NEXACC — your business growing partner

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

Business Advisory· 8 min read

What 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.

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Business Formation· 7 min read

The 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.

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Credentialing· 6 min read

Why 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.

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Financial Operations· 7 min read

How 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.

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Revenue Cycle· 9 min read

The denial-rate playbook for multi-site medical groups

Denials are an operating metric, not an accident. A framework for driving first-pass acceptance above 96%.

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CFO Advisory· 6 min read

When a startup actually needs a fractional CFO

Revenue thresholds, financing events, and complexity signals that mean bookkeeping alone is no longer enough.

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Tax Strategy· 8 min read

Entity 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.

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