Account Structure for a Medical / Physician / Primary Care Office
drmoshe5 at gmail.com
Wed May 13 23:54:21 EDT 2015
Thank you Ms. Lee,
You made some good points. If the payroll can't be setup by the accountant,
I will likely use a ASP/payroll service.
The practice expected to be a mini-practice Physician plus 2 part-time
Will be using a specialized electronic medical record/practice management
and billing program to start.
Due to HIPAA/security requirements will be keeping all restricted
identifiable patient data out of GnuCash.
I am playing with the idea of using GnuCash for tracking of the Cash Draw
for Insurance copayments and Cash payments, but I have to think on how to
fit into an efficient/HIPAA compliant workflow.
I would like to use GnuCash to track an inventory of Assets
(equipment/supplies) for depreciation and expiration/losses for tax
PS Anybody have a model for the Cash Draw and/or Inventory that they would
like to share would also be appreciated?
On Mon, May 11, 2015 at 11:21 PM, Alice Lee <alee212007 at satx.rr.com> wrote:
> You have to have someone with some accounting knowledge in your office. To
> begin with, that person may be receptionist, bookkeeper, and coder for
> insurance: a jack of all trades. You have to have accurate accounting
> records, both balance sheet and income statement. The business aspect that
> gets most starting businesses in trouble, is payroll. Be sure that you hire
> someone who can handle payroll and the required reports at the beginning.
> This program has the invoicing that you need but you will most likely need
> to record pending insurance payments and co-payments. You are a service
> business so your income should consist of fees for services--if you provide
> more than one type of service, just set up different fee-income accounts.
> Your expenses will be very routine. I would set up the expense accounts on
> the fly as you need them. Analysis of your business would not normally
> include names of vendors or names of payers. The names of your patients
> will be on the invoices within the system. The vendors can be set up in
> accounts payable. These features are available in the business section of
> the program.
> -----Original Message-----
> From: gnucash-user [mailto:gnucash-user-bounces+alee212007=
> satx.rr.com at gnucash.org] On Behalf Of Milton Stern
> Sent: Sunday, May 10, 2015 8:49 PM
> To: R. Victor Klassen
> Cc: Gnucash Users
> Subject: Re: Account Structure for a Medical / Physician / Primary Care
> Thank you Mr. Klassen,
> The tax forms would be a good starting point for many, but I'm afraid that
> I'm looking for a little more granularity to help track activity specific
> incomes/payors and expenses/vendors for business analytics.
> Thanks again,
> On Sun, May 10, 2015 at 6:58 AM, R. Victor Klassen <rvklassen at gmail.com>
> > What I did when starting up a business was to consult the tax forms
> > for the categories of expenses I would later be reporting for tax
> > Some of those categories are worth subdividing; some don’t apply; most
> > taxation systems have an “other expenses” category which could be
> > significant.
> > But if you don’t get a direct response from anyone with a chart of
> > accounts, that’s a start.
> > On May 10, 2015, at 12:05 AM, Milton Stern <drmoshe5 at gmail.com> wrote:
> > > Thank you for the advice and direction.
> > >
> > > At this time, I'm in the planning stage of opening a medical
> > > practice startup on a shoestring.
> > > If someone has a proven Chart of Accounts in the group, that would
> > > likely be the most cost efficient for me at this time.
> > >
> > > Moshe
> > >
> > >
> > > On Wed, May 6, 2015 at 9:04 PM, John Ralls <jralls at ceridwen.us> wrote:
> > >
> > >>
> > >>> On May 6, 2015, at 10:59 AM, Milton Stern <drmoshe5 at gmail.com>
> > >>>
> > >>> Would anybody have references, or be willing to share, an
> > >>> appropriate GnuCash Account Structure for a Solo Medical /
> > >>> Physician / Primary Care Office?
> > >>
> > >> You can use whatever Chart of Accounts you’d use with paper books.
> > >> The business template will probably be pretty close. That said, if
> > >> you don’t already know what accounts you need you probably should
> > >> hire an
> > accountant
> > >> to help you get set up, and it might be in your interest to use a
> > >> commercial integrated program that helps you deal with all of the
> > >> other stuff that running a practice involves. After all, you want
> > >> to spend
> > your
> > >> time seeing patients rather than doing by hand work that a computer
> > >> can
> > do
> > >> for you.
> > >>
> > >> Regards,
> > >> John Ralls
> > >>
> > >>
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