Healthcare

In healthcare, accounting runs on two channels because institutional collections and patient collections flow separately. Added to this are the exemptions and rate distinctions on the VAT side. Both headings are tracked separately in your file.

Institutional settlements

Settlement reports from the Social Security Institution and from private insurers are recorded with deductions and rejected files separated out. The difference between the amount you invoice and the amount the institution pays is tracked; unpaid or reduced files are listed as outstanding receivables at period end.

The VAT side

• Services for diagnosis and treatment and procedures for aesthetic purposes are not the same for VAT purposes; the distinction is made at the time of recording, according to the type of service.
• In pharmacy and medical supply sales, medicines, food supplements and cosmetics may be subject to different rates; the rate distribution is checked before the return is filed.
• Whether an exemption or a reduced rate applies to your medical device purchases is checked.

Self-employed or company

Whether you operate as a self-employed professional through a private practice or through a company changes the ledger type, the form of declaration and the withholding obligation. In both cases the receipt or invoice order, the withholding offsets and the annual return tracking are run separately in your file.

Also monitored

• Depreciation of your medical devices and furnishings
• Payroll and social security notifications for your auxiliary healthcare staff
• Rent withholding and stamp duty where a polyclinic or a room is rented
• A separate workplace file for each branch or practice if you have more than one