Challenges Healthcare Businesses Face

Medical practices, hospitals, and pharma companies face unique regulatory and financial challenges. Here's how we help you navigate them.

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Pharma Pricing Regulations

DPCO compliance, NLEM drug pricing, maintaining price approval records, and managing trade margin restrictions.

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Medical Practice Revenue Cycle

Insurance claim processing, patient billing, managing receivables from TPAs, and reconciling hospital dues.

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Health Insurance Accounting

TPA settlements, cashless claim reconciliation, denied claim management, and patient co-payment tracking.

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GST on Healthcare Services

Exemptions vs taxable services, ITC eligibility on medical equipment, reverse charge on rent, and compliance documentation.

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Professional Tax & Compliance

Doctor partnership accounting, professional fees taxation, clinic vs hospital structure, and Section 44ADA presumptive taxation.

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R&D and Clinical Trials

Weighted deduction under Section 35(2AB), clinical trial accounting, patent amortization, and research grant management.

How We Help Healthcare Businesses Succeed

Specialized accounting and compliance services for medical practices and pharmaceutical companies

๐Ÿฅ Medical Practice Management

  • Patient billing and revenue cycle management
  • Insurance claim tracking and reconciliation
  • TPA and cashless settlement accounting
  • Denied claim follow-up and recovery
  • Doctor fee and revenue sharing accounting
  • Multi-location clinic consolidation

๐Ÿ’Š Pharma & Drug Licensing

  • DPCO compliance and price monitoring
  • Drug license renewals and filings
  • Stockist and distributor accounting
  • Expiry and breakage accounting
  • Free sample and physician sample tracking
  • MR expense and medical rep commissions

๐Ÿงพ GST & Tax Advisory

  • Healthcare service exemption analysis
  • ITC optimization on equipment and supplies
  • Section 44ADA for medical professionals
  • Partnership and LLP structuring for doctors
  • TDS on hospital and diagnostic payments
  • Income tax return filing for practitioners

๐Ÿ”ฌ R&D and Clinical Trials

  • Section 35(2AB) weighted deduction claims
  • Clinical trial cost accounting
  • Research grant and funding management
  • Patent and IP amortization
  • Bio-pharma inventory management
  • Regulatory compliance for trials

Healthcare-Focused Services

Complete financial solutions for medical practices, hospitals, and pharma companies

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Hospital Accounting Systems

Department-wise P&L, bed occupancy costing

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Pharmacy Stock Management

Expiry tracking, batch-wise inventory control

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Medical Equipment Financing

Lease accounting, depreciation optimization

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Diagnostic Center Accounting

Test-wise costing, pathology revenue tracking

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Doctor Partnership Structuring

Profit sharing agreements, LLP formation

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Healthcare Analytics

Patient metrics, revenue per bed, ARPOB tracking

Tax and compliance issues specific to healthcare businesses in India

Healthcare businesses mix exempt and taxable activity, run on thin working capital and handle cash and insurance receipts in the same month. The classification of each service drives the tax treatment.

GST exemption for healthcare services

Healthcare services by a clinical establishment, an authorised medical practitioner or a paramedic are exempt from GST. Cosmetic procedures, certain room charges and non-medical supplies may not be, so each service line must be classified.

Input tax credit on exempt supplies

Credit is not available on inputs used for exempt services. A hospital with both exempt and taxable activity must apportion credit and reverse any that relates to exempt supplies.

Pharmacy and medical supplies

Sales of medicines and consumables carry GST at the rate applicable to the product. Batch tracking and expiry write-offs affect both stock figures and tax credits.

TDS on payments to doctors and consultants

Hospitals pay visiting doctors and consultants on a fee-share basis. TDS on professional fees applies, and the deduction must be consistent with the contract.

Insurance and third-party receivables

Cashless claims delay receipts and lead to deductions and disallowances. Provisioning and ageing of insurer and TPA receivables is a regular accounting task.

Regulatory registrations

Clinical establishments, labs, pharmacies and manufacturers hold licences under various laws. The finance team needs to keep licence renewals on a calendar.

How we work with healthcare clients

Healthcare finance needs a clear separation between service lines. Doctors can estimate their own liability with our income tax calculator, and larger groups can use our Virtual CFO service for service-line profitability.

Revenue by service line

  • OPD, IPD, diagnostics and pharmacy separated
  • Insurer and TPA receivable ageing
  • Discounts and write-offs review
  • Doctor payout calculations

Indirect tax

  • Classification of services as exempt or taxable
  • Credit apportionment each month
  • GST returns for pharmacy and taxable lines
  • Annual return and reconciliation

Costs and inventory

  • Medicines and consumables stock reconciliation
  • Expiry and returns provision
  • Equipment depreciation schedules
  • Vendor payment calendar

Compliance

  • TDS on doctor fees and rent
  • Professional tax and PF for staff
  • Licence renewal tracker
  • Advance tax and audit support

Frequently asked questions

Are all healthcare services exempt from GST?

No. Services by clinical establishments and qualified practitioners to diagnose and treat illness are exempt, but items such as cosmetic procedures, some room rent and non-medical supplies may be taxable. Each service should be classified separately.

Can a hospital claim input tax credit?

Credit is not available for inputs used in exempt services. If the hospital also makes taxable supplies, credit must be apportioned between the two.

How is medicine sold from a hospital pharmacy taxed?

Medicines are taxable at the rate applicable to the product, and the pharmacy files returns like any other seller. Supplies to in-patients as part of treatment may be treated differently, so confirm the position for your case.

Do hospitals have to deduct TDS on fees paid to visiting doctors?

Where the payer is liable to deduct tax, TDS on professional fees applies to payments to visiting and consulting doctors. The rule depends on the nature of the payment and the status of the payer.

How can a clinic improve cash flow?

Track insurer receivables weekly, build a stock-reorder plan from usage data and review the discounts given. These items are usually the largest drivers of working capital.

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