Healthcare provider here. Just use BitPay or Coinbase Merchant. They both convert right away into fiat. I've been doing this since 2011 - I can count on one hand the number of times it's been used, and I've always lived in the biggest, tech-savvy, progressive, young cities. It's not likely to affect your practice at all, however since it's just another payment link/option, it doesn't negatively affect your practice in any way. It does make taxes on your schedule C (or S-corp LLC) far more complicated - I use CrytpTrader.tax - it's very effective and audit-proof. You have to file 8949s for any and all 1099-Ks you get.