After CS was unable to figure it out, I continued trying…What finally worked was:

COMPATABILITY —-> Change high DPI settings

Click —>Program DPI (Use this setting to fix scaling issues…)

Click —>High DPI Scaling Override —> Scaling Performed by SYSTEM(Enhanced)

When scaling was set to “By Application” it would not scale the icons properly in QB.  

I also have DPI Set to display when “I logged into Windows” but not sure if that matters…

For a program charging me $1200/year, you would think they would make it work with modern monitor resolutions…