Healthcare & Hospitals

Healthcare finances are complex — multiple entities, strict regulations, insurance payments, patient billing, and never-ending audits. At Otterz, we simplify everything with healthcare bookkeeping, patient billing reconciliation, multi-entity compliance, and audit-ready financial records, all in real time. Your focus: patient care | Our focus: financial accuracy, compliance, and control

Multi-Entity Healthcare Accounting & Compliance

  • Consolidated financials for hospitals, clinics, and medical groups: Unified reporting across all locations and departments.
  • Accurate intercompany transaction management: Proper eliminations and cross-entity balancing for clean financials.
  • Healthcare compliance built-in: GAAP, CMS, state healthcare, and grant compliance integrated into every workflow.

Patient Billing, Insurance Claims & Reconciliation

  • End-to-end patient billing audit: Real-time matching of charges, EHR data, claims, reimbursements, and adjustments.
  • Insurance denial prevention: Identify underpayments, errors, and mismatched CPT/HCPCS codes.
  • Revenue cycle accuracy: Ensure every service, claim, and payment is captured to eliminate revenue leakage.

Audit-Ready Financial Records & Internal Controls

  • Fully documented, clean audit files: Organized statements, ledgers, and EHR-to-financial trails.
  • Strong internal controls: Segregation of duties, approval flows, HIPAA-compliant processes.
  • Instant audit readiness: State, federal, Medicare/Medicaid, and insurance audits supported.

Healthcare Payroll, Provider Compensation & Staffing Cost Management

  • Accurate payroll for healthcare roles: Nurses, physicians, contractors, per-diem staff, and rotating shifts.

  • Provider compensation models: RVU-based pay, incentive calculations, bonus structures, and stipends.

  • Labor cost tracking: Department-level cost analysis to improve staffing decisions and financial efficiency.

Grant, Fund & Program Accounting for Healthcare

  • Grant expense tracking: Federal, state, and private healthcare grant management.
  • Fund allocation and reporting: Ensure funds are used as approved with clear audit trails.
  • Compliance-ready statements: Reporting aligned with grantor requirements, audits, and reimbursement rules.

Healthcare Inventory, Asset & Equipment Cost Management

  • Medical supplies and inventory control: Track usage, wastage, procurement, and cost per department.
  • Fixed asset tracking: Depreciation, maintenance, and capitalization for medical equipment.
  • Expense optimization: Analyze supply costs, equipment ROI, and cost-saving opportunities for hospitals.
Our Platform

Why Healthcare & Hospitals Trust Otterz?

Accurate Patient Billing & Insurance Reconciliation

Otterz ensures every patient charge, insurance claim, adjustment, and reimbursement is accurately tracked and reconciled. No missing payments. No revenue leakage. Just clean billing data that improves cash flow and reduces denied claims.

Secure, HIPAA-Compliant Financial Dashboard

Get a real-time, HIPAA-safe dashboard that centralizes patient billing, insurance payouts, vendor invoices, and operational expenses. Healthcare leaders get complete visibility and secure access — anytime, anywhere.

Fully Audit-Ready Healthcare Compliance

Hospitals face strict state, federal, and insurance audits. Otterz keeps all financial records organized, documented, and audit-ready — reducing compliance risks and ensuring accurate reporting across every healthcare department.

Supports Your Accounting & Billing Team

Otterz works alongside your healthcare finance staff to automate reconciliation, transaction classification, cost tracking, grant reporting, and compliance workflows — helping your team work faster with fewer errors.

Multi-Entity Hospital & Clinic Management

Whether you manage a single clinic or a large hospital network, Otterz consolidates financials across multiple locations, departments, and entities. Intercompany transactions, shared expenses, and central reporting become effortless.

24/7 Real-Time Sync for Nonstop Healthcare Operations

Healthcare never stops — and neither does Otterz. Your financial data syncs 24/7, ensuring patient billing, reimbursements, vendor payments, and cash flow stay accurate without delays or downtime.

See what Otterz can do for you

99%

Accuracy in Insurance & Patient Billing Categorization

60%

Reduction in Financial Compliance Errors

35+ Hours

Saved Monthly on Claims & Reimbursement Tracking

Success Story

How Otterz Transformed a Multi-Location Healthcare Group’s Finances

A growing healthcare group with a hospital, urgent care clinic, and specialty center turned financial disorder into a streamlined, compliant, and fully automated operation — reducing denied claims by 42% and gaining real-time visibility across all entities. Discover how Otterz helped them fix billing chaos, automate reconciliation, and gain total financial control.

Our Process

The Otterz
Onboarding Process

01

Your journey starts with a short consultation
where we:

  • Understand your business model, challenges, and financial workflows
  • Review your current bookkeeping, taxes, or systems setup
  • Identify key goals — accuracy, compliance, cash flow, growth, automation
  • Recommend the best Otterz plan tailored to your industry
02

Next, we prepare a precise and transparent plan outlining:

  • What services you’ll receive (bookkeeping, tax, CFO, controller, etc.)
  • The full scope of work and deliverables
  • Your dedicated accountant + support team
  • Timeline for onboarding and go-live
  • Clear, fixed pricing with no surprises

Once you approve, your account is activated immediately, and onboarding begins.

03

This is where we get everything ready for a smooth start:

  • Setting up your secure Otterz account
  • Requesting all required documents (financials, statements, prior returns, payroll reports, etc.)
  • Getting access to your bank, credit card, POS, payroll, and other financial software
  • Ensuring all integrations sync correctly with our platform
  • Verifying data accuracy before moving forward

You provide the access — we handle the rest.

04

We walk you through your new Otterz setup, introduce your dedicated accountant, and get your reports, dashboards, and AI assistant Nyra running.

From here:

  • Your books run in real time
  • Your taxes stay compliant
  • You get ongoing insights for smarter decisions

You’re officially powered by Otterz.

Industry expertise

More time for care, fewer hours on paperwork

Stay focused on patient care while we handle the complexities behind the scenes. From multi-entity compliance to seamless billing reconciliation and audit-ready records, our healthcare-specific financial services keep your operations accurate, compliant, and stress-free.

Seamless Integration Through our Platform

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FAQs for Healthcare & Hospitals

Otterz ensures full compliance with healthcare regulations by managing consolidated financials, audit-ready documentation, grant reporting, intercompany accounting, and automated reconciliation. You get clean, accurate books with zero compliance risk.

Yes. Otterz specializes in multi-entity structures — from hospitals to clinics to specialty centers. We maintain unified reporting, track intercompany transactions, and give you real-time visibility across every location.

We streamline patient billing by matching claims, reimbursements, adjustments, and payments in real time. This reduces denied claims, billing errors, and revenue leakage, helping hospitals improve cash flow.

Otterz automates reconciliation, vendor payments, payroll accounting, grant tracking, insurance claims matching, revenue cycle reporting, and compliance filings — saving hospitals hundreds of hours each month.

Absolutely. Otterz connects with major EHR and billing systems (such as Epic, Cerner, Athena, eClinicalWorks, and more), ensuring seamless data flow and accurate financial reporting.

We follow strict HIPAA-aligned security protocols, encrypted data transfer, role-based access, and secure cloud storage. Your patient and financial data stay fully protected with enterprise-grade security.

Accelerate your Growth with Otterz