Newsletter: September 2026
You’ve just stepped into another moment of clarity ☁️
Welcome back to
Financial Insights with Lozelle!
Life Isn’t a Line Item:
I’ve grown as a leader, and I’ve had to reconsider what Healthy Bodies of Finance should be doing for the practices we serve. The uncomfortable part was admitting that some of the services we’d offered for years no longer belonged in our business.
After more than 20 years in accounting and financial leadership, I still encounter the assumption that accurate books mean an owner understands the business’s financial health. I don’t agree. Financial statements can report a profit without explaining why cash is strained. They can also combine results from several locations, leaving owners without enough information to evaluate each practice’s performance.
So, after discussing this for longer than I care to admit, we’ve decided to rip the band-aid off.
Healthy Bodies of Finance is no longer offering bookkeeping services.
Our focus is now on three areas:
A practice can generate more revenue without improving its cash position. Our fractional CFO services examine cash flow and practice profitability so owners can evaluate whether hiring another provider or opening another location makes financial sense.
Forensic Accounting and Fraud Prevention
When financial activity raises questions, we examine the supporting records and assess potential fraud risks. Our forensic accounting and fraud prevention services also help health and wellness practices identify weaknesses in internal controls and financial oversight.
As health and wellness practices grow, their accounting teams may need a different structure. We help owners establish accounting responsibilities and management review procedures, so financial reporting receives appropriate oversight.
This change reflects our commitment to established health and wellness practices generating $1 million or more in annual revenue, particularly those with multiple providers or locations. As these businesses grow, their owners need financial leadership that can address more complex questions about profitability, cash flow, and financial oversight.
Bookkeeping is the foundation of accounting. Without accurate records, financial analysis becomes difficult to trust. We just don’t need to be the ones providing the bookkeeping. Practices still need qualified bookkeeping support, whether through an internal accounting team or an outsourced provider. Our role is to examine those records, understand what the financial results mean, and help owners make informed decisions about their practices.
The harder question wasn’t whether bookkeeping service had value. I know it does. I had to decide whether continuing to offer it made sense for the business we were becoming.
I knew changing our services could mean losing clients who had supported our business. I understood why the decision was necessary, but accepting what it could cost us took longer.
“Being afraid means that you are paying attention.”
I knew we needed to make the change. I just had to stop finding reasons to put it off.
🔍 Forensic Friday: “What The Fraud?”
Who Was Checking the Claims? A $453,323 Medicaid Fraud Case
The Facts
In October 2026, Tekiyah McLeod of Magnolia, Texas, pleaded guilty to healthcare fraud and aggravated identity theft, according to the U.S. Department of Justice. McLeod was the registered agent for nLove Community Services LLC, a business that purported to provide mental health therapy. She admitted billing Medicaid about $477,872 for mental health therapy services that were never provided. Of that amount, she received about $453,323 in Medicaid payments.
The claims included therapy services billed under a nurse practitioner’s name and National Provider Identifier (NPI) without the practitioner’s knowledge or consent. Some claims also represented therapy supposedly provided to McLeod herself.
The DOJ announcement doesn’t explain how investigators discovered the fraud or what internal controls the business had in place.
Source: U.S. Department of Justice, Southern District of Texas, October 2, 2026. Sentencing was scheduled for December 16, 2026.
What I Notice
I’d start with who had access to the billing system. Who could submit Medicaid claims under the nurse practitioner’s NPI, and who was responsible for authorizing that access?
Access is one question. Whether the provider performed the service or authorized the claim is another. I’d want to compare the submitted Medicaid claims with clinical records and determine who approved the billing under the practitioner’s NPI.
I’d also examine who reviewed the claims after submission. If the same person handled the billing and checked the claims, what independent review did leadership have?
One place I’d look for answers is a claims report organized by rendering provider. I’d want to know whether the services billed under each provider’s NPI were supported by clinical records and whether the provider recognized those claims.
If someone submitted a claim under one of your providers’ NPIs for a service they never performed, who would recognize it? What records would they examine?
Trust is valuable. It just isn’t an internal control.
📖 Get our latest eBooks!
Running a health and wellness business takes heart, intuition, and grit, but it also takes clarity.
That’s why we created industry-specific e-books for medical spas and aesthetic practices, holistic and medical clinics, day spas and massage therapists, chiropractic and wellness centers, yoga and Pilates studios, mental health counseling and specialized therapy, fitness and gym centers, physical therapy and rehab clinics, and dental practices. Each guide tackles the stuff you’re dealing with. The cash flow stress. The bookkeeping gaps. The operational chaos. The fraud risks that slip into busy, fast-moving wellness businesses.
Choose the e-book that matches your world and the way your business actually runs. Let it meet you exactly where you are, whether you’re scaling, stabilizing, or finally ready to understand your numbers.
Note: by downloading one or multiple ebooks, you’re agreeing that you won’t copy and/or distribute its content without permission.
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