Mental Health & Therapy Practices

Clear Financial Records for Your Therapy Practice

Mental health and therapy practices manage collections from clients and insurers, payments to practitioners and ongoing operating expenses. Differences between billed services, receipts and payment schedules can make it difficult to understand the practice’s financial results.

OBG Outsourcing provides bookkeeping and accounting support focused on collections reconciliation, practitioner payments and practice profitability. We help independent practices, group practices and the accounting firms serving them maintain organized records and prepare useful financial reports.

Collections Reconciliation

Payments may arrive through cards, bank transfers, payment platforms or insurer settlements. Matching these receipts with billing records helps your practice identify outstanding amounts and explain differences.

We reconcile available billing and collection reports with payment processor statements and bank deposits. Processing fees, settlement timing differences and unmatched receipts are documented so your team can review exceptions without losing sight of total collections.

Insurance Remittances and Client Balances

An insurer payment may cover several appointments and include adjustments that need to be reflected in the billing records. Client payments and credits also need to be assigned to the correct accounts.

We match available remittance information and receipts with recorded invoices, track partial payments and document unapplied amounts. Claim-related discrepancies are referred to your billing team with supporting accounting details for investigation.

Refunds, Credits and Outstanding Receivables

Approved refunds, overpayments and billing adjustments can affect both client balances and reported collections. Keeping these items separately identifiable helps your practice resolve account queries.

We maintain receivables aging schedules, reconcile credits and record approved refunds or write-offs. Outstanding balances are organized for your team’s review, helping distinguish collection delays from items awaiting billing corrections.

Practitioner Payment Schedules

Practitioner compensation may be based on salaries, approved session rates, collections-based arrangements or other agreed terms. Clear schedules help your practice explain how amounts payable have been calculated.

We prepare payment schedules using your approved agreements and supporting records. Where compensation depends on collections, we match the relevant receipts to practitioner records and incorporate authorized adjustments. Your practice retains responsibility for compensation arrangements and final payment approval.

Payroll and Contractor Payment Reconciliation

Payments to employed practitioners and independent contractors need to be reflected consistently in the accounts.

We reconcile payroll reports, contractor invoices and approved payment schedules with ledger entries and bank transactions. Outstanding balances, duplicate entries and payment differences are highlighted for review, while payroll liabilities and contractor payables remain separately tracked.

Practice Profitability Reporting

Collections alone do not show how much income remains after practitioner compensation and operating expenses. Reviewing these costs together helps owners understand the financial performance of the practice.

We prepare reports connecting recorded revenue with practitioner costs, administrative payroll, rent, software and other expenses. Where reliable information is available, results can be grouped by service category or location, with direct costs distinguished from allocated overhead.

Practitioner and Service Cost Analysis

Different services and delivery arrangements may involve different costs. Consistent allocation helps management understand those differences without treating all activity as financially identical.

Using approved records and allocation methods, we prepare financial summaries by practitioner or service line where appropriate. Reports distinguish amounts billed, cash collected and accounting revenue so comparisons remain clear and meaningful.

Budget and Cash Flow Monitoring

Practitioner payments, rent and subscriptions may fall due before outstanding client or insurer balances are collected.

We prepare budget-versus-actual reports, cash flow summaries and upcoming payment schedules. These reports help your team review expense changes, understand collection timing and plan operating commitments using documented assumptions.

Monthly Close and Financial Reporting

Consistent monthly accounting brings collections, practitioner payments and operating expenses into a reliable financial view.

Our team supports bank and credit card reconciliations, receivables reviews and preparation of payroll and payable schedules. Monthly reports include profit and loss statements, balance sheets and supporting management summaries, with unresolved queries documented for your designated reviewer.

White-Label Support for Accounting Firms

OBG Outsourcing also works behind accounting firms serving mental health and therapy practices. We assist with collections reconciliation, practitioner payment records and profitability reporting while your firm retains the client relationship, review authority and final approval.

With organized financial records, your team can dedicate more time to supporting clients and managing the practice.