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Many reports enumerates the main reason for declining income in the medical practices. It includes rising costs, declining physician reimbursement rates and declining revenues. Billing and management solutions might be important for well-functioning business models.
 
Analyze Balance Sheet: If the profit shrinks, the initial thing to see is the balance sheet. Is there anything which causes big debt like installment debt, equipment rental, declining profits or burdensome rent that you can't afford really? Repayment of loans for medium size practice can be high and it's around $100K - $200K per year. When income is declined and physicians are in a higher tax bracket, then the prospect of breaking seems to be impossible. The first step to improve revenue is to get out of personal and professional debt.
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