In accounting, a Chart of Accounts (COA) is a structured list used to categorize and track financial transactions, forming the basis for accurate bookkeeping. In Practice Mate, the COA defines why a payment was received or an adjustment was made. This helps you track what money is for (e.g. copays or self-pay) or why a balance changed (e.g. write-offs, corrections, or refunds).
Why it is Important
Managing your Chart of Accounts in Practice Mate helps your practice:
- Categorize different types of payments and adjustments (e.g., copays, write-offs, refunds)
- Ensure financial records are clean, organized, and audit-ready
- Generate meaningful reports by tracking income and adjustments separately
- Reduce confusion during payment posting by clearly labeling financial activity
Steps to Manage Your Chart of Accounts
- To create an account, in Practice Mate, click on the Manage Office tab.
- From the left-hand menu, under List Maintenance, select Chart of Accounts.
- Click the Add New button in the upper-right corner.
- Enter the following information:
- Account Number: Must be unique and cannot be reused—even if the account is later deleted.
- Account Type:
- Payment: used when money is received. These are always credit (reduce balance).
- Adjustment – used when no money is involved. These can be credit (reduce balance, e.g., write-off) or debit (raise balance, e.g., refund).
- Account Description: Limited to 15 characters. Note: This is the only field that can be edited after the account is created.
- Transaction Type: Choose based on whether the transaction raises (debit) or lowers the balance (credit).
- Click Update to save your new account.
- Once created, to edit or delete accounts, click the icon in the Edit or Del column.
Note:
- Only create separate accounts for items you want to report on separately (e.g., copays vs. installment plans).
- Manage your COA carefully. Once created, only the Account Description field can be edited. Once deleted, the same Account Number cannot be used again.
Examples of Chart of Accounts:
Account Type |
Description |
Transaction Type |
Used For |
Payment |
Copay |
Credit |
Patient copays at check-in |
Payment |
Self-Pay |
Credit |
Full payments by patient |
Adjustment |
Write Off |
Credit |
Insurance write-offs or discounts |
Adjustment |
Refund |
Debit |
Refunds issued to patients |
Adjustment |
Discount |
Credit |
Manual provider discounts |