Bookkeeping for speech and occupational therapy clinics
A therapy clinic earns session by session, but the money arrives on every calendar except the session's. Insurance remittances lag weeks behind treatment, school district contracts pay on their own terms and private pay families settle at different rhythms. Payroll, meanwhile, runs every two weeks regardless. Mispar keeps every payer's balance matched to the sessions behind it. Plans start at $229/mo.
Best for: Independent speech, occupational and physical therapy clinic owners and small multi-therapist practices that need payer-level clarity without a billing department.
Matched
Remittances
Reconciled
School contracts
Flagged
Denials
Visible
Therapist costs
Where speech and occupational therapy clinic books usually go wrong
- Insurance payments not matched to sessions.
- Therapists paid as employees or contractors with unclear records.
- School and cash contracts combined with insurance income.
How Mispar keeps your clinic's books clean
Industry-specific accounts and categorization, with the reporting scope agreed before work starts.
Insurance remittances
Match each payer's remittance to the sessions it covers, so underpayments and short-pays are caught at deposit instead of at year end.
School district contracts
Record contract revenue against the services delivered under each district agreement, keeping renewal-season numbers ready.
Private pay and packages
Track private pay sessions, prepaid packages and family balances on their own lines, so unearned prepayments are not mistaken for revenue.
Denials and follow-up
Keep denied and pending claims visible as open balances with age, so follow-up happens while the claim is still fixable.
Therapist payroll and contractors
Reconcile W-2 payroll and any contractor therapist payments against sessions delivered, keeping per-therapist economics reviewable.
Licensing, CE and clinic costs
Track licenses, continuing education, testing materials and clinic overhead on their own lines, so fixed costs are visible against session revenue.
Reports a therapy clinic can use
- Receivables by payer.
- Revenue by contract type.
- Therapist pay by person.
A simple, predictable process
From kickoff to your first clean close, here is exactly what happens.
Review your current records
We start from your practice management system, payer remittances, payroll reports and bank feeds.
Map the chart of accounts
Payer revenue, contract income and therapist costs are mapped to an agreed chart of accounts.
Reconcile every payer
Each month's remittances and contract payments are matched to sessions and deposits.
Close the month
Monthly statements with an exceptions list and the per-payer or per-therapist reporting agreed for your clinic.
Illustrative example
A clinic's schedule is full and revenue looks healthy, until remittances are matched to sessions and one payer's consistent ten percent underpayment becomes visible. Follow-up recovers the gap going forward, and the per-therapist view shows which schedule actually carries the rent. This is an illustration of the method, not a customer case or a guarantee.
Speech and Occupational Therapy Clinics bookkeeping — your questions
Can you match insurance payments to sessions?
Yes. Remittances are recorded against the sessions they pay, which is what makes underpayments and denials visible while there is still time to act on them.
Do you handle school district contracts?
Yes. Contract revenue is tracked per district agreement and reconciled against invoices and payments, so renewal negotiations start from your actual numbers.
How are prepaid session packages handled?
Prepayments are held as unearned until sessions are delivered, so a strong sales month does not inflate the month's real revenue.
Can I see revenue per therapist?
Yes, when sessions and payroll are recorded per provider. We set up the agreed per-therapist view; complete scheduling data is what makes it reliable.
Can you separate school contracts from insurance?
Yes. Each has its own income line.
Does the $229 starting plan cover my clinic?
The final plan and scope depend on session volume, payer mix and staff count. We agree that scope before starting; catch-up work is discussed separately.
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