Bookkeeping for Allied Health
Caring for patients is your priority, but an allied health practice runs on a tangle of funding sources. Medicare, DVA, private health rebates and direct fees all land differently, and they all have to reconcile. We work with physiotherapists, chiropractors, psychologists, dentists and other allied health professionals across Perth, keeping the billing side accurate so the clinical side has your full attention.
Struggling With the Paperwork?
Running an allied health practice means managing appointments, practitioners and a mix of funding sources. Bookkeeping usually comes last. If the admin side is becoming a distraction from patient care, it may be time for some help.
Here are a few signs it might be time to get support:
Medicare and HICAPS not reconciling?
Payments from Medicare, DVA and health funds can be hard to match against appointments. We reconcile them cleanly so nothing slips through.
Unsure which services attract GST?
Most health services are GST-free, but retail products and some services are not. We code each item correctly so your BAS is right.
Practitioner pay arrangements unclear?
Whether your practitioners are employees or contractors changes your super and payroll tax position, and the difference is expensive to unwind later.
Our Bookkeeping Services for Allied Health
Allied health billing is rarely a single stream. A patient might be part rebated, part gap paid and part billed to a fund, and the practice software does not always reconcile neatly to the bank.
We match your Medicare, DVA and private health fund receipts to your appointments, separate your GST-free services from your taxable product sales, handle practitioner and reception payroll, and prepare your BAS.
We work with solo practitioners renting a room and with multi-practitioner clinics running several disciplines under one roof, and we scale what we do to suit.
Reviewed by Justine Jarratt, Registered BAS Agent 26237102, with over 19 years of experience supporting Perth small businesses.
How Our Allied Health Bookkeeping Service Works
Simple, flexible support designed to keep your business running smoothly behind the scenes.
1. Map Your Funding Mix
We look at how you bill, which funds you deal with and how your practitioners are engaged, so nothing is assumed.
2. We Reconcile Your Billing
In Xero, we match funding receipts to appointments, code your GST correctly and run payroll for practitioners and reception staff.
3. You See Your Real Position
Clear monthly reporting shows what each practitioner and each funding stream actually contributes, with BAS handled on time.
Why Choose Us for Your Allied Health Bookkeeping?
Practice owners come to us when the billing has outgrown the front desk and they want the numbers to be genuinely reliable.
We Untangle Mixed Funding
Medicare, DVA, health funds and gap payments each behave differently. We reconcile them all back to your appointments.
Clarity on Practitioner Arrangements
Contractor or employee changes your super and payroll tax exposure. We help you understand the implications before they become a problem.
GST Handled Correctly
The line between a GST-free health service and a taxable product sale is easy to blur. We keep it clean so your BAS holds up.
Reporting by Practitioner
You will see what each practitioner brings in and costs, which makes decisions about hiring and hours far easier.
Mixed Funding, GST and Practitioner Arrangements
An allied health practice deals with more funding sources than almost any other small business of comparable size. A single patient may generate a Medicare benefit, a private health fund rebate, a gap payment and a retail product sale in one visit, and each of those is treated differently for both reconciliation and GST purposes. DVA, NDIS and workers compensation add further streams, each with its own payment cycle and its own paperwork.
GST is where the errors concentrate. Many health services are GST free where they meet the criteria set out in the legislation, which generally requires the service to be one of the listed health services, supplied by a recognised professional, and generally accepted as appropriate treatment. That covers a great deal of clinical work. It does not automatically cover everything a practice sells. Retail products, some non clinical services, certain reports prepared for third parties such as insurers or employers, and some cosmetic procedures may be taxable. Services supplied under an NDIS plan have their own conditions to satisfy. A practice that codes everything as GST free is understating its liability, and a practice that codes everything as taxable is charging patients GST they should not be paying.
The second issue is how practitioners are engaged, and it is the same question now being examined closely across the medical sector. Where a practice collects patient fees and pays a portion to the practitioner, the arrangement may be treated as a relevant contract for payroll tax purposes regardless of how the agreement describes it, with liability arising once the threshold administered by RevenueWA is reached. Superannuation obligations can also apply where a person is paid mainly for their labour. This is a question for your accountant or a specialist adviser, and our role is to make sure your records show clearly how money moves through the practice so the question can be answered with evidence.
Reconciliation is the daily work underneath all of that. Bulk payments from Medicare and health funds arrive without itemisation and need to be matched back to individual services in your practice management system.
We reconcile every funding stream, code GST correctly across clinical services and product sales, run payroll for practitioners and reception staff, and prepare your BAS. Reporting is structured so you can see what each practitioner and each service line contributes.
Our Reviews
Frequently Asked Questions
Are allied health services GST-free?
Many are, when they meet the criteria, but retail products and some services are taxable. We review your billing and code each item correctly.
Can you reconcile Medicare and health fund payments?
Yes. We match receipts from Medicare, DVA and private health funds back to your appointments so your income records are accurate.
Should my practitioners be employees or contractors?
It depends on how they actually work with your practice. We help you understand the super and payroll tax implications, and we recommend professional advice where the position is finely balanced.
Can you report on each practitioner separately?
Yes. We can structure your reporting so you can see the contribution of each practitioner and each service line.
Do you work with practice management software?
We work with your existing setup and reconcile it back to Xero, so you do not need to change the systems your clinic already runs on.
What does the first conversation look like?
It is a free, confidential chat about your practice. We will review how your billing reconciles now and show you what we would tighten.
Need Reliable Allied Health Bookkeeping Solutions?
Let us handle the numbers. Book a free, confidential consultation today and get your books sorted the easy way.