Allied Health Bookkeeper in Geelong

True Tally is a specialist bookkeeper in Geelong working exclusively with allied health practices and service-based businesses.

The two biggest financial headaches for allied health providers are reconciling Medicare bulk billing payments and navigating private health fund claims across multiple insurers — both of which require bookkeeping that understands how a health practice actually gets paid.

If you are tired of your books not reflecting what is happening in your practice, get in touch for a free 30-minute consultation.

Who We Work With

True Tally works with a range of allied health practices across the Geelong region, including:

Physiotherapy practices
Occupational therapy practices
Psychology and counselling practices
Speech pathology practices
Dietetics and nutrition practices
Podiatry practices
Orthotics practices
Chiropractic and osteopathy practices
Allied health practices delivering NDIS-funded services
Solo practitioners and small group practices with 1–15 staff

What We Handle for Allied Health Practices

Our Bookkeeping Services for Businesses Servicing NDIS Participants

1 Medicare Bulk Billing Reconciliation

Medicare pays in batches, often days after the service, and the amounts rarely match your invoices line by line — which makes reconciliation one of the most time-consuming tasks in any bulk billing practice.

Without accurate reconciliation, gaps between what you billed and what you received go unnoticed, and your books show income that does not reflect reality.

2 Private health fund claims and reconciliation

Private health fund payments arrive from multiple insurers — Medibank, BUPA, HCF, NIB, and others — each with their own payment schedules, rebate rates, and remittance formats. Matching these payments back to individual patient invoices is a manual process that most practice owners either skip or do incorrectly.

3 BAS lodgement for allied health practices

Most clinical services delivered by allied health providers are GST-free under the health services exemption, but not everything in a practice qualifies — product sales, some coaching services, and non-clinical income may attract GST. Getting the classification wrong means either overpaying GST or creating a liability with the ATO.

True Tally has a registered BAS agent on the team and handles the GST treatment of all income types as part of every lodgement.

4 Xero setup and chart of accounts for allied health

A standard Xero chart of accounts does not give you the visibility a health practice needs — you need income split by Medicare, private health, NDIS, and private fee-paying clients so you can see what is actually driving your revenue.

True Tally is a certified Xero advisor and builds or restructures your Xero file around how your practice earns income. You get reporting that is useful, not just compliant.

5 Payroll for practice staff

Allied health practices typically employ a mix of practitioners, admin staff, and support workers — each of whom may fall under a different Modern Award with different pay rates, overtime rules, and leave entitlements. Payroll errors in a health practice are both costly and hard to unwind.

True Tally manages your payroll end to end, including STP reporting, superannuation, and leave accruals, so your staff are paid correctly and your ATO obligations are met.

Why Use a Local Geelong Bookkeeper for Your Allied Health Practice?

Working with a Geelong-based bookkeeper means you can meet face to face when you need to — not just send emails back and forth when something is not adding up. True Tally understands the local Geelong health market, including the referral networks, the Medicare locals, and the way practices in this region are structured, which makes a practical difference when questions arise about billing or compliance.

Being in the same timezone means you get a same-day response when something urgent comes up, and you are not waiting on a call centre that does not know what a Health Care Home or a GP Management Plan looks like in your books. Unlike a generalist bookkeeper, True Tally works exclusively with allied health practices and service-based businesses, so the advice is specific to your sector and your situation.

How We Work

Getting Started Is Easy..

Free 30-minute consultation — we review your current setup, identify any compliance gaps, and explain exactly what we would do differently.

We take over your Xero file, clean it up, and set up NDIS-specific categories so your chart of accounts reflects how your business actually operates.

Ongoing monthly bookkeeping, BAS lodgement, and payroll — all for a fixed monthly fee with no surprise invoices.

A Tier for Every Business

Our pricing plans are crafted to offer flexibility and value, ensuring you find the perfect fit without compromise.

Essential Foundations

Our basic plan is ideal for startups, offering essential tools and support for financial stability.

Growth Accelerator

The standard plan fits growing businesses, balancing cost and features for optimal growth.

BEST DEAL

Premium Plan

Perfect for established companies seeking comprehensive management and expert guidance.

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Frequently Asked Questions

Are allied health services GST-free?

Most clinical services provided by registered allied health practitioners are GST-free under the health services exemption in the GST Act, which means you do not charge GST on those consultations and cannot claim GST credits on directly related expenses. However, non-clinical income — such as the sale of products, some telehealth coaching services, or room hire — may be taxable. It is important to classify each income type correctly to avoid errors in your BAS.

How does Medicare bulk billing affect my bookkeeping?

When you bulk bill, you assign the Medicare benefit directly to Medicare rather than invoicing the patient — but the payment from Medicare arrives in a batch, often covering multiple patients and multiple service dates, days after the fact. This creates a timing and matching problem in your books if your bookkeeper does not understand how Medicare pays. True Tally reconciles each Medicare payment against your practice software records so your income is recorded accurately and your accounts receivable reflects what is actually outstanding.

Do you offer payroll support for small businesses?

Absolutely. We help businesses manage payroll efficiently, from setting up your first employee to running regular pay runs, managing superannuation, and ensuring accurate reporting.

How can bookkeeping help improve my business cash flow?

Professional bookkeeping gives you clear visibility into your finances. By tracking income, expenses, and outstanding invoices, we help you maintain consistent cash flow and make better financial decisions.

Do you work with businesses remotely or only in Geelong?

We work flexibly with businesses remotely across Victoria.

Meetings can be arranged in person at your business, virtually through cloud accounting platforms, or by phone depending on your preference.

Can you set up Xero for my allied health practice from scratch?

Yes — True Tally is a certified Xero advisor and can set up a Xero file from the ground up for new practices. This includes building a chart of accounts that separates Medicare, private health fund, NDIS, and private fee income, configuring payroll for practitioners and admin staff, and connecting your bank feeds. If you already have Xero but it was set up by a generalist bookkeeper who did not understand how a health practice works, True Tally can restructure it.

What payroll awards apply to allied health staff?

Payroll in an allied health practice is more complex than most industries because different staff members may fall under different Modern Awards — practitioners are often covered by the Health Professionals and Support Services Award, while admin staff may fall under a different instrument. Getting the wrong award classification wrong means underpaying entitlements and creating a wage compliance liability. True Tally sets up your payroll correctly from the start and keeps it compliant as award rates are updated.

How much does bookkeeping for an allied health practice cost?

True Tally works on a fixed monthly fee model, so you always know what you are paying and there are no unexpected invoices. The fee depends on the size and complexity of your practice, including how many practitioners you have, which income streams you are managing, and whether you need payroll and BAS lodgement included. Contact True Tally for a quote specific to your practice setup.

Do you work with both solo practitioners and group practices?

Yes. True Tally works with solo allied health practitioners operating as sole traders or through a company or trust structure, as well as small group practices with multiple clinicians and support staff. The bookkeeping approach is tailored to the size and structure of your practice so you are not paying for complexity you do not have, or missing compliance requirements you do not know about.

A Tier for E

We work flexibly with business across Greater Geelong and Melbourne, Victoria businesses to meet collaboratively in person within their business, virtually, or by phone as needed.

There are no silly questions in business and we feel that you should be across your numbers at all times to make the right decisions to propel your business forward.

Get in Touch with Us

Feel free to contact us anytime. We’re here to answer your questions and provide fast, friendly support.