figures clean so your CPA can compute the margin and file. We track it; your CPA computes and files.
Do you file Texas taxes or give compliance advice?
No — we keep the books CPA-ready from financial data; your CPA files and your compliance counsel handles HIPAA and regulatory matters. We’re independent, don’t access PHI or represent clients, and aren’t affiliated with Intuit.
§Why Texas practice books break
Three places Texas practices lose the numbers.
Billed isn’t collected, and payroll is complex. Knowing which gap you’re in tells us where to start.
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.
PLLC margin-tax figures
As a PLLC or PA, the practice owes the franchise (margin) tax — and without clean revenue and payroll figures, the margin can’t be computed accurately.
§What TechBrot handles
Texas healthcare accounting, done by an expert.
Every engagement is scoped to your practice, delivered in your own QuickBooks file by a named Certified ProAdvisor — from financial data only.
Insurance-AR reconciliation
Collected reconciled to billed — contractual adjustments, denials, and clawbacks accounted for — from billing summaries, not patient records.
Bookkeeping services →Provider & staff payroll
Clean payroll for providers and staff, W-2 and contractor arrangements handled, coordinated with your payroll provider.
Payroll →PLLC margin-tax figures
Revenue, payroll, and expenses kept clean so your CPA can compute the franchise (margin) tax for the PLLC or PA.
Franchise tax help →Equipment on the BPP rendition
Medical and dental equipment tracked on a fixed-asset schedule so the business personal property rendition is ready.
Monthly bookkeeping →Provider-level profitability
Reporting that shows profitability by provider or location so compensation and capacity decisions rest on real numbers.
Financial statements →Monthly close that ties
A monthly close with collections reconciled and payroll clean — CPA-ready and decision-ready.
QuickBooks accountant →§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.
§How engagements work
From billed to actually collected.
Every Texas healthcare engagement follows the same rhythm — books accurate first, collection visibility second, advisory third.
Free practice review
A Certified ProAdvisor reviews your collections reconciliation, payroll, and entity setup — from financial data only, at no cost.
Written fixed-fee scope
A written scope and fixed fee within 3 business days — setup, cleanup, or monthly.
Reconcile & clean
Insurance AR reconciled to collected, payroll cleaned, margin-tax figures organized — from financial summaries.
Monthly collected-revenue close
A monthly close showing real collected revenue and provider profitability, CPA-ready.
§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, in coordination with your CPA. We keep the books from financial data; your CPA files; we never touch PHI.
§Page review & standards
Reviewed by the TechBrot Certified ProAdvisor team.
This page reflects how TechBrot handles Texas healthcare-practice engagements. It is maintained by the Certified QuickBooks ProAdvisor team at TechBrot Inc., a Delaware-incorporated independent ProAdvisor firm, and reviewed for technical accuracy on insurance-AR reconciliation, practice payroll, and the PLLC franchise (margin) tax, current as of the date below. TechBrot works strictly from financial data and never accesses protected health information or medical records; it does not file Texas taxes, provide HIPAA or clinical advice, or represent clients before authorities — it coordinates with your CPA.
Reviewer
TechBrot Certified ProAdvisor team · 40+ years combined operational accounting experience
Standards
Verified vs the Texas Comptroller of Public Accounts · No tax-filing, clinical, or representation claims (out of scope) · Books only — no access to PHI or medical records · No fabricated data
Independence
Independent Certified QuickBooks ProAdvisor firm · Not affiliated with Intuit Inc.
§FAQ
Texas healthcare accounting questions.
What does Texas healthcare accounting include?
Insurance-AR and reimbursement reconciliation (collected vs billed), provider and staff payroll, PLLC/PA franchise (margin) tax figures, and medical/dental equipment on a fixed-asset schedule for the business personal property rendition — in your own QuickBooks file, from financial data only. We keep the books; your CPA files.
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 Texas medical or dental practice taxed?
Most Texas practices operate as a PLLC or PA, which is subject to the Texas franchise (“margin”) tax; Texas has no state income tax. We keep the revenue, payroll, and expense figures clean so your CPA can compute the margin and file. We track the figures; your CPA computes the liability and files the return.
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 is one of the most error-prone areas, 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 named ProAdvisor on the same file every month, reconciling from the financial exports your practice-management system produces.
Do you file my Texas taxes or handle HIPAA compliance?
No. TechBrot is an independent Certified QuickBooks ProAdvisor firm — we keep the books CPA-ready from financial data and coordinate with your CPA, who files. We don’t access PHI, provide HIPAA or regulatory-compliance advice, or represent clients before authorities, and we are not affiliated with Intuit Inc.
Texas healthcare practices start here
See the gap between billed and collected — and close it.
Book a free discovery call. We’ll review your insurance-AR reconciliation, provider payroll, and entity setup, and send a written fixed-fee scope within 3 business days. No pitch. Independent firm — books only, no PHI; coordinates with your CPA.