Keshav Verma — Advisory
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AI-Driven Financial Analysis & Custom Software
Managing financial operations for private medical practices, surgical centers, and multi-specialty clinics is fundamentally different from traditional commercial commerce. In healthcare, revenue is rarely received when services are rendered; instead, practices navigate a labyrinth of multi-payer reimbursement networks, third-party clearinghouses, private insurance copays, Medicare/Medicaid fee schedules, and patient deductibles. Without specialized accounting oversight, practice leadership operates blind to their true net collectible revenue.
At Mantorius, Lead Partner Keshav Verma directs a dedicated healthcare accounting team holding ACCA and CPA credentials. We bridge the gap between practice management systems (PMS/EHR) and institutional general ledgers, implementing GAAP and IFRS compliant multi-payer revenue recognition, managing tight practice overhead ratios, and calculating defensible physician distributions that withstand scrutiny under Stark Law and Anti-Kickback statutes.
Medical practice finances carry legal, regulatory, and operational liabilities that generalist bookkeepers cannot navigate. Every Mantorius healthcare engagement is supervised directly by Keshav Verma, ensuring pristine adherence to GAAP/IFRS healthcare revenue guidelines, strict PHI data segregation, and multi-payer diagnostic readiness.
Without specialized clinical accounting controls, medical practices face cash flow friction, mounting denials, and partner friction.
Clearinghouse rejections, adjudication delays, and slow payer processing trap working capital. When 40% of cash flow is tied up in insurer review cycles, practices struggle to meet payroll and operational supplier terms.
Reconciling mixed payments across commercial carriers, Medicare Part B, Medicaid, and patient copays creates massive ledger distortions when clearing batches do not match Electronic Remittance Advice (ERA 835) postings.
Claims exceeding 90 days have a recovery rate that plunges below 20%. Without rigorous aging bucket monitoring and denial root-cause analysis, thousands of dollars in earned clinical fees quietly convert into uncollectible bad debt.
High-cost capital assets—such as diagnostic imaging, endoscopy units, and surgical suites—require careful financial modeling. Improper evaluation of maintenance terms, ASC 842 lease liabilities, and depreciation wastes hundreds of thousands.
Frequent adjustments to CMS conversion factors, MIPS/MACRA quality payment programs, HIPAA financial security, and surprise billing legislation require constant fiscal adaptations that overwhelm in-house office managers.
Most clinics fail to track true cost-per-procedure or contribution margin per physician. High-volume clinical services often mask deeply unprofitable specialty procedures due to inaccurate clinical overhead and supply cost allocations.
Compare standard clinical accounting chaos against our structured ACCA & CPA medical financial stewardship.
How our certified accountants architect, operate, and scale the financial backbone of your medical practice.
A thorough baseline diagnostic evaluating clinical cash flow leakages, clearinghouse integrity, and historical chart of accounts.
Engineering automated data bridges between your electronic health records (EHR/PMS) and cloud general ledgers.
Establishing rigorous financial discipline over pharmaceutical supplies, clinical staffing, and capital assets.
Executing day-to-day and month-end accounting cycles with four-eye ACCA/CPA partner oversight.
Delivering granular boardroom intelligence to practice owners, medical directors, and executive committees.
Guiding practice expansion, partner succession, equipment capitalization, and strategic MSO transactions.
Every financial asset we produce is mathematically reconciled, board-ready, and reviewed by Managing Partner Keshav Verma.
Accrual-based financial statements separating revenues by clinical department, provider encounter volumes, and clinical vs administrative overhead lines.
Line-item reconciliation of ERA 835 electronic remits against actual clearinghouse bank deposits, highlighting unposted funds and payer fee schedule shortfalls.
Granular aging reports stratified by payer (0-30, 31-60, 61-90, 91-120, 120+ days) paired with actionable denial root-cause analysis to recover delayed claims.
Transparent, precision-verified distribution schedules tracking work Relative Value Units, collection ratios, and departmental expense splits for physician partners.
Periodic physical counts matched against patient treatment records to track medical consumable usage, waste, expiry, and vendor volume pricing.
Documented internal control policies, patient refund registries, escheatment logs, and BAA protocols ensuring continuous inspection-readiness.
We integrate seamlessly with your electronic medical records, clinical practice management software, and clearinghouse billing platforms.
Evaluate your collection ratios and practice overhead with Lead Partner Keshav Verma.
Book Discovery SessionPrecision operational telemetry to protect practice cash flow, optimize payer yields, and monitor clinical productivity.
Measures the average number of days it takes for your practice to collect payments from payers and patients. We drive DAR down below 35 days (against the 50-65 day industry average) to free tied-up liquidity.
The percentage of submitted claims paid on initial adjudication without denial, rework, or manual appeal. High first-pass rates drastically accelerate cash collection and minimize staff billing overhead.
Calculated as [Total Collections / (Gross Charges − Contractual Adjustments)]. Unlike gross collection rates, NCR reveals the exact percentage of legally collectible revenue your practice successfully banked.
Total non-provider operating expenses divided by net medical revenue. We benchmark clinical facility rent, non-physician payroll, medical supplies, and malpractice insurance against specialty-specific MGMA deciles.
Evaluates clinical production efficiency by physician, surgeon, and mid-level practitioner (PA/NP). Tracking revenue yield per work Relative Value Unit exposes under-coded encounters and productivity gaps.
With the rise of high-deductible health plans (HDHPs), patient responsibility has skyrocketed. We measure bad debt write-offs against net revenue and implement front-desk point-of-service collection protocols.
Customized accounting architectures tailored to the operational realities of distinct clinical disciplines.
Complex shared overhead allocations, department-level financial reporting, provider productivity compensation, and multi-entity partnership tax structuring.
Facility fee accounting, high-cost surgical implant inventory tracking, block time utilization financial analysis, and surgeon investor syndication distributions.
Hybrid insurance/fee-for-service reconciliations, dental lab expense tracking, high-value operatory equipment financing, and Dental Service Organization (DSO) readiness.
High-volume therapy billing, worker's compensation and personal injury lien reconciliations, durable medical equipment (DME) inventory, and multi-location clinic modeling.
Superbill tracking, private-pay cash models, recurring therapy session billing, telehealth provider payroll allocations, and sensitive patient privacy data segregation.
Dual-revenue model accounting separating insurance-covered clinical treatments from cosmetic cash-pay procedures, neurotoxin/filler inventory margins, and retail sales tax.
Connect directly with Managing Partner Keshav Verma. Whether you require forensic insurance AR cleanup, automated clinical general ledger bridges, or defensible physician compensation modeling, Mantorius provides ACCA & CPA qualified oversight.
Discover our customized accounting methodologies across other high-regulation commercial sectors.
ASC 606 deferred subscription revenue, recurring MRR/ARR telemetry, and multi-currency tax structuring.
IOLTA trust account compliance, partner realization tracking, and time-and-materials revenue recognition.
Multi-channel sales tax nexus, automated payment clearing, and landed inventory margin accounting.
Technical answers to complex questions regarding healthcare compliance, revenue recognition, and practice stewardship.
Have a complex multi-location practice scenario or impending partnership buyout?
Consult Directly With Keshav Verma