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In this service we function as your practice administrator.  We manage vendor/accounts payable and payroll functions.  But, checks require manual signatures by the physician owner.  The support is attached when signatures are requested so the physician always knows on what his or her money is being spent.  Monthly balance sheets and reports of cash receipts and disbursements are provided by the 15th of the month following the end of a month.  Bank accounts are reconciled every month.  As part of our management of the practice, we provide the human resources function with final approval by the physician owner for all hiring, firing, discipline, and pay rates.