The year was 2003 and I was losing my shirt financially. I was $85,000 in debt losing $5,000 a month when my wife told me we have $15,000 left our name and that if I had a solution I better put it in play now. Like so many other PT owners, when things are going well we will bury ourselves in patient care. It was not until I was willing to look at the areas of business that I did not have the understanding in that I needed that things began to change. The more I forced myself to learn how to do billing and to hold the line on my business expenses, the more successful my business began to be. Fortunately, being a good therapist and having good therapists work for me led our practice through this difficult time, because of our great reputation. But having a good reputation was not enough for us to pull it out alone. I needed to finally confront my billing department in order to make things right.