More than CPAs ... Medicare & Medicaid Experts.

Healthcare Overview

The HW Healthcare Advisors group was created to answer the needs of our accounting and tax clients that operate in the healthcare industry. Our healthcare clients needed more than just traditional accounting and tax services – they needed CPAs who were experts in Medicare, Medicaid, and billing to ensure success in navigating the complex issues that are unique to this industry.

All of our clients are important to us, and we want to be a partner in your success. Our growing firm has many practice areas, but our absolute dedication to providing exceptional service to our largest niche – long-term care providers in the healthcare industry – remains.

We invite you to learn about our healthcare CPAs, accounting services and resources.

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Who We Serve

We work alongside HW&Co. accounting and tax professionals to provide our clients a full suite of CPA and healthcare accounting & consulting services from one trusted firm.

  • Skilled Nursing Facilities (SNF)
  • Intermediate Care Facilities (ICF-IID)
  • Home Health Agencies (HHA)
  • Hospices
  • Senior Living/Continuing Care Retirement Communities (CCRC)
  • Hospitals
  • Ancillary Providers (Pharmacy, Therapy, etc.)
  • Behavioral Health
  • Community Health Centers (CHC)
  • Federally Qualified Health Centers (FQHC)
  • Surgery Centers

ECS Solutions is now a division of HW&Co.

Our Revenue Cycle & Billing group was originally developed to assist our healthcare clients in navigating the increasingly complex process of claims billing and collection, as well as to provide software training and implementation services.

On June 1, 2023 we welcomed ECS Billing and Consulting South, Inc. (dba ECS Solutions) to the HW & Co. family. Whether providing Business Office training, assistance with Medicaid pending applications/asset analysis computations, or comprehensive monthly billing services, our combined team will ensure that your company’s Revenue Cycle functions smoothly from start to finish.

Learn more about Revenue Cycle

ECS Solutions - a division of HW&Co.

Our Healthcare CPAs Implement Point Click CareHealthcare Clients in 42 StatesWe prepare over 850 Medicare & Medicaid reports every year.

Q & A


Help! My nursing facility’s cash flow has slowed to a trickle, and I don’t know if this problem is unique to us, or if everyone else is also struggling. It seems that billing requirements are becoming more cumbersome.


Billing is becoming more of a challenge, especially due to the increase in managed care contracts that many facilities are participating in. One common statistic used to measure collections is the Days in Accounts Receivable. Here is a breakdown for your state:

  • Statewide Average (733 facilities): 41.65 days
  • Statewide Average-For Profit facilities: 40.76 days
  • Statewide Average-Non Profit facilities: 45.30 days
  • Your facility: 55.71 days

It does look like you are having a more difficult time getting the cash in the door. We can assist you in analyzing your accounts receivables aging report to see if the problem is across all payer types, or if maybe just one or two are giving you challenges. We can also assist you in billing best practice tips to ensure that you are doing everything possible to get your claims sent, and followed up on, in a timely manner.


My Business Office Manager is going on maternity leave. We don’t want to get behind on billing or collection. How do I prepare to cover her duties during her absence?


It is critical to plan coverage so your cash flow is not disrupted. We can assist you in determining what responsibilities can be handled by your existing staff. Then, we will work with you to develop a plan to fill any gaps in coverage. We can provide on-site as well as remote support for all of your Business Office needs from census and cash posting to claim processing, submission and collection.

HW&Co. CPAs Are The Number One Cost Report PreparerOur Healthcare CPAs Represent 1/3 of All Ohio NFs & ICFs


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