Healthcare Accounting & Tax Services in the Netherlands

Our Dutch healthcare accounting services are designed for various providers within the Netherlands' health ecosystem:

• Private Medical & Dental Clinics: Physician- and dentist-owned practices that need to manage billing with a wide range of Dutch insurance companies.
• Specialist Medical Centers: Clinics offering specialized services that require precise billing codes (DBCs - Diagnose Behandeling Combinatie) to ensure correct reimbursement.
• Allied Health Professionals: Physiotherapists, psychologists, and other specialists who need to manage patient billing and practice expenses efficiently.
• Health-Tech & Digital Health Startups: Companies developing medical software or telehealth platforms that must comply with Dutch data privacy laws (AVG) and specific healthcare regulations.

From the moment you receive your AGB-code (a unique identification for healthcare providers), specialized accounting is vital. It becomes mission-critical when:

• You Start Billing Insurance Companies: This initiates the complex revenue cycle of claims submission, managing deductibles (eigen risico), and handling claim rejections.
• You Hire Clinical & Administrative Staff: This triggers compliant Dutch payroll, including wage tax withholding and social security contributions.
• You Deal with BTW (VAT) Exemptions: Most medical services are exempt from BTW. However, some services (like cosmetic procedures) are not. Incorrectly applying these rules can lead to major penalties from the Belastingdienst (tax authority).
• You Need to Manage Practice Profitability: To make strategic decisions, you need to understand your revenue per patient, your collection rates from different insurers, and the profitability of various treatments.

Investing in professional healthcare accounting is an investment in maximizing your revenue and ensuring compliance. The cost reflects the high degree of specialization required.

• Small Practice / Solo Practitioner: €800 - €1,800 per month. This covers specialized bookkeeping, payroll for a small team, and monthly financial reporting.
• Medium-Sized Clinic (multiple providers): €1,800 - €4,500 per month. This service level adds more detailed revenue cycle analysis and provider productivity tracking.
• Larger Practices & Health-Tech Companies: Custom pricing from €4,500+, which can include virtual CFO services for strategic financial planning.

The Dutch healthcare industry has significant financial and regulatory risks:

• Revenue Leakage: Failure to properly manage the complex insurance claims process can lead to a significant portion of earned revenue never being collected.
• NZa & IGJ Non-Compliance: Breaches of regulations set by the Dutch Healthcare Authority (NZa) or the Health and Youth Care Inspectorate (IGJ) can lead to fines or sanctions.
• BTW (VAT) Errors: The rules for BTW exemption on medical services are complex. Incorrectly applying them can lead to significant penalties from the Belastingdienst.
• Poor Cash Flow Management: The payment cycles from insurers can create cash flow problems if not proactively managed with proper forecasting.

Healthcare professionals are experts in patient care, not in the intricacies of Dutch medical billing and financial regulations. Hiring a full-time practice manager with deep financial expertise is a significant expense for a growing practice.

Outsourcing your accounting to YourLegal provides a cost-effective solution, giving you access to a team that specializes in the Dutch healthcare market. We understand the revenue cycle, the nuances of dealing with major insurers like Zilveren Kruis and VGZ, and the financial reporting required by regulators. We implement robust systems to track your claims, analyze denials, and provide you with clear insights into your practice's financial performance. This allows you to focus on delivering excellent patient care, confident that your financial operations are optimized for maximum collections and full compliance.