Bookkeeping and payroll for mental health professionals in private practice

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Invoicing

Statements go out on time, payments get matched, and you can see who still owes you. The money you earned actually shows up.

What This Is

Plenty of what a private practice earns gets billed directly to the person receiving care. Private pay sessions, balances after a payment posts, consultation or supervision hours, workshops and groups, the paperwork fees you charge for records and letters. All of that needs an invoice or a statement, and someone has to send it, watch for the payment, and record it correctly.

That is the work I take over. I prepare and send the statements and invoices on the schedule we agree on, keep the client list and balances current in your books, match payments as they come in, and give you a plain list of who still owes what. To be clear about the line I do not cross, this is not insurance billing. I do not file claims, handle coding, or work with payers. I handle the invoicing and receivables side of your books.

What Goes Out

Invoices and client statements prepared from the details you provide and sent promptly, with your rates, payment terms, and payment link or instructions included. Recurring invoices set up for supervision, consultation, or ongoing arrangements so nothing depends on you remembering.

What Comes Back

Payments matched to the right invoice and client, deposits reconciled against your payment processor and bank, and partial payments or credits recorded so the balance is right. You get an aging list each month showing what is open and how long it has been sitting.

Why This Matters

I spent more than fifteen years as a nurse in mental health, so I have some idea what your day looks like. You finish a session, write your note, and the next person is already waiting. Invoicing is the thing that slides to Friday, then to next week, then to whenever there is a quiet hour. There usually is not one.

Money that never got invoiced is money you worked for and did not collect. And most practice owners I talk to do not have a clear number in their head for what is outstanding. They have a feeling that a few people are behind, which is a hard way to make decisions about your caseload, your rates, or whether you can afford to hire.

Late Statements Get Paid Late

A statement sent three weeks after the session is easy to set aside. One sent on a predictable rhythm gets treated as part of the arrangement. Timing changes how quickly people pay, and it is the part that suffers most when the owner is also the clinician.

Unmatched Payments Muddy The Books

When deposits are not tied back to specific invoices, income totals drift, balances look wrong, and you end up second-guessing your own reports. Clean matching keeps revenue accurate and keeps you from asking someone for money they already sent.

What Changes

Statements go out without you thinking about it. Payments land and get recorded where they belong. Once a month you look at a short list of open balances and decide if you want to follow up with anyone, and I keep whatever reminder schedule you are comfortable with. You stay the one who sets the tone with your clients. I handle the mechanics behind it.

This pairs naturally with Bill Payment, which is the same idea pointed the other direction. Together they cover both sides of your cash, what comes in and what goes out, and both feed straight into Full-Service Bookkeeping so your monthly reports are built on numbers that were recorded correctly the first time. If you want to talk through how your practice bills today, book a consultation with me and we will figure out what makes sense.

Receivables You Can See

An honest picture of who owes you, how much, and for how long. No more guessing at your outstanding balance or discovering in March that someone stopped paying in October. The number is there when you want it, and I can walk you through it any time.

One Less Thing After Hours

Invoicing stops being the chore that follows you home. That is a couple of hours back most months and, more than that, one less item on the mental list you carry between sessions. You do the clinical work. I keep the money moving.

Helping the People Who Help Others

Let's Start With
a Short Conversation

Tell me where your books stand right now, even if the honest answer is that nobody has looked at them in a year. I'll ask a few questions and give you a clear idea of how I can help.

AD Keeps The Books is Aretha Dirde, a bookkeeper who spent more than 15 years as a licensed nurse in mental health before taking over the books for the people doing that work. She handles monthly bookkeeping, catch-up and clean-up work, and payroll for therapists, psychologists, counselors, and clinical social workers in private practice, and she does the work herself for every client. Based in Lancaster, California, serving practices nationwide. QuickBooks ProAdvisor certified.

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