Revisit the budget monthly – Make sure your projections are on track and account for unexpected activities, says Paul Weinblatt, CPA, MHA, CVA, president of Weinblatt & Associates, PA, in Towson, MD. Compare the budget to actual results at least quarterly, examining line items year over year and budget to actual. Gulko runs a report examining budget versus actual revenues and expenses. If he sees a major variation in one or more categories, he drills down to the details. The practice may have received an unexpected payment, paid an extra bill, or added or dropped an anticipated project. “There are a variety of reasons that your actual budget can vary from your estimate, but you have to look for those,” he says.