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Bookkeeping for Physical Therapy Practices

Physical therapy practices navigate insurance reimbursement cycles, clinical staff payroll, and the financial management challenges of a healthcare business that most generalist bookkeepers aren't equipped to handle.

Book a Free Consultation

No obligation · 30-minute call · Federally authorized Enrolled Agent

The Specific Challenges We Solve

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Insurance Reimbursement Reconciliation

What you bill and what you receive from insurance companies are very different numbers. We track AR by payer, reconcile ERAs, and ensure your books reflect actual collected revenue — not billed charges that will never be paid at full rate.

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Clinical Staff Payroll Complexity

PTs, PTAs, and aides have varying wage structures, continuing education requirements, and sometimes bonus arrangements. We manage payroll correctly across all staff classifications and ensure compliance with healthcare employment rules.

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Out-of-Network and Cash-Pay Revenue

Many PT practices are adding out-of-network and direct-pay services. We track these separately from insurance revenue so you understand your true blended margin and can make informed decisions about your service mix.

A Bookkeeper Who's Also a Federally authorized Enrolled Agent

Most bookkeepers categorize transactions and hand you a report. Simple Books Now does that — and our Licensed EA can also represent you before the IRS, file your business and personal tax returns, and advise on tax strategy year-round. One firm. No referrals. No gaps.

Licensed by the IRS — can represent you in audits, notices, and collections
Combines bookkeeping and tax strategy in one flat monthly engagement
Direct access to Luisa — no junior staff, no support queue
Serves clients in all 50 states — fully remote
Books delivered by the 15th of each month
Flat monthly rate — no hourly billing or surprise invoices

Ready to Get Your Books in Order?

Book a free 30-minute consultation. She knows the numbers for your type of business and will give you a clear picture of what we can do.

Book a Free Consultation

No obligation · Flat monthly rates · Federally authorized Enrolled Agent