Insights
Field notes from inside the finance function.
Practical analysis written by the people running closes, claims, and forecasts — not a content team.
Latest articles
How much does bookkeeping cost in Phoenix?
Our published monthly plans, what actually moves the number for a Phoenix business, and how to estimate your own fee before you talk to anyone.
Read the articleHow much does medical billing cost?
Percentage of collections, what the floor means, and how to build an honest comparison against the fully loaded cost of an in-house billing desk.
Read the articleHow much does a fractional CFO cost?
The three published engagement bands, what moves you between them, and the signals that say it is too early to hire one at all.
Read the articleHow to improve revenue cycle management efficiency
A practical healthcare RCM guide to cleaner claims, faster follow-up, lower preventable denials, and a controlled outsourcing decision.
Read the articleWhat lenders actually read in your business plan (and what they skip)
Underwriters spend most of their time on three pages. A breakdown of the plan and model structure that gets an SBA file approved instead of returned.
Read the articleThe first 90 days of a new business, in the order that saves money
Entity choice, EIN, licensing, payroll accounts, and S-Corp election timing — sequenced so you don't pay twice to fix it later.
Read the articleWhy credentialing takes 120 days — and how practices lose revenue waiting
Panel enrollment delays are predictable. A timeline, the four documents that cause most rework, and how to bill for care delivered during the gap.
Read the articleHow growing practices close their books in five days
The operating cadence, automation rules, and review checkpoints behind a five-day close — and where most teams lose the week.
Read the articleThe denial-rate playbook for multi-site medical groups
Denials are an operating metric, not an accident. A working framework for multi-site groups to drive first-pass claim acceptance above 96%.
Read the articleWhen a startup actually needs a fractional CFO
Revenue thresholds, financing events and complexity signals that mean bookkeeping alone is no longer enough, and what a fractional CFO adds.
Read the articleEntity structuring decisions that quietly cost owners six figures
Compensation splits, state nexus, and election timing — the three structuring choices with the largest downstream tax impact.
Read the articleWhat medical billing really costs in 2026: percentage of collections vs. in-house
How to build the true loaded cost of an in-house billing desk, compare it against a percentage of collections, and decide with your own numbers.
Read the articleWhy your claim denials keep repeating — and the weekly routine that stops them
Repeat denials are a process defect. Categorise by root cause, assign owners outside the billing queue, and run one 40-minute meeting a week.
Read the articleS-corp vs LLC for physicians and dentists: the numbers that decide it
The election only pays when profit above a defensible salary exceeds the cost of payroll, the extra return and the higher bookkeeping standard.
Read the articleArizona TPT for medical and dental practices: what's taxable, what isn't, and when to file
Clinical fees generally are not taxable; retail product sales and lease income usually are. Confirm every rate and due date with ADOR.
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