Payments that don't match the EOB
ERA and EOB amounts, contractual adjustments, and deposits often fail to tie out, so underpayments go unnoticed.
Physician Practice Financial Management
Physician practice financial management that follows every claim to the bank.
We connect your practice management, EHR, clearinghouse, payroll, and accounting systems so you can see collections, provider productivity, and practice profitability clearly.
- CPA-overseen
- Completely remote
- Works with the systems you already use
The challenge
Busy schedules don't always mean healthy collections
Between payers, clearinghouses, and billing staff, it's easy to lose sight of what was earned versus what was collected.
Accounts receivable that keeps aging
Without a clear view of aging by payer, older balances become harder and harder to collect.
Provider productivity without the financial side
Visit counts are easy to see. What each provider's work actually brought in is not.
Overhead growing faster than revenue
Payroll and operating expenses climb while collections stay flat, and the cause isn't obvious.
What we do
Financial management for practices and medical groups
Medical billing & collections oversight
Charges, claims, and collections reviewed from encounter to deposit.
Insurance claims reconciliation
Claims submitted matched to payer responses, denials, and resubmissions.
ERA/EOB payment reconciliation
Electronic remittances and EOBs matched to claims, adjustments, and bank deposits.
Provider productivity
Productivity by provider tied back to what was billed and collected.
Payroll & operating expenses
Payroll and overhead reconciled to the general ledger and compared against collections.
A/R monitoring & practice reporting
Aging by payer and practice-level financial reporting, with fractional CFO guidance for growth.
Technology & reconciliationHow our technology works
From encounter to deposit, reconciled
We connect your practice management system, EHR, clearinghouse, billing platform, payroll provider, and accounting software, and reconcile encounters, eligibility, prior authorizations, claims, payments, and denials in one place.
Your billing team keeps working the way it does today. You get a clearer view of the results.
Systems we connect
- Practice management
- EHR
- Clearinghouses
- Billing platforms
- Payroll (such as ADP)
- Accounting (such as QuickBooks)
- EncountersClaims submitted
- ClaimsERA/EOB payments
- Expected paymentAmount received
- Payments postedBank deposits
- Provider activityCollections
We confirm which connections are available for your systems before you commit.
Business outcomes
What practice owners gain
- Underpayments and unresolved denials surfaced for follow-up.
- A/R aging by payer you can act on each month.
- Productivity and profitability by provider, location, or service line.
- Overhead measured against collections, not just revenue.
- Forecasts to support adding a provider or a location.
Example scenario
Following one month of claims to the bank
Gather
A month of encounters, claims, remittances, and deposits is pulled from your systems.
Reconcile
Each claim is matched to its ERA or EOB and to the deposit it was paid in.
Surface
Underpayments, open denials, and unposted payments are listed by payer.
Act
Your team gets a prioritized follow-up list and a monthly report on collections.
An illustration of how an engagement typically works, not a specific client's results.
FAQ
Frequently asked questions
Do you replace our billing company or in-house billers?
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.
What is ERA/EOB payment reconciliation?
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.
Which types of practices do you work with?
Physician offices, multi-specialty medical groups, physical therapy and rehabilitation centers, and dialysis centers, among others.
Can you help us plan for a new provider or location?
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.
Get a clearer view of your practice's collections
Talk with YCA Healthcare about reconciling claims, payments, and deposits, and turning them into reporting you can use.