Our professional practice management group includes experienced CPAs, tax specialists and management consultants who are skilled and experienced with physician practices of all sizes and types. We understand the complexities of your practice. We work with cardiologists, radiologists, MRI centers, dental groups, nursing practices and pediatric groups. This understanding allows us to facilitate informed business strategies while reducing costs and maximizing profits. Our experts can help build success throughout your practice with a number of special services:

• Tax Planning and Preparation- Have a team of tax professionals available to address your taxes year-round!  As a physician group practice, quality tax planning and preparation are essential to your financial strength. But, it's important to distinguish between simply finding someone to prepare your yearly tax returns and having a tax expert on your side the whole year through. As an expert in the health care industry, MillerMusmar CPAs can help you take advantage of every available incentive and minimize your taxes!
  
  At MillerMusmar we believe it's essential to gain a thorough understanding of your company's operations,  tax elections, and methods to not only prepare an accurate, complete set of returns, but also find the most effective means to save tax dollars and meet your financial objectives. From implementing tax-saving strategies and reviewing new legislation, to evaluating current elections and amending returns, our staff works throughout the entire year to find the most effective ways to save your tax dollars and keep more of your hard-earned profit. Your tax team will provide ongoing assistance throughout the year, not just during the year-end procedures.

Our tax professionals include specialists who are proactive, strategic thinkers who work to maximize your after tax cash flow. In addition, we also believe that tax planning is most effective when it is customized for each doctor and is in line with your business plan and personal goals. Our approach to tax planning will help you better understand the tax implications of any proposed course of action, and together we can make the right decisions for you and your business.

Specific tax preparation and planning services include:

• • • All federal, state and local income tax return preparation
    • IRS and state audit representation
    • Strategic income tax planning for business owners and high net worth individuals
    • Estate and gift tax planning
    • Executive compensation
    • Mergers, acquisitions, divestitures and due diligence 

• Revenue-focused Practice Analysis-  We work with your practice administrator to prepare customer reports that enable the doctors and practice administrators to better manage and plan to maximize the revenue of the practice.
• Advisory Consulting and Compensation Plans- We structure plans that allow physicians to properly design compensation plans that motivate their associates to produce and allow the equity principles to attain their appropriate profit margin. As advisors, we work with the equity principles to address items such as cost cutting, financial impact of healthcare legislation, and lease negotiation.  
• Benefits Consulting- We provide consulting on benefits including 401(k) plans, pensions, profit sharing, cafeteria plans and other employee benefit programs through Strategic Capital Advisors.
• Review/Analysis of New Doctor Agreements and Compensation- We will review new doctor agreements and address the cash flow impact of such agreements. We will also create budgets to help the new doctors track their progress and productivity.
• Practice Management and Medical Accounting Services- We work to support practice managers and assist them in maintaining accurate books and records.  We can maintain internal controls of the practice, address cash flow needs, comply with all bank reporting and covenant requirements, and reconcile medical billings and collections with the accounting system. We will also customize the chart of accounts and create departments within the accounting software to allow for better reporting and practice management. 
• General Accounting and Financial Statement Preparation - Accurate, timely financials are essential for any company. They provide the critical information necessary to manage and build your business. The right approach to your company's accounting and bookkeeping can improve profitability and cash flow, illuminate opportunities, and position your company for future success. As you know, do-it-yourself accounting software only goes so far, and new tax laws and updated technology make it hard to stay ahead. MillerMusmar can help ensure your accounting function contributes to meeting your goals.
• Bookkeeping, Bill Paying & Administration-Whether you just need help producing monthly financials or want to outsource your entire accounting function, MillerMusmar can provide the accounting support you need. You can trust our specialists to deliver the services you need on time and in a professional manner.  As a result, we help you make better decisions, react quickly to problems or opportunities, improve banking relationships, and relieve your company of the burden of building and maintaining an internal bookkeeping/accounting department or purchasing expensive accounting software.

Our team provides the back-office for any size medical practice in any field and can perform a variety of services including:

• Write-up Services- Wouldn't it be nice to have a full set of professionally prepared financial records without having to employ someone with an accounting background? With MillerMusmar's write-up services you can have just that. Our team can take all of your records of cash receipts and cash disbursements and record the activity into a software program to produce a general ledger and internal financial statements. We can also maintain depreciation records, reconcile and analyze all balance sheet accounts and certain expense accounts, and cross reference expense accounts from year to year to check for variations.
• Financial Statement Audits
• Lease vs. Buy Analysis- We work with medical practices to help them decide when to purchase rather than lease real estate, cars, and equipment. We also work with law practices to create the proper legal structure, reallocate income, and leverage tax benefits.
• Embezzlement Review- The fear of employee theft warrants some medical practices to seek an embezzlement review. We investigate the medical practice's internal controls, employee safeguards, cash handling procedures, patient payment and credit procedures, accounting procedures, etc. to ascertain the level of implementation and test the level enforcement.  From our assessment we make modifications to strengthen internal controls. We can also investigate fraud and have Certified Fraud Examiners (CFE) on staff to carry out the entire investigation.
• Assistance with the Purchase or Sale of a Medical Practice- Issues such as valuation, negotiation, taxes, contract development, and practice transition demand the assistance of not a CPA but a specialist such as a CVA or ABV. For example, if a retiring physician decides to sell his medical practice, a CVA or ABV can be hired to appraise the practice, market the practice to potential buyers, and assist in finalizing the sales transaction. At MillerMusmar we have both CVAs and ABVs that can help with this process.
• Billing Service Review- Many physicians use outside billing services to bill and collect their services. Often, these agencies are left unaccountable. The physician's agency should be reviewed periodically to make sure services are being billed out correctly and that the agency is putting in the time and effort it takes to collect these services