Accounting System

You may want to choose an accounting system that integrates with computer software you use for patient records. This can help streamline the billing process.

Money & Credit

What To Look For In An Accounting System

A good accounting system is critical in helping you run your office efficiently. It's also essential for patient insurance processing and managing your financials. An accounting system should be selected based on your needs and should be specific to running a professional practice. Online research and talking to other D.C.s may provide some valuable input about other important considerations.


Basic System Features

There are many accounting systems available and most have common components such as:

  • Accounts receivable
  • Accounts payable
  • Order entry
  • Cost accounting
  • Monthly reporting
  • Inventory control
  • Payroll
  • Fixed assets

For a chiropractic office, your accounting system will need to cover many of the same areas but also additional information unique to providing health care services to individuals with insurance coverage. Ideally your accounting system should tie into the patient record system to prepare bills, based on the services rendered, and post them to the patient accounting record. It should also accommodate claims processing so claims filed and paid electronically are easy to track and post to the patient's account.

Other Things to Consider

Before you begin looking at different systems, talk to your accountant about what you'll really need. And also talk with other health care professionals who have successfully used accounting systems in a similar way. Speak with doctors and staff about which accounting systems they use and get their suggestions.

One of the most important things to look for in an accounting system is compatibility with other systems and software in the practice. This will be key to running your business office efficiently.

Another important feature is the ability to produce financial statements easily. For example, if you are going to the bank for a loan, can you prepare a current set of financial statements for the practice? Even better, can you provide a projection of how the practice will do for the remainder of the fiscal year based on the year-to-date results?

Choosing the Best System For Your Office

In addition to talking with other professionals in your area, contact your state chiropractic association for possible recommendations. Many times an association will endorse a vendor, which means the organization has done the required due diligence and is comfortable in the quality of the product and vendor behind it.

You also might want to research the available software for accounting systems through buyers guides, typically updated and published annually. A great source for practice software reviews is Chiropractic Economic's web site, www.chiroeco.com. They publish an annual buyer's guide. You'll be able to review the features of chiropractic software to see if the accounting features you require are part of these packages. The site also provides contact information for the software companies.

Dynamic Chiropractic also provides a buyer's guide through Practice Insights.

A good general accounting package is Quickbooks, created by the same company that sells Quicken to home users. Check out www.intuit.com for more information. Another consideration is the availability of web-based programs featuring Cloud backup. Your practice faces enormous risk of losing data and these systems provide safety and security without daily backup procedures.

But, before purchasing, weigh the pros and cons and get advice from members of your practice support team, such as your accountant, on what features you really need and what makes the most sense for your practice situation.


The information in the NCMIC Learning Center is offered solely for general information and educational purposes. It is not offered as, nor does it represent, legal or professional advice. Neither does this information constitute a guideline, practice parameter or standard of care. You should not act or rely upon this information without seeking the advice of an attorney familiar with the specific legal requirements of the state(s) in which you practice. If there is a discrepancy between the site and an insurance policy you have with NCMIC, the policy will prevail.