Our revenue mixes private pay, long-term care insurance, and a Medicaid waiver program. Can your books keep that straight?

Yes. The books track each payer type separately so you can see exactly where revenue comes from, how long it takes to collect, and what your actual margins look like by source.

Private pay, long-term care insurance, and Medicaid waiver programs each behave differently in your finances. Private pay typically arrives at or near the time of service. Long-term care insurance claims have their own approval and payment timelines that vary by carrier. Medicaid waiver reimbursements follow state-specific schedules and rates that often differ from what you charge private-pay clients. When all three get blended into one revenue number, you lose the ability to answer basic questions about your business.

Keeping the books straight means setting up your chart of accounts and tracking so that each deposit gets coded to the correct payer category. At month end, you see revenue broken out by payer type. You see how much is still outstanding from each source and how long those receivables have been sitting. If your costs are allocated properly, you can calculate margin by source and know which payer mix actually makes you money versus which one just keeps you busy.

This visibility matters when you’re deciding whether to take on more waiver clients, whether that LTC insurance carrier is worth the hassle, or how much of your revenue is exposed to reimbursement rate changes you don’t control. Full-service bookkeeping built for this payer mix gives you real numbers to plan around instead of guesses.

The firm handles the accounting side of this work. Hunter Green CPA does not submit claims to insurance companies or waiver programs. We receive the deposit information from your bank, code it to the correct payer source, and reconcile what came in against what you expected. The clinical billing and claims submission stays with you or your billing service. Bookkeeping for medical businesses like yours requires understanding both the accounting and the boundaries of the work.

If your books currently show one blended revenue number and you want to see the real breakdown by payer type, that’s a solvable problem. Book a consultation and we can talk through how to structure the tracking for your specific payer mix.