Is Your Practice At Risk?

Given the current state of the economy fraud and embezzlement is on the rise.   Most medical practices rely on a single individual, typically a practice administrator or office manager, and do not have adequate financial controls or safeguards in place to protect the practice’s assets. Accordingly, these medical practices are susceptible to fraud, embezzlement and theft. 

Internal controls have always played a strong role in preventing fraud.  Now more than ever it’s important to establish procedures in your practice that will mitigate your risk of loss. 

ELLS CPAs has been engaged on numerous occasions to investigate the circumstances and damages resulting from employee fraud or embezzlement.  These cases have cost the medical practices anywhere from several thousand to over a million dollars.   Many of these frauds were perpetrated by the physician’s most trusted employee.

Don’t wait until you are a victim to take action.  We have developed a two page “Risk Assessment Checklist” that will enable us to determine many of the weaknesses you have in your practice. Once these risks are assessed we can recommend and help you incorporate procedures and/or safeguards into your practice to lessen your risk of fraud and embezzlement.  

Please contact ELLS CPAs  for the checklist, call 714.569.1000.

By Gregory N. Lewis

Medical Office Embezzelement

Recently one of ELLS CPAs’ Tax Managers was called for jury duty. This is a pretty normal occurance but the irony was in the nature of the case, medical office embezzlement. Check out this blog about how internal controls can help safe your money and in this case legal fees. Click here.

ELLS CPAs & Business Advisors can help you safegaurd your practice by placing financial controls in your practice. For more information call ELLS at 714.569.1000.

Employee or Independent Contractor?

The IRS estimates that millions of workers are misclassified as independent contractors, costing the federal government huge sums of tax revenue due to underreported income and related unpaid employment taxes.

If the IRS reclassifies a worker as an employee, the employer:

  1. Becomes liable for:
    1. Employment taxes that should have been withheld from workers pay, such as FICA, federal and state income taxes.
    2. The employer’s share of FICA taxes,
    3. State and federal employment taxes,
    4. Penalties and interest for failure to (a) pay these taxes, and (b) file payroll tax returns and
    5. May have a retirement plan retroactively disqualified, which could cause all vested accrued benefits to become taxable for employees in the plan.

 

In the past the Internal Revenue Service used a “Twenty Factor Test” to determine whether or not an individual could be categorized as an independent contractor. The factors have since been consolidated into eleven main tests and organized into three primary groups: behavioral control, financial control and the relationship between the parties.

Behavioral Control

This is based on the facts and circumstances that show whether the business has a right to direct and control the performance of the individual in question.  The behavioral control test is separated into two items:

  1. Instructions the business gives the worker.
  2. Training the business gives the worker.

Financial Control

Showing that a business has a right to control the business aspects of the individual’s job include:

  1. The extent to which the worker has unreimbursed business expenses. 
  2. The extent of the worker’s investment.
  3. The extent to which the worker makes services available to the relevant market.
  4. How the business pays the worker.
  5. The extent to which the worker can realize a profit or loss.

Type of Relationship

Factors showing the type of relationship between the parties include:

  1. Written contracts describing the relationship the parties intended to create.
  2. Whether the business provides the worker with employee-type benefits such as insurance, a pension plan, vacation pay, or sick pay.
  3. The permanency of the relationship.
  4. The extent to which services performed by the worker are a key aspect of the regular business of the company.

If you have questions about employees vs. independent contractors please call Greg Lewis at 714.569.1000.

EMR for iPad

By Greg Lewis, ELLS CPAs & Business Advisors

www.ellscpas.com

There are many options in the market when it comes to Electronic Medical Records (EMR). Which one is right for you? I found this interesting article about a web-based EMR app for iPad, check it out,  http://on.mash.to/dHmugp.