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Sep 4th 2013
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If you read my last post, you know that I was recently diagnosed with a hernia.  Well, I had the surgery this week and am in the recovery stage.  The surgery went well and I am resting at home with the help of pain medication.  The hardest part is looking in the mirror and seeing all of my hard work from working out (20+ years) disappear.  If you read my last post you know that I am a fitness addict.  The 6 week rest/recovery period is going to drive me nuts.  I haven't worked out for 2 weeks and I am already going crazy.

Whenever I receive medical treatment or visit the doctor, I often compare operating a medical practice to operating a state and local tax practice.  For example, both have the following in common:

  1. Consultation
  2. Examination and testing
  3. Diagnosis
  4. Treatment (which may involve the assistance of further specialists)
Types of treatment may include:
  1. Over the Counter (OTC) / Prescriptions 
    1. Less complex tax research questions
  2. Outpatient
    1. More complex tax research questions
  3. Surgery
    1. Major projects such as restructuring
  4. Emergency Room
    1. Audits / Appeals
    2. Last minute transaction tax planning
  5. Loss Prevention or Preventative Medicine
    1. Reverse audits
    2. Nexus reviews
    3. Pre-return filing planning
    4. Pre-transaction planning
    5. Due Diligence
The Doctor/Patient relationship is very similar to a tax professional/client relationship in that success is often determined based on listening and understanding the facts and circumstances surrounding the problem.
Are you listening?  
How do you operate?
Is your client receiving the right treatment?

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