Focus on Patients.
Insurance reconciliation, physician comp, and overhead management are our job. You went to medical school — not accounting school. Act like it.
Why Practices Choose Us
Insurance
Payment Reconciliation
Physician
Comp Modeling
Overhead
Benchmarking
HIPAA
Compliant Processes
“Our overhead was 72%. TH!NK identified three expense categories that were way off benchmark. We're at 61% now.”
— Dr. Sarah M., Family Medicine Practice Owner
Sound Familiar?
Medical practice finance is anything but simple.
Insurance complexity, multi-provider accounting, and regulatory requirements make medical practice bookkeeping a specialty of its own. Here's how we solve the hardest problems.
“Insurance payments never match what we billed and I can't reconcile it”
We reconcile every ERA and EOB to your practice management system, identifying underpayments, denials, and contractual adjustments so your books reflect actual collections.
“I don't know if my overhead percentage is normal or dangerous”
We benchmark your overhead against industry standards by specialty and flag expense categories that are out of line before they become a profitability crisis.
“Physician compensation, bonuses, and profit sharing are getting complicated”
We model physician compensation plans — base salary, wRVU bonuses, and profit sharing — and maintain the records needed to pay accurately every period.
“We have multiple providers and no idea which ones are profitable”
We track revenue and direct costs by provider so you can see contribution margin per physician, PA, or NP and make staffing and scheduling decisions with real data.
“My front desk staff is billing but I have no idea what's falling through”
We produce aging reports and denial trend analysis that show you exactly where revenue is leaking — billing codes, payers, and providers — so you can fix it.
“Adding a new provider or location is financially overwhelming to plan”
We model the true cost and revenue projection for new hires and expansion locations so you make growth decisions based on financial reality, not optimism.
Services
Financial services built for medical practices.
From solo practitioners to multi-specialty groups, we build accounting systems designed for the complexity of clinical business.
Why Choose Us
We understand medical billing, compensation, and overhead. Your current accountant probably doesn't.
We understand medical billing
ERA reconciliation, contractual adjustments, denial management — we connect your billing data to your books correctly so you see true collections, not just charges.
Physician compensation expertise
wRVU-based comp, production bonuses, partnership tracks — we handle every physician comp structure and ensure pay calculations are accurate and well-documented.
Overhead control
Most practices don't know their overhead percentage by category. We track it monthly and benchmark against specialty standards so you can act before margins erode.
Practice growth support
Whether you're adding providers, opening a second location, or planning a sale, we build the financial models that inform every major practice decision.
FAQs
Questions we hear from practice owners.
How do you handle insurance payment reconciliation?
We import ERA data and reconcile each payment to the corresponding claim in your practice management system, identifying underpayments, denials, and adjustments so your books match actual collections — not billed charges.
What's a normal overhead percentage for a medical practice?
It varies by specialty, but most primary care practices run 55-65% overhead. Surgical specialties can run lower. We benchmark your overhead against specialty averages and identify categories that are out of line.
How do you track wRVU-based compensation?
We integrate with your EHR or billing system to pull monthly wRVU data, calculate compensation based on your agreed rates, and reconcile to payroll — keeping you accurate and audit-ready.
Can you handle a multi-provider practice?
Yes. We set up provider-level P&Ls that show revenue, direct costs, and contribution margin per physician, PA, or NP so you can make informed decisions about staffing and scheduling.
What about accounts receivable management?
We produce monthly AR aging reports segmented by payer and provider, identifying slow collections and denial patterns so your billing team knows exactly where to focus.
Do you help with practice valuation?
Yes. We prepare the financial statements and EBITDA analyses that practice brokers and buyers require, helping you understand the value of your practice for sale or partnership transactions.
Ready to run a healthier practice?
Your practice finances deserve expert care too.
Let's talk about your practice and build the financial clarity that lets you focus completely on your patients.