Free Guide: Find out where your practice is silently bleeding cash — and stop it.
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Your Practice Is Probably
Losing $80,000 to $200,000
Every Single Year.
Not because of bad decisions. Because no one ever showed you exactly where the money goes. Most ophthalmology practices run financially blind — and by the time they feel it, they've already given up years of wealth they'll never recover.
- ✓Real-time cash flow visibility & 90-day forecasting — know your runway before it becomes a crisis
- ✓AI-driven CPT downcoding revenue recovery & proactive tax strategy — stop overpaying, start capturing what's yours
- ✓Ophthalmology-specific practice profitability benchmarking — see exactly where you stand against top performers
served
generated
virtually
satisfaction rating
No spam. No obligation.
Your Schedule Is Full.
So Why Does Cash Feel Tight?
It's the most common thing we hear from ophthalmology practice owners. The rooms are full, procedures are happening — and yet the bank balance tells a different story some months. There is always a reason. Almost always three of them.
Collections Lag Is Silently Eating Your Cash Timing
The gap between when you perform a procedure and when money actually arrives is wider than most physicians realize — and it varies dramatically by payer. A practice heavy in Medicare operates on a completely different cash rhythm than one with strong commercial coverage. Most CPAs never map this for you.
Procedure Mix Drives Cash Volatility More Than Volume
Adding more appointments doesn't automatically mean more cash this month. A month heavy in comprehensive exams looks completely different on your bank statement than a month dominated by surgical cases. When your mix shifts — seasonally, from referral patterns, or scheduling changes — your cash shifts with it, invisibly.
Fixed Costs Don't Flex — But Your Revenue Does
Payroll, leases, equipment financing, malpractice insurance — these run every single month regardless of how collections come in. The mismatch between when expenses hit and when revenue actually arrives is where cash anxiety lives for most practice owners. Mapping this gap month by month changes everything.
This Is How We See Your Practice —
Before We Ever Speak.
When your financial picture is mapped with AI-powered analysis, the cash story stops being a mystery and becomes a plan.
⚠ March flags a predictable low-cash window — surfaced 60 days early so you plan, not panic. Solid = actual · Dashed = AI forecast
How Does Your Practice
Actually Stack Up?
The only way to know if your numbers are good is to compare them against practices like yours. Here's what the real data shows — and where most practices are quietly leaving money on the table.
Source: MGMA, AAO published benchmarks, MMAS CPA intelligence engagements across physician practices nationwide.
What These Gaps Mean in Real Dollars
The gap between median and top-quartile isn't talent or location. It's financial intelligence — knowing where the leaks are and having a partner who closes them.
- 91% → 96% collections on $3M revenue =
$150,000 recovered annually - 64% → 58% overhead on $3M =
$180,000 back to your bottom line - 54 → 36 AR days =
months of better cash, zero credit line - 50% → 65% surgical mix =
higher revenue, same patient volume
Six Levers That Pay Off Fast.
Not every financial improvement takes six months to feel. These are the moves ophthalmology practices see results from first — ranked by speed and dollar impact.
Collections & AR Tightening
The revenue is already earned — you're just not capturing all of it. Consistently the fastest path to a better bank balance.
- Audit payer reimbursements vs. current fee schedules
- Identify and root-cause denial patterns by payer
- Set 90-day AR targets and track them weekly
- Review write-off ratios — are adjustments justified?
Overhead Structure Audit
Most practices have never compared overhead to peer benchmarks. The gap between where they run and where top practices run is almost always recoverable.
- Staff-to-revenue ratio review and rightsizing
- Vendor and supply chain renegotiation
- Equipment lease vs. own modeling
- Cost-per-procedure benchmarking by service line
Proactive Tax Strategy
There's a difference between filing taxes correctly and engineering your tax position all year. Most physicians only experience the former.
- Entity structure optimization for your practice stage
- Retirement account maximization — most are underfunding
- Section 179 and depreciation timing decisions
- Practice-to-personal wealth crosswalk planning
Procedure Mix Intelligence
Your schedule is your most valuable financial asset. Understanding which procedures generate the most cash per hour — and building your schedule around it — is a major lever.
- Revenue per hour by procedure type analysis
- Surgical case scheduling optimization
- Self-pay and premium procedure growth mapping
- Ancillary revenue opportunity identification
Cash Flow Forecasting
When you know a low-cash month is coming 60 days out, you plan around it instead of reacting to it. This single shift eliminates most financial stress.
- Rolling 90-day cash forecast model built for your practice
- Predictable seasonal dips mapped by payer
- Major expenditures aligned to high-cash periods
- Eliminate unnecessary credit line use and interest
Practice Valuation & Wealth Bridge
A practice run with financial intelligence doesn't just earn more — it's worth significantly more when the time comes to sell, partner, or transition on your terms.
- Continuous practice valuation modeling
- EBITDA optimization for transaction readiness
- Personal and practice wealth bridge planning
- Exit strategy aligned to your actual financial goals
That $10 Million Offer?
Read the Fine Print First.
Private equity is calling every ophthalmology practice in America right now. The offer sounds life-changing. But most physicians don't find out what they actually signed until it's too late — and Tina has watched it happen more times than she can count.
"I spend a lot of my time consoling clients and listening to them cry on the phone after they do their private equity deals."
The practices that command the best exits — on their own terms — are the ones that ran with financial intelligence for years before the sale. High EBITDA margins. Clean AR. Documented profitability. Those practices choose their buyers. They don't accept the first letter of intent out of burnout.
Tina's framework — presented at AAO Orlando alongside Austin Coley, CFP® — for achieving financial freedom and maximizing practice value without selling to private equity.
Get the Guide — Start the Roadmap →
Tina McGill Is Not Your Typical CPA.
Tina McGill, MACC, CPA is the founder of MMAS CPA, P.C. — a virtual CFO advisory firm headquartered in Nashville, Tennessee, serving medical, dental, and laser eye practices across all 50 states.
She spoke at the American Academy of Ophthalmology Conference in Orlando, hosted a private Physicians' Strategic Breakfast on building practice value without selling to private equity, and presented at the Scaling New Heights Conference with a 93% audience satisfaction rating. She's a member of ADP's CPA Advisory Board, was featured in Our Tennessee magazine, and serves as President of the UT Southern Alumni Foundation Board.
Her firm has offices in Pulaski and Brentwood, Tennessee, and is expanding to Palm Beach and Naples, Florida. Her mission — and the core of everything MMAS CPA does — is to help practice owners build financial freedom and protect their wealth, without selling to private equity.
The Results Speak for Themselves.
"I had a bookkeeper, a CPA, and a financial advisor — not one of them had ever told me I had a collections problem. Tina's team found $140,000 in recoverable revenue in the first 90 days. Two years of conversations I'd been completely missing."
"I knew my cash was unpredictable but had no idea why. The 90-day forecast showed me exactly which months to expect pressure — we restructured our collections cycle around it. I haven't had a cash surprise since. That alone was worth everything."
"I was overpaying in taxes. But the real wake-up call was the retirement analysis — I had a gap I didn't know existed. If I'd waited five more years I would have left hundreds of thousands in compounding wealth on the table. Tina doesn't just do taxes. She protects your future."
The Financial Intelligence Review:
Your Complete Practice Picture.
For the practice owner who is done guessing. The most comprehensive financial engagement available for ophthalmology practices — and the one that consistently produces the clearest, most actionable results.
- ✓Full cash flow driver analysis — what's generating real cash vs. quietly draining it
- ✓Peer benchmarking across all major KPIs against practices at your revenue level
- ✓Overhead audit with specific cost reduction opportunities mapped and quantified
- ✓Collections and AR deep-dive — recoverable revenue identified and prioritized
- ✓Proactive tax strategy review — year-round planning, not just filing
- ✓Retirement underfunding assessment and optimization road map
- ✓Practice valuation modeling and EBITDA positioning for your timeline
- ✓Personal + practice wealth crosswalk — both sides of your financial life, unified
- ✓Written Intelligence Report: action items ranked by speed and ROI
- Cash flow story mapped and explained
- Peer benchmark comparison delivered
- Tax & retirement gaps identified
- Practice valuation baseline established
- Written report with ROI-ranked action items
Limited — Book Before Cohort Closes
We work with a limited number of new practices at a time to maintain the depth this engagement requires. Once the current cohort is full, waitlist only.
Start Here.
It's Free. It's Fast. It Matters.
Get the Ophthalmologist's Cash Flow Clarity Guide — then book your free 20-minute call to see exactly what your practice data would reveal.
No spam. No obligation. · MMAS CPA · Nashville, TN
