Professional Business Management, Inc.

10/06/2026

Most people think about retirement in three broad phases: the go-go years, the slow-go years, and the no-go years, but that framing misses a lot of what actually matters for tax planning. A more useful way to think about it breaks retirement into six distinct stages, each with its own opportunities. Early retirement, before you can touch retirement accounts penalty free, is often prime time for Roth conversions and keeping income low enough to maximize ACA subsidies. Once Medicare eligibility kicks in, the focus shifts to managing IRMAA surcharges. Once required minimum distributions begin, the math changes again, and for surviving spouses, moving from joint to single tax brackets can create a real jump in taxes almost overnight. Understanding which stage you're heading into next, and planning a year or two ahead of it, tends to make a meaningful difference in how much of your nest egg actually stays yours.

10/06/2026

Leaving appointment slots open or having high levels of no-shows results in lost revenue.

Read more 👉 https://pbminc.net/resources/blog/how-to-evaluate-and-improve-your-practices-scheduling-efficiency/?utm_campaign=how-to-evaluate-and-improve-your-practices-scheduling-efficiency&utm_medium=social_link&utm_source=missinglettr-facebook

09/29/2026

Here's a phrase worth borrowing from a recent conversation among healthcare business consultants: being evidence-based in revenue cycle management just means show your work. Too many billing and compliance decisions in practices still get made on tribal knowledge or office habit instead of what the actual numbers say. That shows up in small ways everywhere, from how claims get coded to how denials get worked to how staff decide which patient balances to chase first. The fix isn't complicated, but it does take discipline. Start tracking your own numbers on the handful of things that matter most, clean claim rate, denial rate by payer, and days in accounts receivable, and let those numbers drive process changes instead of gut instinct. A quarterly look at your own data will usually surface more opportunity than any new software or vendor pitch.

09/22/2026

Here's something worth checking against your own numbers. A recent industry poll found that only about 3 in 10 medical practices got a commercial payer rate increase in the last year, and half haven't seen one in three years or longer, all while operating costs keep climbing. That gap between what you're being paid and what it actually costs to run your practice is exactly what quietly squeezes cash flow over time. The practices that are winning increases tend to have a few things in common. They know exactly when each payer contract renews, they walk in with real data on their costs and collections by payer, and they're willing to push the conversation rather than accept an auto-renewal. If you can't remember the last time you renegotiated with your top commercial payers, that's probably the first place to look.

09/18/2026

Does your practice have the capacity and operational space to support another physician or dentist?

Read the full article: When Is the Right Time to Hire an Associate Physician or Dentist?
▸ https://pbminc.net/resources/blog/when-is-the-right-time-to-hire-an-associate-physician-or-dentist/?utm_campaign=when-is-the-right-time-to-hire-an-associate-physician-or-dentist&utm_medium=social_link&utm_source=missinglettr-facebook

09/15/2026

If you're a practice owner who dreads writing that check to the IRS every April, you're not alone, but a lot of the most effective tax planning happens well before tax season even starts. One of the biggest levers available to self-employed physicians and dentists is retirement plan funding. In 2026, you can put up to $72,000 into a 401(k) if your plan allows it, and that number climbs significantly higher once a cash balance or defined benefit plan gets added to the mix, especially if you're structured as your own employer. Charitable giving is another one worth revisiting each year. You can generally deduct cash donations up to 60% of your adjusted gross income, and gifting appreciated shares instead of cash can stretch that benefit even further. None of this replaces a conversation with your accountant about what fits your specific situation, but if you haven't looked at your retirement contributions or giving strategy recently, now is a good time to put it on the calendar.

For all of those people who are tax-phobic and want to avoid paying much in taxes at all, here are some extreme ways to reduce them.

09/15/2026

Tax-Free Pay – In some situations, such as when hiring children, the pay is excluded from Social Security, Medicare, and FUTA (ie: federal unemployment) taxes.

Read more 👉 https://pbminc.net/resources/blog/the-tax-implications-of-hiring-family-members-in-your-practice/?utm_campaign=the-tax-implications-of-hiring-family-members-in-your-practice&utm_medium=social_link&utm_source=missinglettr-facebook

09/03/2026

Your staff is often the first and last impression a patient has of your practice. Clinical skills matter, but so does how your team handles a frustrated patient, a billing question, or a hectic Monday morning.

Ongoing training is one of the most overlooked investments a practice owner can make. Cross-training staff across roles builds flexibility when someone is out. Scenario-based learning, where your team works through real situations rather than just reading a policy manual, tends to stick far better. And pairing new hires with experienced staff members for the first few weeks can make a meaningful difference in how quickly they contribute and how long they stay.

Help your educated staff to apply what they learn in school to the real-life practice setting.

09/02/2026

When laying out your budget, evaluate options before puling the trigger. For example, upgrading computers might maximize your ROI, but adding another team member to lessen your staff’s load may be the best course of action.

Read the full article: Budgeting for Growth: How to Allocate Resources for Expansion or New Hires
▸ https://pbminc.net/resources/blog/budgeting-for-growth-how-to-allocate-resources-for-expansion-or-new-hires/?utm_campaign=budgeting-for-growth-how-to-allocate-resources-for-expansion-or-new-hires&utm_medium=social_link&utm_source=missinglettr-facebook

09/01/2026

Most practice owners keep a close eye on revenue and collections, but the balance sheet tends to get less attention. That's a gap worth closing, because it tells you things your income statement simply can't.

Your balance sheet gives you a snapshot of what your practice owns, what it owes, and what's left over. It shows you whether you have enough working capital to cover short-term obligations, how much is sitting in receivables, and what your overall net worth looks like as a business. Practice owners who review it regularly tend to catch problems earlier and make better decisions about borrowing, investing, and planning for the future.

A physician practice owner’s week is spent seeing and caring for patients and managing the day-to-day issues of the practice.