Sage Intacct Case Study

Medical Services Company Fuels Growth with Sage Intacct

Fast-growing firms in highly regulated field don’t have time for mistakes. Not only is a delay or error going to slow your growth, but it could also expose you to major risks from regulators. For a company like this medical service organization, who has gained traction by being a leader in serving Medicare Advantage clients, they needed to not only handle the complex needs of insurers like Humana, but of the Centers for Medicare & Medicaid Services (CMS) as well.

However, the company was using QuickBooks to maintain their accounting books for 10 entities. This held the company back, reduced visibility, and created risks that the company couldn’t afford. This is why they turned to rinehimerbaker: They needed a modern cloud accounting solution that could handle the needs as they grew and integrated with other leading solutions available for companies in the medical community.

To address this, rinehimerbaker migrated them from QuickBooks to Intacct with an integration with AvidXchange and ADP, which provided real-time visibility (cross-entity) into company status, accounts payable work flow and payment automation and an ADP direct payroll integration into the general ledger.

“As a CFO, for a growing, acquisitive company, I wear many hats. Each day is an adventure. We need to act fast and make decisions based on accurate data. When we spend time waiting and watching for data we lose on opportunities.

Our immediate benefits were: a time savings of 20 plus hours per month in report preparation and accounts payable process efficiency, we were able to deliver real-time status to our CEO to facilitate strategy decisions, automated integration with AvidXchange eliminating risk/mistakes while improving controls, integrated payroll saving time on inputs, most of all our accounting employees were happier, as they enjoyed using the system.”

Learn more about this company’s journey from spreadsheets to the cloud here, learn more about the dangers of spreadsheets and the people who blindly support them in our latest blog on Outgrowing QuickBooks, and learn more about how your medical practice can leverage the cloud for growth below.

Financial Challenges for Healthcare Organizations and Medical Practices

Three Challenges for Financial Professionals at Healthcare Organizations in 2018

Finance leaders at nonprofit health and human services organizations are plagued with constant internal and external challenges. Whether in the form of managing cash flow, finding donors, or dealing with regulatory and other external challenges facing both nonprofits and healthcare organizations, these challenges can inhibit growth and put organizations at risk. Read more

ASC 606 Industry Considerations

Top Obstacles to Revenue Recognition Adoption for Healthcare Providers

The healthcare industry in the United States is unique in many ways—for better and for worse. As the last country without centralized healthcare, providers and producers in the United States are still compelled to innovate and create new solutions that improve outcomes. However, the healthcare system in the US is also immensely complex, with many key players who have a say in how a patient works with a provider.

That said, providers enter into contracts with many of the third parties to provide services at different rates, and when entering with a contract to be paid by a government entity, the providers may be subject to retroactive adjustment. On top of this, some patients may not have a third-party payer and may not be able to pay, making collection unlikely.

ASC 606 Poses Challenges for Pricing and Contracts

This combination poses challenges for finance professionals throughout the healthcare continuum, and with new revenue recognition standards on the horizon, new challenges could manifest. A recent CFO Magazine article explored some of the problems that go into recognizing revenue at healthcare organizations, especially as it pertains to the third step: Determining the transaction price.

“There’s an especially wide diversity of provider types within the health-care system, including hospitals, health plans, physician practices, nursing facilities, and retirement communities. They all have specific nuances to them, and one size does not fit all” in terms of how they recognize revenue, says Venson Wallin, a managing director at BDO.

Consolidation, Diverse Revenue Streams, and the Recognition Challenges Ahead

Add on to this the consolidation of providers of varying services into larger health groups, and the financial professionals, legal team, and accountants will need to do a lot of work to understand and represent an ever-diversifying set of payments, contracts, and metrics.

“When trying to represent such diverse revenue streams in financial statements, health-care organizations will need to be careful to include appropriate supplemental disclosures and discussions to avoid inadvertently presenting misleading information,” according to a BDO alert on the subject.

Value Based Payment Initiative

With Boomers reaching retirement age and the expansion of Medicaid continuing, healthcare facilities accepting Medicare and Medicaid will need to play by the government’s rules. These rules, of course, include the new value-based payment initiative set up under the ACA. Under the value-based payment initiative, acute-care hospitals will receive variable payments based on the quality of care Medicare beneficiaries receive.

This shift poses its own challenges, as value-based payments move payments away from a quantity-based fee-for-service model and toward a model where reimbursements are based on “episodes of care” in which services directed at fixing a medical problem are bundled together for billing purposes.

“The program presents health-care CFOs with the added difficulty of tracking a whole new set of quality metrics on top of the straight payment metrics of the existing fee-for-service,” according to Wallin. “What’s more, the quality metrics are likely to be different for the physician and nursing groups within an integrated health-care organization,” he says.

This, according to the CFO article, will make the estimation of the transaction price a challenge for CFOs.

Bracing for The Future: How Healthcare Organization Finance Departments Can Thrive in the Cloud

The new guidance will take effect three months from now for public companies and just over 15 months for private ones. While this change hopes to simplify the revenue recognition process across many different industries, the process of adapting to the new standards poses unique challenges as well. From shared savings arrangements to bundled payments to self-pay (first-party) patients, healthcare providers have to look at services and revenue in a new light.

No matter how you look at it, this is just one of many different changes that financial leaders at healthcare providers will need to brace for as 2018 and 2019 approach. We covered many of the future concerns in our most recent whitepaper, Modern Financial Management and Cloud Accounting at Healthcare Organizations, which introduces readers to Sage Intacct, the first software of its kind built to handle revenue recognition challenges. Preview the whitepaper below and download it here.

Cloud Accounting Medical Practices

How Medical Practices Can Leverage Modern Financial Technology

The medical provider industry has undergone massive change over the past decade, and with possible changes like tort reform on the horizon, provider organizations will need to stay on their game as new innovations and challenges change the landscape that is the healthcare industry.

Additionally, providers need to look at omnipresent challenges and threats posed to their organization from regulators, watchdogs, and cybercriminals who will gladly crush your organization for their own gain.

Healthcare Organizations Face Challenges, Finance Pros at Healthcare Organizations Face Even More

But for the financial professional, the aforementioned issues are just part of the set of challenges you face on a day to day basis. You’re dealing with the same cybersecurity, talent, and regulatory challenges that your non-financial colleagues need to handle, but you also have to answer all the questions posed by regulators, payers, and board members about where the money is going. But, it’s what happens when you’re the person with all the answers.

As your healthcare organization grows, however, being the person with all the answers becomes more and more challenging, as you’re sourcing data from more and more sources, and the time it takes to bring it all together grows. Adding a new location means adding (at least) a few hours per week to roll up the information and present it in a way that is useful. There comes a point when you just run out of time.

If you’re trying to do all this with spreadsheets, good luck answering if and when an audit happens. With nearly 90 percent of spreadsheets containing errors, it’s likely you’ll have to backtrack, reorganize, and correct a few things before you can even answer a question. But, there is a better way, one that provides automation to make your life easier, security that meets the needs of healthcare organizations, and user-friendly functionality so that you’re not calling IT for every tiny change.

Get the Guide to Modern Financial Management for Healthcare Organizations

We recently completed our latest whitepaper, the Guide to Modern Financial Management and Cloud Accounting for Healthcare Organizations, which aims to show readers the skills and technologies needed to own the financial future of your healthcare organization in the face of changes and challenges sure to affect the way your business operates.

From finding new ways to automate to leveraging enhanced security functionality to always having the latest software, this guide will show you what it takes to be successful in 2017, 2018, and beyond. Learn more about the guide by reading the preview below, and download it in its entirety here.