Accounting Services

Accounting Services are provided by the Auditor-Controller Department and include professional accounting support and Medi-Cal billing services for Health Care Agency (HCA) programs. The Accounting Services division is organized into the following five units:

Claims and Financial Reporting

Provides services that include the preparation of reimbursement claims and various monthly, quarterly and annual financial reports, and the processing of year-end entries. The unit is also responsible for conducting internal monitoring to ensure all transactions are in accordance with Generally Accepted Accounting Principles (GAAP), cash handling audits, and act as the primary resource regarding the claiming and proper recording of revenue transactions.


Conducts all required activities necessary for processing timely vendor payments and payroll for all of HCA in addition to internal monitoring and auditing of these operations and provides guidance as needed.

Environmental Health

Performs annual, quarterly and prorated billing and collection operations for the hazardous waste and health service fees on behalf of HCA’s Environmental Health division. Annually, this unit coordinates the State mandated Certified Unified Program Agency (CUPA) billings, and collects and distributes funds to all participating agencies and businesses, as applicable.

Medical Billing Unit

Assists in implementing accurate billing, coding and HIPAA and compliance practices in HCA as well as processes any necessary refunds as directed by the payor or HCA.

Public Guardian

Performs accounting support for the Public Guardian’s operations as well as the fiduciary services to their clients. Conducts court accountings and provides guidance as needed.