Financial expertise and consulting
Healthcare Industry Specialists

Financial Operations for Modern Healthcare

Navigate HIPAA compliance, complex revenue cycle management, and value-based care models with CFO partners who specialize in healthcare financial operations.

Financial expertise and consulting
Industry Challenges

Healthcare Accounting Challenges We Solve

Healthcare organizations face unique financial complexities from insurance billing to value-based care contracts.

Revenue Cycle Management
Insurance claim submission, denial management, and appeals
Patient responsibility estimation and collections
Credentialing delays impacting cash flow
Aging AR analysis across multiple payer classes
Payer Contract Complexity
Fee schedule tracking across 15+ insurance carriers
Value-based care contract accounting and reconciliation
Risk pool settlements and withholds management
Capitation vs. fee-for-service revenue recognition
Compliance & Privacy
HIPAA-compliant financial systems and processes
Stark Law and Anti-Kickback Statute compliance
340B drug pricing program accounting
Medicare cost reporting and audits
Specialty-Specific Accounting
Ambulatory surgery center (ASC) case costing
Pharmacy inventory and drug waste tracking
DME (durable medical equipment) billing
Telemedicine revenue allocation and licensing
Our Expertise

Comprehensive Healthcare Financial Services

From medical practices to health tech startups, we provide the financial infrastructure healthcare organizations need.

Medical Billing & AR
Insurance claim reconciliation
Denial management tracking
Patient collections optimization
ERA/EOB processing automation
Practice Management
Provider compensation models
Production vs. collections analysis
Multi-location consolidation
MGMA benchmark comparisons
Value-Based Care
MIPS/MACRA reporting
Quality incentive tracking
Shared savings calculations
ACO financial reconciliation
ASC Accounting
Case costing & profitability
Implant tracking & billing
Block time utilization
Joint venture accounting
Health Tech CFO
Digital health revenue models
Telehealth platform accounting
EHR integration & reporting
Healthcare SaaS metrics
Compliance & Audit
HIPAA compliance audits
Medicare cost reports
Stark Law compliance
OIG audit defense
Healthcare Metrics

Healthcare KPIs We Track & Report

Monitor the operational and financial metrics that drive healthcare performance and profitability.

Revenue Cycle
Days in AR (by payer)
Collection Rate %
Clean Claim Rate
Denial Rate & Appeals Won
Practice Productivity
Production per Provider
Collections per wRVU
Patient Visit Volume
Schedule Fill Rate
Financial Health
Operating Margin
Revenue per Patient
Overhead Ratio
Working Capital Days
Payer Mix Analysis
Commercial vs. Medicare Mix
Payer Reimbursement Rates
Contractual Adjustments
Bad Debt Write-offs
Revenue Optimization

Maximize Your Collection Rate

The average medical practice leaves 15-20% of revenue on the table due to billing inefficiencies, denials, and poor AR management. We help healthcare providers optimize every stage of the revenue cycle.

98%
Avg Collection Rate

Our clients collect 98% of expected reimbursement vs. industry avg of 85%

35 Days
Days in AR

Reduced from industry average of 50+ days through proactive management

$450K
Avg Revenue Recovery

Clean attestations with cryptographic verification

Client Success

+28% Collections

Our Clients

"Rich and the aquifer team helped us significantly improve our financial infrastructure. This allows us to focus on scaling faster, while feeling confident we have the right financial systems in place."

"The Aquifer team has been incredibly insightful in approaching our finance stack, making them an invaluable partner for our business. They work with us rather than around us and continue to lend their expertise in the world of web3 accounting."

"Aquifer was instrumental in helping GDA scale by providing financial infrastructure & processes, financial advisory seed + Series A rounds, corporate accounting & tax support, and any other ad-hoc projects. The team brought a strong sense of co-founder ownership."

The Aquifer Difference

Strategic Partners Who Speak Healthcare

We don't just reconcile claims. We become integrated partners who understand your payer contracts, clinical workflows, and compliance requirements—speaking the language of modern healthcare.

Healthcare-First Expertise

We specialize exclusively in healthcare, understanding nuances from CPT coding to value-based care that generalist accountants miss.

HIPAA-Compliant Systems

All financial operations built with healthcare privacy and security standards, ensuring full compliance with regulatory requirements.

Revenue Cycle Optimization

Maximize collections with proactive AR management, denial prevention, and payer contract analysis.

Our Team

Meet Your CFO Partners

Our experienced CFOs bring decades of expertise across various industries to help your business thrive

Rich Zhou
CEO & Founder
Terence Papadacos
COO & Manager of Accounting
Alexander Williamson
Senior Manager of Accounting
Ron Armstrong
Senior Business Analyst
Witton Leung
Financial Modeling Expert
Lydia Yu
Manager of Accounting
Mhilanie Belleza
Manager of Accounting
Want to learn more about our team and expertise?
View Full Team Bios
Common Questions

Healthcare Accounting FAQ

How do you handle insurance claim reconciliation and AR management?
What experience do you have with value-based care contracts?
Can you help with ASC (Ambulatory Surgery Center) accounting?
How do you ensure HIPAA compliance in financial operations?
What healthcare metrics do you track and report?
Do you help with payer contracting and fee schedule management?
How do you handle multi-location healthcare practices?
What about Stark Law and Anti-Kickback compliance?
Let's Get Started

Ready to Optimize Your Revenue Cycle?

Get a free revenue cycle audit. We'll analyze your AR aging, collection rates, and payer mix to identify opportunities for improvement—no commitment required.

Free Audit ($2,000 value)
Healthcare Expert Call
Custom Optimization Plan