Category Archives: Healthcare

Accounting Services Requirements

by Russell Barker

The accounting services department at Langdon and Company LLP utilizes a customized approach to serve many companies by providing varied aspects of a “backoffice” accounting department.  We can perform the following functions: accounts receivable, accounts payable, invoicing, payroll and financial reporting.  We communicate with the client to ensure that we have the needed documentation to properly record transactions.  We process transactions on a monthly or quarterly basis for general ledger processing based on the clients’ needs.  We also provide payroll services and offer direct deposit.  To efficiently and effectively perform these functions, great communication is required.  There is supporting information and documentation that is needed.

Typically, for a small business items such as bank statements, invoices, billing records, loan records, amortization schedules, credit card statements, etc. are required in order post to the general ledger.  For payroll, employee information, hours and pay rate is needed.  In order to properly maintain fixed asset records, invoices and applicable financing records are needed.

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With the client providing all appropriate documentation on a monthly basis and L&C recording proper transactions, this will enable our year end process to be more efficient, precise and timely in order for the tax department prepare the clients tax returns in a timely fashion.

 

Russell Barker is a QuickBooks Pro Advisor in the Accounting Services department at Langdon & Company LLP.  He specializes in periodic reviews for a variety of physician’s practices.

 

L&C Promotions

It is with great pleasure that we announce the following promotions within L&C this year.

Lee Byrd, Audit Manager

Lee Byrd, Audit Manager
[email protected]

Lee joined L&C’s audit department in 2007. She has served on numerous engagements including nonprofit organizations with single audit requirements, as well as healthcare, manufacturing, real estate and small businesses.  She also routinely consults in the areas of accounting and internal controls for clients in these industries. Lee is a CPA.  She graduated from North Carolina State University where she obtained her BSBA and Masters in Accounting.

 

 

 

 

 

 

 

Susan Dean, Tax Manager

Susan Dean, Tax Manager
[email protected]

Susan joined L&C’s tax department in 2009.  Prior to joining our firm Susan served as tax senior with McGladrey and Pullen, LLP.  Susan is an Enrolled Agent with the Internal Revenue Service.  With over ten years of experience in tax, Susan has spent the majority of her career providing services to corporate, pass-thru, non-profit and individual clients. She has significant tax experience with the non-profit industry, trust income tax reporting and multi-state tax filings. Susan obtained her Bachelor of Science and Masters of Science in Accounting from East Carolina University.

 

 

 

 

 

 

 

 

Taylor Elliott, Tax Manager

Taylor Elliott, Tax Manager
[email protected]

Taylor also joined the L&C tax department in 2009.  Prior to joining our firm she served as a tax senior with McGladrey and Pullen, LLP.  Taylor provides tax services to corporate, pass-through, nonprofit and individual clients. She frequently works with owners of closely-held businesses on matters related to tax planning, consulting and state and local taxation.  She has extensive experience in healthcare, bio-medical engineering, manufacturing, construction and real estate. Taylor is a CPA and obtained her undergraduate degree from Meredith College and received her Masters in Accounting from North Carolina State University.

 

 

 

 

 

 

 

Kendall Tyson, Tax Manager

Kendall Tyson, Tax Manager
[email protected]

Kendall joined the L&C tax department in 2011.  Prior to joining our firm she served as a tax senior with McGladrey and Pullen, LLP.  Kendall provides tax planning and compliance, reporting and special projects for closely-held businesses, including physician and dental practices. She also has significant experience with nonprofit tax reporting and multi-state tax filings.  Kendall is a CPA and obtained her undergraduate degree from Meredith College and received her Masters in Accounting from North Carolina State University.

 

 

 

 

 

 

Brittany Powell, Audit Senior

Brittany Powell, Audit Senior
[email protected]

Brittany joined L&C’s audit department in 2013. She has served on numerous engagements including nonprofit organizations with single audit requirements, as well as healthcare and small businesses.  Brittany is a CPA and obtained her undergraduate degree from Campbell University and received her Masters in Accounting from East Carolina University.

 

 

 

 

 

Please join us in congratulating them on their promotions!

Long Term Care Update

Nursing-homeby Rachel Owens

There is a proposed Medicare rate increase on the drawing board for skilled nursing facilities.  If the proposed rule (CMS-1605-P) is approved by CMS, there will be a market basket increase of 2% beginning 10/1/2014. This will result in an estimated economic impact on the country is $750 Million in FY 2015.  There are also wage index changes on the horizon.  These wage index reductions/increases vary by region.  In addition there are upcoming changes to the Medicare reimbursable bad debt percentages.  For fiscal year 2014, the reimbursable portion of non-dual bad debts has been reduced from 70% to 65%.  For dual eligible bad debts, only 76% – reduced even further for fiscal year 2015 to 65%.

On the Medicaid front, the FRV (Fair Rental Value) valuation will be changing to reflect renovations, bed additions and replacements (that were not adjusted with initial submission and now are included in the rates).  Also, NC’s Medicaid billing system has seen changes as well.  NC Tracks has been in the news for all the issues related to billing, and for good reason.  Beyond those problems, they have made the Medicaid application process a headache with extensive delays.

Many other changes continue to thwart our healthcare system.  Langdon & Company LLP continues to stay updated on the most recent issues.  Our professionals will be happy to help you sort through the details and understand the facts!

Rachel Owens is a Senior Accountant with Langdon & Company LLP.  She specializes in serving healthcare clients, including skilled nursing facilities and behavioral healthcare providers.

SNF’s will pay for Medicare’s Solvency

Medicare SolvencyAccording to an annual report, the Medicare Part A Trust Fund will be depleted by 2026.  This is a two year improvement over last year’s forecast.  The authors of the report credit the improvement to lower projected spending in most service categories, especially skilled nursing facilities.

Langdon & Company LLP provides services to many long term care providers in the southeast.  In addition to cost report preparation and consultation, services include audit, accounting, financial reporting, tax planning and preparation.