Frequently asked questions.

Outsourcing gives you access to an entire team of experienced professionals for a fraction of the cost of a single full-time hire. You eliminate expenses like benefits, training, turnover, and software — while gaining broader expertise, consistent coverage, and scalable support that grows with your business.

An outsourced AP team streamlines invoice processing, reduces duplicate or late payments, and ensures you capture early-pay discounts. You also eliminate the overhead of managing AP staff, reduce fraud risk through proper segregation of duties, and gain better visibility into your cash outflows.

Outsourced AR means faster invoicing, more consistent follow-up on outstanding balances, and improved cash flow. Our dedicated team ensures nothing falls through the cracks — so you get paid sooner, reduce bad debt, and free your internal team to focus on client relationships instead of chasing payments.

Not at all — you gain more control. We provide regular reporting and a dedicated point of contact. You set your own priorities and approval workflows; we handle the execution.

Yes. As a CPA-led firm, we're bound by professional confidentiality standards, and we use secure, access-controlled systems for client data. Outsourcing can also strengthen internal controls by adding segregation of duties that's hard to achieve with a lean in-house team.

The timeline depends on the size and complexity of your business and its systems. We provide a clear onboarding plan up front and handle the heavy lifting — connecting to your systems, organizing historical data, and establishing workflows.

Yes. We build custom software that connects your accounting, payroll, and industry systems so you can see your whole business in one place. HHACFO, our platform for home health agencies, is one example, and we build the same visibility for other industries.

Usually not. We start from the systems you already use, such as QuickBooks Online and your payroll provider, and connect them rather than replacing them.

No. Our technology works alongside the systems you already use. It connects to them, compares their data, and reports where they disagree.

Through secure API or SFTP connections that you authorize. We confirm which connections are available for your specific systems before you commit.

Systems we work with include HHAeXchange, Alora Health, AlayaCare, Halo, QuickBooks, and ADP, along with other EHR, practice management, billing, pharmacy, payroll, and accounting systems. Ask us about yours.

Results are shared in a login-protected client portal. Our privacy policy explains how we collect, use, and protect client data.

HHACFO is the platform we built for home health agencies. It performs visit-level reconciliation of hours worked, payroll hours, and claims billed, and includes an AI Virtual CFO.

No. We connect to the systems you already run, such as HHAeXchange, Alora Health, AlayaCare, Halo, QuickBooks, and ADP, through secure API or SFTP connections that you authorize. Nothing is replaced.

We compare verified visits in your EVV system against scheduled services, the units you billed, and the hours each caregiver was paid for. Visits that were verified but not billed, billed without support, or paid differently than worked are flagged for review.

We line up hours worked, payroll hours, and claims billed for each caregiver, week by week. Differences between the three are where unaccounted labor cost usually shows up.

Yes. We work completely remotely, by video and phone, with agencies anywhere in the United States.

It's a free online self-assessment that walks through 11 steps of the HHAeXchange revenue cycle and helps you spot workflow gaps. You can download or print your results.

Yes. Many organizations run both lines, and we can report on each separately and together. See our home health agency page for that side of the business.

Yes. We compare census days and level-of-care records against the per-diem claims you submit and the remittances you receive.

No. We connect to the systems your team already uses and work from the data they already produce.

Through secure API or SFTP connections that you authorize. Results are shared in a login-protected client portal, and our privacy policy explains how we handle client data.

It's the process of comparing what each prescription claim adjudicated for with what the pharmacy benefit manager actually paid, and accounting for fees taken at the time of payment or later. It shows the true earnings on each claim.

No. We connect to the pharmacy management, point-of-sale, wholesaler, and accounting systems you already use and reconcile the data between them.

Yes. We support audit preparation and documentation management, so the records an auditor asks for are organized and easy to find.

Yes. We provide CPA-overseen bookkeeping, accounts payable and receivable, and monthly financial reporting, alongside the reconciliation work.

No. We work alongside whoever does your billing, reconciling their results against payer remittances and your books so you can see how the revenue cycle is performing.

It's matching each electronic remittance advice or explanation of benefits to the claim it pays, the adjustments applied, and the bank deposit it arrived in. It's how underpayments and missing payments are found.

Physician offices, multi-specialty medical groups, physical therapy and rehabilitation centers, and dialysis centers, among others.

Yes. As your fractional CFO, we build forecasts from your reconciled numbers so you can see the effect on cash and profitability before you commit.

Our focus is oversight and reconciliation: reviewing and reconciling the revenue cycle your in-house team or billing company runs, and helping fix the gaps we find. Ask us about your situation during a consultation.

Home health and hospice agencies, physician practices and medical groups, pharmacies, skilled nursing facilities, and other healthcare organizations with payer billing.

Typically days in accounts receivable, denial trends by reason and payer, collections compared to billing, and aging by payer, tailored to your organization.

It depends on your systems and the condition of your data. We'll outline a realistic timeline after the initial assessment.

Beyond home health, hospice, pharmacies, and physician practices, we work with skilled nursing facilities, physical therapy and rehabilitation centers, dialysis centers, multi-specialty groups, and other healthcare organizations.

We'll review it during discovery and tell you plainly what data we can connect to and how. Many systems support secure exports through API or SFTP.

Yes. We can provide consolidated reporting along with results for each location, program, or entity.

No. We're based in the NYC and NJ area and work completely remotely with organizations nationwide.

Accounting keeps your books accurate. Consulting uses those numbers to improve how the business runs: strategy, processes, controls, and systems.

No. YCA Healthcare is our healthcare division, and YCA Business serves small and growing businesses in every industry.

Yes. We help prepare clean financials, forecasts, and supporting documentation so you can present your business clearly.

Either. Some owners want a focused project; others want an ongoing advisor. We'll recommend what fits after the first conversation.