A simple account map
- Patient collections → income (from the day sheet, by payment type)
- Card payments → clearing account until deposited
- Processing fees → merchant fees expense
- Refunds → contra-income or refunds account
- Patient financing deposits → recorded net of the financing fee
Proof of close
Each month, keep a one-page summary: practice-management collections, processor settlements, bank deposits, clearing balance and a list of open exceptions. Your accountant will thank you.
Run the numbers
All fees on the statement.
All-in collections cost / month
$8,350.00
Card effective rate
2.60%
Broader cost ÷ card volume
3.34%
Software
$850.00
Staff time
$1,000.00
About $100,200 a year to get paid.
The card effective rate and the broader ratio are different measures — the broader one includes non-card work, so don't compare it to a processor's quoted rate. Uses only your numbers; no vendor pricing assumed.
Estimates only. Results vary. No guarantee of approval, rates or savings.
Estimates only. Results vary. No guarantee of approval, rates or savings.
Talk with a payments specialistCommon questions
Should we record each card payment in QuickBooks?
Usually not. Record daily or batch totals from the practice-management system; keep patient detail there.