Unfortunately I believe EasyRider is accurate in that you can only get tax benefit if you do accrual basis for taxes - then you are paying tax on accounts receivable which I have never heard of anyone in private practice doing. I would love to send 1099 to pt who "stiff us" and never intend on paying any debt - I unfortunately am a softie and have continued to treat pt when they never paid just out of compassion.....one of the dilemnas of being a physician and a business person.