Accounting built for the business of medicine.
Bookkeeping, payroll, tax and advisory for physician, dental, specialty and veterinary practices, from a women-led team that knows practices inside and out. You take care of patients. We keep the books closed on time and the tax bill planned for.
- Women-led
- Fully remote, nationwide
- NetSuite, QuickBooks & Sage
- East Coast, Arizona & Hawaii
- ✓Bank & card accounts reconciled4 accounts, 0 unmatched itemsNov 4
- ✓Insurance deposits matched to ERAsPayer remits tied to productionNov 5
- ✓Payroll & provider comp postedAssociate collections-based payNov 6
- P&L and practice KPIs deliveredWith a 15-minute review callNov 10
Know which codes, payers and procedures actually pay.
Our revenue insights platform connects your billing data to your books. You see what each service truly earns after denials, write-offs and adjustments, so you can make sharper decisions about payer contracts, scheduling and growth.
- Net revenue by procedureWhat every CPT code collects, not just what it bills, ranked by return per visit and per provider hour.
- Payer scorecardsReimbursement rates, days to payment and denial rates side by side, so you know which contracts to renegotiate.
- Provider productivityProduction and collections by provider and location, ready for compensation plans and partner meetings.
- Revenue recognized the right wayCollections tied to production and accruals, so your P&L shows what the practice earned each month, not just when the checks cleared.
Insights support business and contracting decisions. Coding always follows the care documented.
Net collected per visit, top proceduresExample data
Payer scorecardLast 90 days
| Payer | % of fee | Days to pay | Denials |
|---|---|---|---|
| Commercial A | 118% | 19 | 4.1% |
| Medicare | 100% | 14 | 2.8% |
| Commercial B | 82% | 41 | 11.6% |
| Medicaid MCO | 71% | 33 | 7.9% |
We only work with practices, so we already know how yours runs.
Physicians
Primary care and multi-provider groups, including practices with telehealth patients in more than one state.
Payer mix · provider comp · multi-state filingsDentists
General and group dental practices managing hygiene production, associates and equipment financing.
Associate pay · lab fees · Section 179Specialists
Psychiatry, therapy, dermatology, PT and other specialty practices, solo or with partners.
PLLC & S-corp · reasonable comp · partner drawsVeterinarians
Companion and mixed-animal clinics with pharmacy inventory, boarding and retail revenue.
Pharmacy COGS · inventory · DVM productionSolo practices, group practices and multi-location owners, on NetSuite, QuickBooks Online, QuickBooks Desktop or Sage. Starting a new practice or buying one? We can help with that too.
Everything your practice needs from an accounting firm, in one place.
Pick what you need now and add more later. Most clients start with bookkeeping and tax, then bring payroll and planning over within the first year.
Monthly bookkeeping
Clean, closed books by the 10th of every month.
- Bank, card and loan reconciliations
- Insurance and patient payments matched to deposits
- Monthly P&L, balance sheet and cash flow
Payroll
Staff and provider payroll, run accurately and on schedule.
- W-2 staff and 1099 contractors
- Production- and collections-based provider pay
- Quarterly and year-end payroll filings
Tax preparation
Business and owner returns, prepared by a CPA who already knows your books.
- S-corp, partnership, PLLC and individual returns
- Multi-state filings
- Estimated payments calculated each quarter
Tax planning
Fewer surprises in April and more of what you earn kept.
- Entity choice and S-corp reasonable compensation
- Retirement plan and equipment purchase timing
- Year-end planning meeting
Practice advisory
Outsourced CFO support for owners making big decisions.
- KPI dashboards and benchmarking
- Budgets, cash forecasts and lender packages
- Partner buy-ins, expansions and acquisitions
Cleanup & catch-up
Behind on the books, or switching from another firm? We'll get you current.
- Prior-month and prior-year cleanup
- NetSuite, QuickBooks and Sage setup and conversion
- Chart of accounts built for a practice
A women-led boutique CPA firm with deep tax training and a narrow focus.
Large firms hand you to a different junior accountant every year. General bookkeepers don't know what an ERA is. We sit in between: a small, women-led team that works only with practices, answers your emails and stays with you year over year.
Founded and led by women who understand what it takes to run, and grow, a practice.
Every engagement is overseen by a licensed CPA, not just a bookkeeper.
Advanced graduate tax training for entity structure, multi-state and complex returns.
Planning advice grounded in how a practice actually makes money.
Secure document portal, video calls and e-signatures. Nothing to drive to.
Free consultation
A 30-minute call about your practice, your current setup and what's not working.
Week 1Proposal & engagement
A fixed monthly price in writing, signed electronically. No hourly billing surprises.
Week 1–2Onboarding & cleanup
We connect to your bank and accounting system, review prior months and fix anything that's off.
Weeks 2–6Monthly close & review
Books closed by the 10th, reports delivered and a short call to walk through the numbers.
Every monthYear-round tax
Quarterly estimates, a year-end planning meeting and returns filed on time.
Every year
Flat monthly packages. You'll know the price before we start.
Every practice is different, so we quote a flat monthly fee based on your transaction volume, number of providers and locations. You get a written proposal after a free consultation.
Essentials
For solo practices that need reliable monthly books.
Flat monthly feeCustom quote
- Monthly bookkeeping & reconciliations
- Monthly financial statements
- Email support
- Year-end package for your tax preparer
Practice
Books, payroll and taxes handled by one team.
Flat monthly feeCustom quote
- Everything in Essentials
- Payroll for staff and providers
- Business and owner tax returns
- Quarterly estimates and review calls
- Practice KPI report
Partner
For group and multi-location practices planning to grow.
Flat monthly feeCustom quote
- Everything in Practice
- Multi-entity and multi-state support
- Budgeting and cash forecasting
- Year-round tax planning
- Monthly advisory meeting
Project work is quoted as a fixed fee before we begin. No hourly billing.
Unlocking potential for every mother.
The Mana Moore Foundation was born from Moore Medical Accounting. It offers mothers free training in bookkeeping, accounting and tax preparation, along with job placement and community support, so they can build careers in finance while raising their families.
Common questions
Do you work with practices outside Hawaii?
Yes. We're fully remote and work with practices nationwide, with team members on the East Coast, in Arizona and in Hawaii. Meetings happen by video, and documents move through our secure client portal.
What software do you use?
We work primarily in NetSuite, QuickBooks Online, QuickBooks Desktop and Sage, and we're familiar with common practice-management and billing systems. Already on one of these? We'll work right in your current setup. On something else? We can help you convert.
Can you do both my bookkeeping and my taxes?
Yes, and we recommend it. When the same team keeps your books and prepares your return, year-end goes faster and tax planning happens during the year instead of after it.
My books are behind. Is that a problem?
No. Catch-up work is common. We quote the cleanup as a fixed fee, get you current and then move you onto a monthly package.
How do I send you documents?
Through our secure client portal. You can upload from your phone or computer, sign documents electronically and see what we still need from you. Please don't email tax documents.
How much does it cost?
Most practices pay a flat monthly fee based on transaction volume, number of providers and services included. Book a free consultation and you'll get a written quote with one flat monthly price.
Book a free 30-minute consultation.
Tell us about your practice. We'll tell you what we'd change and what it would cost. No obligation.