What is month-end close in medical billing?
Month-end close is the checklist that ends a financial period: every remittance posted or explained, the bank reconciled, credit balances and unapplied cash reviewed, then sign-off and a locked period.
Close, March 2026
| Item | Status |
|---|---|
| All remittances posted or in exception | Done |
| Bank reconciled through March 31 | Done, 2 items in exception |
| Manual postings completed and checked | Done |
| Unapplied cash reviewed and aged | Done, $2,433.50 open |
| Credit balances listed, Medicare 60-day dates checked | Done |
| Sign-off | Waiting for the billing manager |
- Once signed, the period is locked: later changes post to the next period, so reported numbers don't move.
Closing the month turns a moving ledger into numbers people can trust: cash collected, A/R, adjustments and write-offs for the period. Owners, lenders and accountants all rely on them.
Why it’s painful
When posting and reconciliation happen in bursts, the close becomes the moment when every unmatched deposit, missing 835 and unexplained adjustment has to be found at once. Teams spend the first week of every month on the last week of the previous one.
A close that mostly runs itself
Reconcile daily, keep exceptions owned and aging, and the close is a review instead of a hunt: check what’s still open, sign off, and lock the period.
Run your revenue cycle as workflows.
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