One of the most common ways a private practice finds Larsen Bookkeeping starts with a sentence like this: “Our practice manager knows QuickBooks.”
Liliane Larsen remembers one practitioner who called for exactly that reason. His practice manager did her best, but her training was in running a practice, not in accounting. The owner could tell the numbers did not look right, and he did not know why. Another practice had grown until the books were simply too much for its part-time bookkeeper.
Neither story is about anyone doing a bad job. They are about a practice growing past the setup it started with.
The general practitioner and the specialist
Liliane often explains it in terms her clients know well. A general practitioner takes care of a lot, but if you break your leg, you go to an orthopedist, who knows where the break starts, how to fix it, and what complications to watch for.
General bookkeeping works the same way. It covers a little of everything. Practice books have their own details: supply and lab costs, equipment purchases versus financing, compensation for owners and associate doctors, sometimes a second location, and sometimes a building owned in a separate entity. Those details are where in-house books most often drift.
Signs the books have outgrown the setup
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How to split the work, respectfully
Bringing in a bookkeeping firm does not mean replacing your practice manager. In many practices it is the practice manager or operations manager who reaches out to Larsen Bookkeeping in the first place, scoping it out for the doctors.
A good split usually looks like this:
Your practice manager keeps: - Running the front office and the practice systems. - Coordinating with your billing company. - Answering a short list of questions from us each month. - Approving bills, if the owner delegates that to them.
Larsen Bookkeeping takes on: - Recording and categorizing every transaction in QuickBooks Online. - Reconciling every bank account, credit card, loan, and line of credit. - Posting and reviewing payroll from your payroll provider. - Monthly reports, and a review meeting with the owners. - Bill management, when agreed: reviewing bills, catching duplicates, and preparing payments for approval.
The manager gets their evenings back, and the owner gets books that someone with 20 years of private practice experience has reviewed.
Who you will work with
Liliane leads the first conversation and reviews every month-end. An assigned account manager handles the day-to-day work. You meet with both to go over the numbers, so there are always two people who know your books. Our clients hear back within one business day, usually the same day.
Frequently asked questions
There is some early coordination. Onboarding is two calls, plus gathering access and information. After that, we send most of our questions with reminders.
No. Billing stays with your billing company or team. We check that recorded sales match deposits at the bank and let you know if they do not.
We scope a cleanup separately, as the first step of ongoing monthly bookkeeping. It goes back as far as necessary, and sometimes only to your last tax return.
Start with a conversation
If your practice is in Hingham, Plymouth, Hanover, Norwell, or elsewhere in Massachusetts, and the books have outgrown the setup, request a free consultation. Practice managers are welcome to reach out. Prefer to call? 781-924-1489.