Healthcare Bookkeeping: From Charge Capture to Financial Reporting
Learn how bookkeeping works in healthcare organizations, including revenue cycle activity, patient service revenue, reconciliations, AP, inventory, payroll, fixed assets, and month-end close.
Course Description
Bookkeeping in the healthcare industry involves more than recording routine transactions. This course explores how financial activity flows through healthcare organizations, from patient encounters and charge capture to billing, collections, adjustments, and general ledger reporting. It highlights the unique challenges created by multiple payers, contractual allowances, insurance denials, patient responsibility, refunds, and system-based reporting.
The course also covers key operational bookkeeping areas outside the revenue cycle, including accounts payable workflows, medical supply inventory, payroll considerations, fixed assets, capital projects, and month-end close procedures. Through practical examples and healthcare-focused scenarios, learners will see how bookkeeping supports accurate financial records and meaningful reporting in a clinical environment.
In this course, you'll learn...
Course Objectives
To understand bookkeeping workflows specific to healthcare practices and facilities
To accurately record patient-service revenue, adjustments, contractual allowances, write-offs, and bad debt
To manage vendor, payroll, and supply-chain accounting in a clinical environment
To reconcile EMR/EHR data to the general ledger
To implement internal controls tailored to healthcare operations
How you'll apply these skills...
Track Healthcare Revenue Activity: Follow patient services from charge capture through billing, payment, adjustments, and reporting
Record Patient Service Revenue: Apply gross charges, net revenue, contractual allowances, denials, and write-offs correctly
Reconcile Billing Systems to the GL: Compare EHR, billing, cash, AR, and general ledger reports to identify discrepancies
Support Cash Collections: Use EOBs, ERAs, and payment records to post and verify insurer and patient payments
Manage Healthcare Expenses: Record AP, inventory, payroll, fixed assets, and capital project activity in a clinical setting
Strengthen Month-End Close: Prepare adjustments, accruals, reconciliations, and reports for accurate healthcare financials
Course Instructor
Michael Carroll, CPA, CISA, CISM
Michael is an accounting and information security professional. He is also an Adjunct Professor at several higher education institutions, where he is responsible for teaching various accounting and information technology courses.
Michael earned his MBA in Accounting and B.S. in Accounting / Accounting Information Systems from Canisius University. Additionally, Michael is a Certified Public Accountant (CPA) and a Certified Information Systems Security Professional (CISSP). Michael is a current member of the NYCPA’s Education Committee and has been an Advisory Board Member for the Academy of Finance (AOF) since 2020.
Michael enjoys traveling, hiking, and watching the Buffalo Bills. He has also participated in several marathon events.
Course Content
Additional Info
Format
5-20 min. videos, 7 quizzes, and a final assessment
Field of study
Accounting
CPE Credits
CPEs 3.5
Prerequisites
None