Practice accounts that reconcile to the billing system.
The Shaazford group runs medical billing and revenue cycle management for practices. Shaazbook keeps the practice's books to match: insurer receipts reconciled to claims, patient payments to invoices, and the partner or shareholder distributions computed correctly.
Four mistakes we fix in the first month.
Receipts that never match claims
Insurer remittances arrive net of adjustments, weeks after the claim. Without reconciliation to the billing system, revenue is either overstated or written off wrongly.
Equipment financed without tax planning
Capital allowances and depreciation on equipment change the tax bill materially. Timing the purchase matters.
Partners paid before profit is known
Drawings against an estimate, then a year-end surprise. Monthly accounts fix it.
VAT exemption applied wrongly
Medical care is VAT-exempt in the UK and the UAE, but cosmetic, retail and some diagnostic services are not. Mixed practices need partial exemption.
Built for the sector, not adapted to it.
- Monthly reconciliation of insurer and patient receipts to the practice management or billing system
- Partner and shareholder profit allocation and drawings tracking
- Capital allowances and equipment finance modelled before purchase
- VAT partial exemption and the UAE healthcare VAT rules applied
- Payroll for clinical and admin staff, including locums and contractors
- Practice acquisition, incorporation and exit support
Usually these.
In roughly this order of importance for healthcare & medical practices.
Bookkeeping
Reconciled monthly on Xero or QuickBooks, so the numbers are real before you look at them.
Management Accounts & Reporting
Monthly P&L, balance sheet and cash with commentary you can act on, not a PDF you file away.
Payroll
UK PAYE, UAE WPS and US federal and state payroll, run to the day with every filing that goes with it.
VAT Returns & Compliance
UK and UAE VAT registration, returns and scheme selection, filed digitally and on time.
UK Corporation Tax
CT600 prepared, planned and filed, with the marginal-rate band and reliefs actually used.
Virtual CFO
A senior finance lead on a fixed monthly fee: strategy, forecasting, board reporting and fundraising support.
Do you work with Shaazford's medical billing team?
Where a practice uses both, the billing data and the accounting data are reconciled by teams that sit under the same parent. That is the point of having both under one roof.
Should a UK practice incorporate?
It depends on profit level, pension position and the NHS or private mix. We model the salary and dividend outcome against the partnership alternative before recommending.
Talk to someone who has done healthcare books before.
Thirty minutes, no pitch deck. Tell us the entities and the countries, and we will tell you honestly what applies and what it costs.