Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

Physicians should stop being afraid of getting audited by the IRS

Noah Kaufman, MD
Physician Finance
February 17, 2019
Share
Tweet
Share

Not only is an audit unlikely to happen — if it does, it’s rarely a huge deal.

Few words inspire such fear in the hearts of Americans as “IRS audit.” But one of the biggest mistakes that taxpayers make is letting fear of the IRS stop them from taking advantage of tax savings they deserve. Especially for locums tenens docs and other 1099 income earners since the 67,000-page tax code favors this type of income heavily.

A tax audit might be a nuisance, but it’s usually not more than that — and chances are extremely high that it will never happen at all. That doesn’t mean it’s open season to cheat on your taxes; you should always be methodically honest — and tax compliant. Since audit rates are historically low, many experts agree that it pays to be aggressive because most legitimate deductions are unlikely to raise red flags.

In other words, while it’s wise for physicians to respect the IRS, there is less reason to fear it.

Fear of IRS audits are fueled by the IRS by being evasive about its audit process. Read on for a few facts about tax audits that may help ease your fears.

  • You have a better chance of living to 100 than getting audited by the IRS. The average American faces a less than 1 percent chance — one in 160, to be exact — of experiencing an IRS audit. And those low odds may sink even lower, thanks to continuous budget cuts at the IRS that result in less personnel to perform audits. Only 0.6 percent of taxpayers were audited in 2017 — the lowest number in 15 years.
  • A tax audit doesn’t always mean you’re in trouble. Your selection for an audit can also purely be a matter of chance. In fact, of the 1.1 million tax returns audited in 2017, about 34,000 actually resulted in refunds to the taxpayer!
  • You can lower your chances of an audit. A computerized scoring system called the Discriminant Index Function (DIF) helps the IRS choose which tax returns to audit. This system assigns a score to individual and corporate tax returns.

Tax returns flagged by the DIF system are manually screened to determine if there is a cause for audit. Items that might increase a physician’s score include:

  • Unreported income, such as investments.
  • Owning a small business — especially if it’s a sole proprietorship or in a cash industry like coin-operated laundromats.
  • Reporting losses from businesses that the IRS classifies as hobbies. If you fly to interview for a new 1099 locums gig, that’s not a hobby expense.
  • Deductions and credits for unusual amounts. If you claim that you give a significant chunk of your income to charity, the IRS may pay attention.
  • Another red flag is excessive home office deductions.

The new 2018 tax code made significant changes to the deductibility of business meals and entertainment. Entertainment expenses are no longer deductible, and most meals are now only 50 percent deductible.

  • You can only deduct losses not reimbursed by your insurance company.
  • That said, go ahead and take a reasonable physician home office deduction. Too many doctors avoid taking certain credits and deductions. Just make sure your tax team has the knowledge and tools to document and structure your deductions correctly.

But here’s the thing: it’s always OK to claim legitimate expenses, no matter how long your list gets. It’s true that the IRS has established ranges for amounts of itemized deductions based on your income. The scanning system may flag deductions that exceed the statistical norm for your region and state — or just seem unlikely. But that doesn’t mean you shouldn’t take all the deductions you deserve. If you have valid documentation that you’re telling the truth, you have nothing to fear from the IRS — even in the unlikely event that you get the dreaded audit letter.

  • An audit is no reason for panic for physicians. Many times, an IRS audit isn’t what you expect – the IRS simply wants additional documentation or a response about a particular item. But even if you lose after a full-blown audit, you may only receive a “deficiency notice” – a simple bill for more tax. Also, if you have the right tax team in place, you will never even see the IRS.

The IRS can impose an accuracy-related penalty equal to 20 percent of any underpayment of federal tax that results from many types of misconduct, including disregard of rules and negligence. But even then, you may be able to avoid the penalty if you can show a “reasonable basis” for the position you took on your return.

It’s a crime to cheat on your taxes — it’s impossible to overstate the difference between legal tax avoidance and illegal tax evasion. But honest mistakes or even negligence aren’t likely to trigger a criminal investigation — meaning the average American shouldn’t worry about being charged with criminal tax fraud or evasion.

Of the 150 million returns the IRS processed in 2017, it launched 1,188 investigations into legal source tax crimes. Less than 600 people were sentenced to jail for tax fraud.

At the end of the day, the average physician has little to fear from the IRS. Refusing to claim money that’s rightfully yours is the same as simply gifting your hard-earned cash to the government.

An experienced certified public accountant/tax coach/tax attorney team will work diligently to help you uncover all the different tax savings you deserve. While you can never guarantee that the IRS won’t audit your return, in today’s tax climate, the odds are ever in your favor.

ADVERTISEMENT

Noah T. Kaufman is an emergency physician and president and co-founder, Physician Tax Solutions.

Image credit: Shutterstock.com 

Prev

Should we start screening for colon cancer at age 45?

February 17, 2019 Kevin 1
…
Next

Would you want to become a doctor again?

February 18, 2019 Kevin 1
…

Tagged as: Practice Management

< Previous Post
Should we start screening for colon cancer at age 45?
Next Post >
Would you want to become a doctor again?

 

ADVERTISEMENT

More by Noah Kaufman, MD

  • Bitcoin investment for doctors: risks, rewards, and the necessity of diversification

    Noah Kaufman, MD
  • How physicians should invest in Bitcoin

    Noah Kaufman, MD

Related Posts

  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • The risk physicians take when going on social media

    Anonymous
  • Beware of pseudoscience: The desperate need for physicians on social media

    Valerie A. Jones, MD
  • When physicians are cyberbullied: an interview with ZDoggMD

    Monique Tello, MD
  • Surprising and unlikely rewards of social media engagement by physicians

    Lisa Chan, MD
  • Physicians who don’t play the social media game may be left behind

    Xrayvsn, MD

More in Physician Finance

  • Paid for twice

    Physicians paid for G2211 twice. Most never bill it.

    Michael Duben, MD
  • Why physician financial freedom matters more than salary

    Arthur Lazarus, MD, MBA
  • Charitable giving for physicians: 7 strategies for 2026

    Logan Foltz, MD
  • The sweet spot before physician financial independence

    Stanley Liu, MD
  • Negotiating physician compensation works better in groups

    Contract Diagnostics
  • How doctors lose money investing: 6 failure modes

    Harsha Moole, MD
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Physicians should stop being afraid of getting audited by the IRS
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...