YCA Business
Accounting, bookkeeping, tax, fractional CFO, treasury, and business advisory.
YCA Healthcare
Healthcare finance, operations, compliance, revenue cycle, and technology.
NYC & NJ based · Serving clients nationwide
What We Do
More Than Accounting. A Complete View of Your Business.
Financial Intelligence
Accounting, bookkeeping, financial reporting, cash flow management, budgeting, and fractional CFO services.
Fractional CFO & advisoryOperational Intelligence
Payroll reconciliation, billing oversight, productivity monitoring, operational reporting, and performance analysis.
Revenue cycle & operationsCompliance & Internal Controls
Financial controls, audit readiness, documentation oversight, reconciliation, and risk identification.
Compliance & internal controlsTechnology & Automation
Integrated systems, proprietary software, reporting dashboards, automated reconciliation, and operational analytics.
Our technologyHow the four areas work together
Financial reports are only as reliable as the operational data behind them. Controls only work when the numbers reconcile. Technology connects it all, so leadership sees one consistent picture instead of separate reports from separate systems, and every decision starts from the same set of facts.
Industries We Serve
Specialized support for the way your organization runs
Each industry has its own systems, payers, and pressure points. Our work is built around them.
Home Health Agencies
- EVV reconciliation
- Authorization and utilization monitoring
- Caregiver payroll reconciliation
- Claims, billing, and remittance verification
Hospice Agencies
- Census and patient-level financial reporting
- Revenue cycle management
- Claims and remittance reconciliation
- Payroll and staffing oversight
Pharmacies
- Prescription claim reconciliation
- PBM reimbursement analysis
- Rejected and reversed claims monitoring
- Inventory and purchasing reconciliation
Physician Practices & Medical Groups
- Medical billing and collections
- Insurance claims and ERA/EOB payment reconciliation
- Provider productivity
- Practice-level financial reporting
Other Healthcare Organizations
- Skilled nursing facilities
- Dialysis, therapy, and rehabilitation providers
- Solutions shaped around your structure and needs
Growing Businesses
- Accounting and bookkeeping
- Payroll and tax coordination
- Fractional CFO leadership
- Business consulting
Our Technology
Technology That Connects Your Entire Operation.
Our proprietary reconciliation technology connects to the systems you already use, such as agency and clinical software, billing, payroll, and accounting, and compares information across them. Discrepancies surface instead of hiding between systems.
It works alongside your existing systems. It doesn't replace your EHR, billing, scheduling, pharmacy, payroll, or accounting software. It gives you better visibility across all of them.
- BillingActual payments
- ClaimsRemittances
- PayrollVerified service hours
- AuthorizationsServices delivered
- General ledgerOperational activity
- RevenueActual cash collected
- BudgetActual performance
Ask us which integrations are available for your systems.
How We Work
A Clearer Picture. A More Controlled Operation.
Step 1
Assess
Understand your existing systems, financial processes, workflows, and challenges.
Step 2
Connect
Organize and connect your available financial and operational data.
Step 3
Reconcile
Identify discrepancies, inconsistencies, missed revenue, operational gaps, and financial risks.
Step 4
Optimize
Deliver actionable reporting, recommendations, and ongoing financial and operational oversight.
Results
Real Insights. Measurable Business Impact.
Case study · Home health
Over $100,000
in annualized unaccounted labor cost identified.
"It's like having 90% of our CPA's brain available to discuss operating issues on demand."
- Client industry
- Home health agency with about 140 caregivers in New Jersey.
- Business challenge
- Labor cost the agency couldn't account for across scheduling, payroll, and billing.
- YCA approach
- Reconciled hours worked vs. payroll hours vs. claims billed, per caregiver, per week.
- Technology used
- HHACFO, our platform for home health agencies.
- Findings
- Over $100,000 in annualized unaccounted labor cost.
- Outcome
- Leadership gained ongoing, caregiver-level visibility into labor cost and billing.
Leadership
Experience That Goes Beyond the Numbers.
- Accounting & financial expertise
- Healthcare operational experience
- Healthcare compliance knowledge
- Technology & systems integration
- Business strategy & advisory
Why YCA
Your Business + Your Chief Advisors = Your Success
Industry-specific expertise
Hands-on experience in home health, pharmacy, and healthcare operations, alongside CPA-led accounting.
Integrated financial and operational oversight
Finance and operations reviewed together, so the numbers reflect what actually happened.
Technology-driven reconciliation
Our own software compares data across your systems to surface what manual reviews miss.
Actionable financial intelligence
Reporting built to support decisions, with clear next steps rather than raw data.
Customized solutions
Engagements shaped around your structure, systems, and goals, not a fixed package.
Ongoing strategic partnership
Continuing oversight and advice as your organization grows, not a one-time report.
Resources & Insights
Insights for healthcare business owners
Practical guides on reconciliation, revenue cycle, financial reporting, and controls.
Home Health 6 min read
Why Home Health Agencies Need EVV and Payroll Reconciliation
Every visit leaves a record in your schedule, your EVV system, your claims, and your payroll. When those records disagree, money leaks in both directions.
Revenue Cycle 6 min read
Understanding Healthcare Accounts Receivable and Collection Delays
Revenue that has been earned isn't revenue that has been collected. Here's how to read your accounts receivable and find out why payments are slow.
Revenue Cycle 6 min read
How to Identify Billing and Remittance Discrepancies
A claim was sent and a payment came back. Whether that payment was right is a separate question, and the answer is in the remittance.
Home Health 5 min read
Common Financial Reporting Problems in Home Health Agencies
Many agencies only find out how a month really went long after it's over. These reporting gaps are usually to blame.
Pharmacy 6 min read
Pharmacy PBM Reconciliation: What Pharmacy Owners Should Monitor
Claims adjudicate in seconds at the counter, but payment arrives weeks later, net of fees. Reconciliation is how you find out what each prescription really earned.
Physician Practices 5 min read
How Physician Practices Can Improve Revenue Cycle Visibility
A full schedule doesn't guarantee healthy collections. Practice owners need a clear view from encounter to deposit.
Compliance & Controls 6 min read
Financial Controls Every Healthcare Organization Should Have
Strong financial controls protect revenue, prevent fraud, and make audits easier. Here are the ones that matter most, sized for smaller organizations too.
Get In Touch
Let's Bring Your Business Into Focus.
Whether you need stronger financial oversight, improved operational controls, or better visibility across your existing systems, Your Chief Advisors can help you move forward with confidence.