The visit, the plan deposit, and what a patient paid stay apart. Steven Palmieri, a Tax CFO and the Entrepreneur's CFO, clears the file so the bank, the claims, and the write-offs finally tell one story.
Deposit will not match
You will be talking to the Steven Palmieri practice.
One number from a plan can hide a week of visits.
Click to open the payment ›Tap to open the payment ›The schedule was full and the bank was quiet.
Click to see what is owed ›Tap to see what is owed ›
The gap under the fee should be a choice you can see.
Click to see the write off ›Tap to see the write off ›Owner pay outside the file leaves the month with two profits.
Click to bring the pay in ›Tap to bring the pay in ›A refund with no home breaks the next deposit.
Click to trace a refund ›Tap to trace a refund ›Send the plan detail, what patients paid, and the bank.
Click to see the packet ›Tap to see the packet ›Pick the deposit that will not match.
A plan deposit that matches no visit is a bundle plus an adjustment.
Open it on the bundle page.
Money sent back belongs against the payment already made.
The refund page follows it home.
A visit with no cash yet stays as money owed.
The still owed page keeps that middle.
A draw in a workbook never reaches the month a lender reads.
The workbook page puts that pay on the close.
A fee above the allowed amount is a gap you either release or keep.
The write off page keeps that gap visible.
A revenue figure waits until the month matches the bank.
Name that month on the form.
Plan bundle
A plan deposit that matches no visit is a bundle plus an adjustment.
Open it on the bundle page.
Patient refund
Money sent back belongs against the payment already made.
The refund page follows it home.
Still owed
A visit with no cash yet stays as money owed.
The still owed page keeps that middle.
Owner draw
A draw in a workbook never reaches the month a lender reads.
The workbook page puts that pay on the close.
Chosen write-off
A fee above the allowed amount is a gap you either release or keep.
The write off page keeps that gap visible.
Bank first
A revenue figure waits until the month matches the bank.
Name that month on the form.
Steven and his team keep one file for the clinic month and the federal return, so the write-off stays on the line the return later reads.
Name the deposit that will not tie before you name the month a lender wants.
Tell us which deposit refuses to match. The reply names which deposit to match before the rest.
You will be talking to the Steven Palmieri practice.
You did the work on a Tuesday. The plan paid some of it weeks later. The patient paid a share at the counter, or did not. An adjustment came off because the allowed amount was less than the fee. If the only line in the file is the amount that hit the bank, you cannot see the work, the amount you will never collect, or what is still owed.
The charge belongs in the month of the visit. The adjustment, the part you will not collect, belongs as its own line so it does not pretend to be a smaller charge. The cash belongs on the day it arrives, split between what the plan paid and what the patient paid. Those are different payers. One blended deposit hides a slow plan inside a busy week, and it hides a balance the counter could still collect.
We reconcile the bank before we trust a revenue figure. A month that still disagrees with the bank is not the source of a number anyone should hand to a lender. The categories follow the way care is paid, not a generic list copied from a shop that sells goods.
A patient who overpaid, or who paid and was then covered, gets money back. That refund does not belong among miscellaneous costs or as a made-up negative visit. It reduces what that patient had already paid. If the refund has no home, the next deposit will never tie, because you are comparing the bank to a story that skipped a chapter.
We give the refund the patient's payment as its home, then we re-tie the bank. The relief on the other side of that tie is ordinary and large. The week stops feeling like the software is lying.
Credentialing and slow claims create a different quiet. The work is real. The cash is not here. That work is money still owed until it pays, or until you decide it will not. Leaving it out until the deposit arrives makes a credentialing delay look like a slow clinic. Putting it in as if it were already cash makes the bank impossible.
The honest middle is a receivable. Work done, money not here, collected or written off later on purpose. A plain example. A run of visits went out. A deposit arrived that matches no single visit, because it is a bundle from a plan, net of an adjustment, plus payments from the counter. In a cleaned file the bundle is broken into the claims it paid, the adjustment is visible, and the patient payments sit on those patients. The deposit matches the bank. The visits the bundle did not cover are still sitting as owed, which is the list the counter actually needs.
Splits, guarantees, and bonuses often live in a workbook while the books stay wrong. A draw is neither a mystery nor a personal errand. It is part of the month. When it stays outside the file, the profit of the clinic and the pay of the people who delivered the care tell two stories.
Payroll, if the clinic has employees, can be set up on a provider the clinic then runs. We do not send the paydays. Once that provider is in place, the wages that belong in the compensation story have a real source. The draws and guarantees of owners are a different conversation, and they still have to land in the same close.
A clearinghouse deposit leaves with the claim and comes back days or weeks later as one lump. The lump is a loop. The amount that returns is smaller than the fee that left, because an adjustment and a patient share have already come out. We match the deposit that came back to the claims it actually paid, and we leave the unpaid visits sitting as money still owed.
Send the deposit detail from the plans, the list of what patients paid, and the bank feed. We work from those financial exports. A chart, a diagnosis, and a patient's name are not required for the cleanup, and they should not ride along in a note on this site.
What you get back is a file where a deposit is not the only record of a visit, write-offs are chosen rather than accidental, and a refund has a name. You can then tell earned work from collected cash without holding a meeting about it.
The price is named before the paid work starts, from the months the bank still disagrees and from the accounts in the file, not from a clock we invent on this page. The first conversation names the deposit that will not match. The cleanup is scheduled only after both sides have signed a scope that states the fee.
As the bundle it actually is. Break it into the claims it paid and the adjustment it took. A lump in income hides both the write-off and the visits the deposit did not cover.
Against that patient's payment. Not into a miscellaneous cost, and not into a fake negative visit. If the refund has no home, the next deposit will not tie to the bank.
It is money still owed until it pays or until you decide it will not. Leaving it out makes the clinic look slow. Recording it as if it were already in the bank makes the bank a lie.
No. After the bank agrees, the federal return copies that month. A letter that needs an audit, a review, or a compilation goes to a firm that is allowed to sign that letter.
When the clinic pays another practice for care, that payment belongs on Form 1099-MISC, and medical and health care payments go in box 6. For payments made in 2026 the instructions put the threshold for certain information returns at 2,000 dollars. Backup withholding is reported no matter the size. Associate clinicians paid as nonemployees belong on the information return that matches how they were paid.
If the clinic has employees, Form 941 is the quarterly employer return, and Form W-2 closes the year for those wages. We can put a payroll provider in place. After that handoff the clinic sends the pay. We do not run payday, and we do not invent a wage figure the payroll report does not already show.
A clinician who still drives between rooms splits 2026 mileage in half. The rate is 72.5 cents a mile from 1 January through 30 June, and 76 cents a mile from 1 July through 31 December. Equipment placed in service in a tax year that begins in 2026 meets a Section 179 limit of 2,560,000 dollars, and that limit starts to phase out when the property placed in service goes past 4,090,000 dollars. A sport utility vehicle taken under that section cannot go past 32,000 dollars. Those figures belong on the federal return. They do not change which deposit failed to tie.