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What Month-End Close Looks Like in a Practice

Tying posted payments to bank deposits is what makes every other number trustworthy, and it is the step most often skipped entirely.

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2 min read · by White Glove Medical Billing
Two columns of figures aligned on a single rule

Practices close their books. Fewer close their revenue cycle, and the difference is why so many reports are approximately right.

The step that matters most

Reconciling posted payments to bank deposits. Every payment recorded should tie to money actually received, and every deposit should be explained by posted payments.

When they do not agree, the causes are informative: unposted remittances, recoupments taken as offsets, payments posted to the wrong account, or deposits from a source nobody expected. Each is a real problem, and none is visible in a claim-level report.

The rest of the close

  • Confirm all remittances are posted, including paper ones and any portal-only payers.
  • Review credit balances and categorize them, because the refund clock runs from identification.
  • Review write-offs by category, particularly the timely-filing bucket, which is pure process failure.
  • Age the A/R by date of service and flag anything approaching a filing deadline.
  • Produce the six metrics, segmented by payer.

Why it gets skipped

It produces no immediate revenue and nothing breaks visibly when it is missed. The consequences are gradual: reports drift from reality, recoupments hide inside soft months, and credit balances age past their window.

The question worth asking your biller

Do you reconcile posted payments to our bank deposits monthly, and can I see it? If the answer is no, every number they report is an estimate — internally consistent, and not necessarily connected to your bank account.

Denials Piling Up?

We handle the revenue cycle end to end — coding by certified coders, claim submission, denial management and appeals, and A/R follow-up, with six reported numbers every month.

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