Healthcare Accounting & Tax Services in Saudi Arabia

Our Saudi healthcare accounting services are designed for a variety of providers within the Kingdom's health ecosystem:

• Private Hospitals & Polyclinics: Medical centers that need to manage billing with a wide range of insurance providers like Bupa Arabia and Tawuniya, and comply with MOH licensing standards.
• Specialty Clinics: Dental, dermatology, and other specialist practices that require precise medical coding to maximize insurance reimbursements.
• Pharmaceutical & Medical Device Importers: Companies that need to manage SFDA registration, customs clearance, and complex supply chain finances.
• Health-Tech & Telemedicine Startups: Digital health platforms that must comply with data privacy laws, integrate with the NPHIES platform, and navigate VAT on digital services.

From the moment you receive your MOH license, specialized healthcare accounting is vital. It becomes mission-critical when:

• You Start Contracting with Insurance Companies: This initiates the complex revenue cycle of claims submission through platforms like NPHIES (National Platform for Health and Insurance Exchange Services), managing approvals from the Council of Health Insurance (CHI), and handling claim rejections and resubmissions.
• You Hire Clinical & Administrative Staff: This triggers GOSI and Mudad payroll obligations, often under specific healthcare labor rules.
• You Face an MOH or Insurance Audit: Both regulators and insurance payers can audit your billing, clinical, and financial records. Clean, compliant books are essential for passing these inspections.
• You Need to Manage Cash Flow: With insurance payment cycles often taking 60-90 days or more, proactive cash flow forecasting and aggressive management of accounts receivable is crucial for survival.

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

• Small Clinic / Solo Practitioner: SAR 8,000 - SAR 15,000 per month. This covers specialized bookkeeping, payroll for a small team, and monthly revenue cycle reporting.
• Medium-Sized Polyclinic: SAR 15,000 - SAR 30,000 per month. This service level adds more detailed revenue cycle analysis, denial management reporting, and provider productivity tracking.
• Larger Hospitals & Health-Tech Companies: Custom pricing from SAR 30,000+, which can include full-scope virtual CFO services for strategic planning and financial modelling.

The Saudi healthcare industry has significant financial and regulatory risks:

• Revenue Leakage from Claim Denials: Failure to properly manage the complex insurance claims process can lead to a significant portion of earned revenue never being collected.
• MOH & SFDA Non-Compliance: Breaches of healthcare regulations can lead to fines or, in severe cases, suspension of the facility's license.
• VAT Errors: While many core health services are zero-rated for VAT, some cosmetic procedures and goods are standard-rated. Incorrectly applying these rules can lead to penalties from ZATCA.
• Cash Flow Crises: The long payment cycles from insurance companies can create severe cash flow problems for a practice if not proactively managed with proper forecasting and credit control.

Healthcare professionals are experts in clinical care, not in the complexities of medical coding, CHI rules, and Saudi financial regulations. Hiring a full-time, experienced healthcare finance team is a major expense that is often beyond the reach of a growing practice.

Outsourcing your accounting to YourLegal provides a cost-effective solution, giving you access to a team that specializes in the Saudi healthcare market. We understand the revenue cycle, the nuances of dealing with major insurers through the NPHIES platform, and the financial reporting required by the MOH. 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.