Bookkeeping for physical therapy and chiropractic practices
These practices run on repeat visits, and the money arrives from several directions: insurer payments, cash-pay patients, prepaid treatment plans and card payments. Mispar keeps those sources apart, reconciles them to the bank, tracks clinician pay and equipment, and prepares monthly books in your own QuickBooks Online or Xero file. Plans start at $229/mo.
Best for: Physical therapy clinics, chiropractors, sports-rehab and wellness practices, solo or multi-provider.
Matched to deposits
Insurer receipts
Separated
Cash-pay visits
Tracked
Treatment packages
Organized
Clinician pay
Where physical therapy and chiropractic clinic books usually go wrong
- Insurance payments not matched to visits.
- Cash and insurance patients combined.
- Package sales booked when paid.
How Mispar keeps your clinic books clean
Industry-specific accounts and categorization, with the reporting scope agreed before work starts.
Insurer and cash-pay receipts
Separate insurer remittances from cash-pay and card visits, and reconcile each to the bank so the mix of payers is visible in the statements.
Prepaid treatment packages
Prepaid visit packages are tracked apart from visit revenue under a method agreed with your CPA, so a package sold this month is not treated as fully earned.
Clinician compensation
Reconcile employed clinician wages, contractor payments and owner draws to payroll and payment records.
Treatment equipment and supplies
Separate tables, modalities and exercise equipment from consumables, and track equipment loans or leases with principal and interest apart.
Billing software and card fees
Break out scheduling, billing and card processing costs so recurring fees are easy to review.
Rent and buildout
Keep rent, utilities and buildout costs visible against monthly revenue so a new location can be assessed honestly.
Reports a physical therapy or chiropractic clinic can use
- Receivables by payer.
- Revenue by visit type.
- Prepaid package balances.
A simple, predictable process
From kickoff to your first clean close, here is exactly what happens.
List your payers and payment tools
We map insurer deposits, cash-pay, card and any package sales to the right accounts.
Agree package and prepayment treatment
Prepaid plans are recorded consistently with your accounting method and CPA guidance.
Reconcile each month
Deposits, payroll, bills and card activity are reconciled to the bank.
Deliver monthly statements
Monthly statements arrive ready for your CPA, with open questions batched for your billing team.
Illustrative example
A patient prepays for a block of visits and uses them over two months. The payment is recorded under the agreed method, so each month reflects both what was collected and what was delivered. This is an illustration of the method, not a customer case or a guarantee.
Physical Therapy & Chiropractic bookkeeping — your questions
Do you manage insurance billing or claims?
No. Billing and claims stay with your billing team or software. We reconcile the payments they produce to the bank and the books.
How do you treat a package of prepaid visits?
We track it separately from visit revenue under a method agreed with you and your CPA, so the statements do not overstate the month it was sold.
Can you split results between locations or clinicians?
Sometimes. It depends on whether your billing records identify them. Per-location or per-clinician reporting is agreed as part of scope and is not automatic.
Do you handle patient information?
Bookkeeping should rely on deposits, remittance totals and bills rather than patient records. If a task would need patient-level detail, we agree on how it is handled first.
Can you track receivables by payer?
Yes. Payments are matched to payer and period.
Do you handle chart-of-accounts changes if I add a service line?
Yes. If you add a service such as cash-pay wellness programs, we add a separate revenue account in your own QuickBooks Online or Xero file so it can be compared with insurer-paid visits.
Explore other industries
Restaurants
Prime cost, tip pools, POS reconciliation, and food/beverage COGS — booked the way a restaurant actually runs.
Learn more →E-commerce
Multi-channel reconciliation, FIFO/weighted-average inventory, COGS at ship date, and sales-tax nexus done right.
Learn more →Retail
POS reconciliation, COGS, shrinkage, vendor payables, and sales-tax remittance — clean end to end.
Learn more →Customers slow to pay?
Our in-house collections team calls and emails customers who owe your company money, so you can stay focused on the work.