Generally Accepted Accounting Podcast

PBJ may sound like lunch, but for nursing homes, Payroll-Based Journal reporting can have serious consequences.
In this episode, Charles Frizzell explains how PBJ reporting works, why the Centers for Medicare & Medicaid Services collects daily staffing data, and how inaccurate or incomplete information can affect a facility’s staffing star rating.
Charles also talks about some of the most common PBJ reporting problems, including missing contracted staff hours, incorrectly reporting employees who work remotely, and payroll systems that aren’t set up to capture all reportable time. He explains why facilities should review their payroll setup, monitor staffing before the end of the quarter, and use XML uploads when possible rather than relying on time-consuming manual entry.
In this episode
What Payroll-Based Journal reporting is and why CMS introduced it
How PBJ data can affect a nursing home’s staffing star rating
Why missing or questionable data can trigger greater scrutiny
Common reporting issues involving contracted and remote staff
How facilities can compare scheduled staffing with actual hours
Why large changes in reported staffing may lead to a PBJ audit
The advantages of XML uploads over manual data entry
Why overnight shifts make manual reporting especially complicated
How more accurate, proactive reporting can help facilities avoid unpleasant surprises
And yes, there are a few peanut butter, jelly, and bread jokes. We couldn’t just leave those sitting on the table.
Listen in to learn more!

Why does the IRS audit taxpayers at both ends of the income spectrum? What happens if you haven’t filed a tax return? And could the IRS remove a late penalty automatically? In this episode, Hillary Dobbs-Davis and Evan Ludes dig into some of the wildest recent IRS and tax headlines. We cover:
Why the wealthiest and lowest-income taxpayers face higher audit rates
How the IRS may use artificial intelligence to identify unfiled tax returns
When automatic IRS penalty relief could help
The updated IRS mileage rates for the rest of 2026
A very rock-and-roll estate dispute involving Ozzy Osbourne’s longtime accountant (also, a great plug for trust and estate planning.)
Listen in for a quick, slightly strange tour through the tax news you may have missed.
Related resources
Learn why the IRS may pay closer attention to unfiled tax returns
See whether automatic IRS penalty relief could apply
Review the IRS mileage rates for the rest of 2026
 

Somehow, we’ve hit our 50th episode (which dovetails nicely with our upcoming 50th anniversary)! Thanks to all of you for listening and tolerating our bad puns and worse jokes. We hope you were also able to learn a little something along the way.
For our 50th episode, we’ve got a guest who’s new to the podcast. Preston Mackey is an EA, client manager, and manager of our Gillette branch. Preston talks about how charitable giving rules have changed for 2026. He hits on the new charitable deduction available to certain taxpayers who don't itemize, the new limitation affecting itemized charitable deductions, and several common questions about qualifying gifts and organizations, and donation documentation.
So, for the 50th time, listen in to learn more!

Our recent blog post about a Medicare Part B vaccine billing update highlighted a clarification from Centers for Medicare & Medicaid Services. In this GAAP episode, our VP and health care cost report expert, Mark Lyons, provides a little more color to the situation and what it means for Rural Health Clinics and Federally Qualified Health Centers. Take 10 minutes to listen in to learn more!

We're issuing our first-ever Generally Accepted Accounting Alert! If the IRS charged you a penalty during COVID, you might be entitled to a refund. Listen in to learn more, and check the links below for handy resources on this evolving tax case.
Casey Peterson, LTD blog: IRS Penalty Refunds May Be Available for COVID-Era Tax Filings
IRS Form 843
IRS instructions for Form 843
Taxpayer Advocate Service blog about COVID-era refunds
YouTube instructions (advice varies by video, so use at your own risk)
How to Fill Out Form 843 Right (Kwong v. United States IRS Refund Guide)
843 protective claim form Kwong - how to fill out page one
Form 843 Protective Claim for Refund
IRS: Where to file (for Form 843)
Contact us

For this episode, we’re focusing on some recent tax headlines. In about 10 minutes, you’ll hear about an IRS notice that’s causing consternation and how it’s related to the government moving away from paper checks, a calculator that shows what your federal taxes pay for, and what employers need to know about remote and hybrid work when it comes to payroll. Listen in to learn more!
IRS Notice CP53E continuing to cause confusion
Update: What to know about the government ending paper checks
From USAFacts: What do your federal taxes pay for?
Payroll considerations for remote and hybrid work
IRS direct payments
ID.me
IRS Individual Online Account

That's right, we're back with Part 2! For background information on the Rural Health Transformation Program, be sure to listen to Part 1 here. In this episode, we dig further into the details and talk about how the funds are being distributed, and what rural healthcare facilities need to know.
Whether you’re part of a rural healthcare facility, receive care from one, or like to keep up on the ever-shifting healthcare landscape, there’s something for you. Listen in to learn more!
Single audits
Which audit service is right for your organization?
South Dakota Association of Healthcare Organizations
South Dakota Healthcare Association
South Dakota Department of Health RHT
Wyoming RHT
“Wyoming Wants To Make Its Five-Year Federal Rural Health Funding Last ‘Forever’”
GAAP Episode 036 – New Rural Health Clinic Standards and Profitability
GAAP Episode 034 – Medicare Bad Debt
GAAP Episode 033 – Funded Depreciation and Rural Healthcare
GAAP Episode 024 – Rural Health Clinics Part II
GAAP Episode 023 – Rural Health Clinics & Fruit Pizza
GAAP Episode 022 – Fun With Allowable Costs And Activities And Medicare Advantage Plans
GAAP Episode 013 – Nursing Home Star Ratings
GAAP Episode 011 – Healthcare Allocation Statistics

There’s a recurring theme in every episode we do about healthcare, and it goes something like this: This stuff’s really complicated. (Listen, we didn’t say it was an earth-shattering theme).
Anyhoo, the recently created Rural Healthcare Transformation Program is no different. In fact, there are so many moving parts, we had to break this episode into two episodes.
Shareholder and CPA Kelly Klein — longtime pod listener, first-time guest — explains how the program came to be, how the funds are being distributed, and what rural healthcare facilities need to know.
Whether you’re part of a rural healthcare facility, receive care from one, or like to keep up on the ever-shifting healthcare landscape, there’s something for you. Listen in to learn more!
Single audits
Which audit service is right for your organization?
South Dakota Association of Healthcare Organizations
South Dakota Healthcare Association
South Dakota Department of Health RHT
Wyoming RHT
“Wyoming Wants To Make Its Five-Year Federal Rural Health Funding Last ‘Forever’”
GAAP Episode 036 – New Rural Health Clinic Standards and Profitability
GAAP Episode 034 – Medicare Bad Debt
GAAP Episode 033 – Funded Depreciation and Rural Healthcare
GAAP Episode 024 – Rural Health Clinics Part II
GAAP Episode 023 – Rural Health Clinics & Fruit Pizza
GAAP Episode 022 – Fun With Allowable Costs And Activities And Medicare Advantage Plans
GAAP Episode 013 – Nursing Home Star Ratings
GAAP Episode 011 – Healthcare Allocation Statistics

If you’ve ever had questions about depreciation, bonus depreciation, or section 179 deduction, you’re a nerd, and this quick-hit podcast is for you. Shareholder, CPA, PFS, and CVA Zach Van Sambeek explains what depreciation is, how it works, and how it changed under the One Big Beautiful Bill Act. Listen in to learn more!
Is bonus depreciation permanent?
GAAP Episode 031 – What to Bring to Your Tax Appointment
GAAP Episode 019 – Profit is a good thing

Although “financial lifestyle creep” might sound like a lost verse to a Radiohead hit, that’s not actually what we’re talking about on this episode. Shareholder and CPA, Kayce Gerlach, and senior associate and CPA, Shay Casey, offer some solid, not-preachy advice about how to avoid the trap of spending more just because you make more. They talk about how lifestyle creep happens, how to spot it, how to decide what things you should spend money on, and why a Walmart Plus subscription is totally worth it (we’re not even sponsored!) Even if you’re not a creep or a weirdo, this episode’s packed with good ideas and insights. So, listen in to learn more!
GAAP Episode 042 – Financial Therapy with Rick Kahler
Casey Peterson’s wealth management services
How Hillary supports her rock habit