South Carolina Labor Law Update

Under the Payment of Wages Act, the employer must notify new hires in writing of:

  • Wages agreed upon
  • Normal hours the employee will work
  • Time and place wages will be paid
  • Deductions an employer will make from wages, including insurance

Violation of the Payment of Wages Act are subject to a civil penalty of $100 per violation.

Effective January 1, 2012 all South Carolina employers are required to enroll in the U.S. Department of Homeland Security’s E-Verify program. Employers must verify the status of new employees using E-Verify within three business days. Failure to enroll in and use E-Verify new hires will result in probation for the employer or suspension/revocation of the employer;s business licenses.

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Written Proof needed for Charitable Contribution Deductions

The IRS continues to review charitable contributions claimed by high income taxpayers! Stick to the strict letter of the law and comply with all of the record keeping requirements when making charitable contributions. Be aware that recent tax law changes impose tough rules in substantiating cash and cash-equivalent donations.

Effective in years beginning after August 17, 2006, no deduction is allowed for any contribution of cash, check or other monetary gifts unless you can show a bank record or written communication from the charity. This written communication must include the following:

  • The amount of the contribution
  • The date you made the contribution
  • The name of the charitable contribution

Contributions made with credit or debit cards may use the bank statement to substantiate the contribution. The acknowledgement must be obtained by the earlier of the date you file your tax return or the due date of the return including any extensions.

For contributions that are made at least partially in exchange for goods or services exceeding $75, the charity must provide a “good faith estimate” of the goods and services and the amount of payment exceeding the value of the benefit.

If you are want more information or have additional questions please contact our office.

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Find Out if You Are Prepared For Version 5010

Summer is coming to an end, and the Version 5010 transition deadline is now only four months away! As the January 1, 2012 deadline approaches, your transition should be
well underway. There are certain steps to be taking now during the fall to
make sure you are on track for a smooth transition.

If you are a provider, you should:

  • Continue external testing and making any revisions to systems based on
    previous internal testing
  • Test those transactions that are used on a daily basis, such as claims and
    eligibility determinations

If you are a vendor, you should:

  • Continue to conduct external trading partner testing of Version 5010 with customers
    to achieve Level II compliance
  • Conduct solution rollout and provide customer support for the Version 5010
    transition through the January 1, 2012 compliance date

Please visit the CMSwebsite for more information about Version 5010.

Keep Up to Date onVersion 5010 and ICD-10.

Please visit the CMS ICD-10 website for the latest
news and resources to help you prepare!

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Knowing the Difference between an Independent Contractor and Employee

The determination of the worker’s status depends on the facts in each case. These facts define the business relationship of the parties at the time the services are rendered.

Generally, a common law EMPLOYEE works for and performs services under the control of the party which pays for the services.  On the other hand, an INDEPENDENT CONTRACTOR is an individual in business for himself or herself, and performs the services free of control from the party which pays for the services.

Employment taxes apply solely to the remuneration paid to workers classified as EMPLOYEES.  The employer’s obligation is to deduct federal income tax withholding (FITW), to deduct as well as “match” social security (for 2011 the employee rate is 4.2%, the employer rate is 6.2%) and Medicare taxes (FICA), and to pay federal unemployment tax (FUTA).  Also, there may be state income tax to be withheld and the employer and/or employee may have to pay state unemployment compensation contributions and state disability insurance.  A business normally is not required to withhold taxes from payments made to independent contractors.

In addition, certain federal and state laws governing benefit plan participation, wage payment, working conditions and workers’ compensation, apply ONLY to employees and not to independent contractors.  For example, only employees may participate in a Section 401(k) pension plan, and only employees are protected by minimum wage and overtime pay laws.

I.R.S. Guidance
When determining under common law whether an individual is an employee or an independent contractor, the IRS stresses that ALL evidence of the degree of control and degree of independence must be considered. The IRS no longer uses a list of 20 factors (the “20-Factors Test”) to evaluate a specific worker’s situation.  IRS’ official guidance can be found in Publication 15-A, Employer’s Supplemental Tax Guide (Supplement to Publication 15 (Circular E), Employer’s Tax Guide).  This information outlines the facts that provide the evidence of the degree of control and independence which fall into three major categories:  behavioral control, financial control, and the type of relationship between the parties:

  • BEHAVIORAL CONTROL Facts that show whether the business has the right to direct and control how the worker does the task for which the worker is hired, include the type and degree of:
    • Instructions the business gives the worker An employee is generally subject to the business’ instructions about when, where and how to work.  Even if no instructions are given, sufficient behavioral control may exist if the employer has the RIGHT to control how the work results are achieved.
    • Training the business gives to the worker
      An employee may be trained to perform services in a particular manner.  Independent contractors, however, ordinarily use their own methods.
  • FINANCIAL CONTROL Facts that show whether the business has a right to control the business aspects of the worker’s job include:
    • The extent to which the worker has unreimbursed business expenses
      Independent contractors are more likely to have unreimbursed expenses than employees.
    • The extent of the worker’s investment
      An independent contractor often has a significant investment in the facilities or tools used to perform services for someone else, but this is not mandatory.
    • The extent to which the worker makes services available to the relevant market
      Employees tend to work for a single business.
    • How the business pays the worker
      An employee generally is paid by the hour, week or month.  An independent contractor usually is paid by the job.  However, it is common in some professions, such as law, to pay independent contractors at an hourly rate.
    • The extent to which the worker can realize a profit or incur a loss
      An independent contractor can make a profit or loss.
  • TYPE OF RELATIONSHIP Facts that show the type of relationship between the parties, include:
    • Written contracts describing the type of relationship the parties intended to create
    • Whether or not the business provides the worker with employee-type benefits, such as insurance, a pension plan, vacation pay, or sick pay
    • The permanency of the relationship
      If one engages a worker with the expectation that the relationship will continue indefinitely, rather than for a specific project or period, this is generally considered evidence the intent was to create an employer-employee relationship.
    • The extent to which services performed by the worker are a key aspect of the regular business of the company
      If a worker provides services that are a key aspect of the company’s business activity, it is more likely that the company will have the right to direct and control his or her activities.  This would indicate an employer-employee relationship.

Upon request, the IRS will determine whether a worker is an employee.  File Form SS-8 (Determination of Worker Status for Purposes of Federal Employment Taxes and Income Tax Withholding).  Note that some state unemployment compensation programs define “independent contractor” more narrowly than the IRS.

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2012 e-prescribing penalty exemptions posted by CMS

Centers for Medicare & Medicaid Services (CMS) released a final rule detailing
additional exemptions from the 2012 e-prescribing penalty for providers unable
to comply with the current requirements. CMS finalized all exemption categories
that were included in a proposed rule released in June of this year. Eligible
professionals must submit hardship exemption requests by Nov. 1.The finalized
2012 e-prescribing penalty exemption categories include:

  • The practice is located in a rural area without high speed internet access.
  • The practice is located in an area without sufficient available pharmacies for electronic prescribing.
  • Registration to participate in the Medicare or Medicaid EHR Incentive Program and adoption of Certified EHR Technology.
  • Inability to electronically prescribe due to local, State or Federal law or regulation.
  • Limited prescribing activity.
  • Insufficient opportunities to report the e-prescribing measure due to limitations of the measure’s denominator.
    The source of information comes from the MGMA “weekly e-news Washington Connet” and CMS
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Readiness Assessment – Have you done the following to be ready for 5010/D.0?

Message from the Centers of Medicare and Medicaid (CMS)

Are you ready for 5010/D.0? Testing with external trading partners will begin in January of 2011. Testing with version 5010A1 Errata will begin in April 2011. Please don’t wait until April to begin testing because compliance with the Errata must be achieved by the original regulation compliance date of January 1, 2012.

Have you completed the following to be ready for 5010/D.0?

1. Current transaction versions must be upgraded to Version 5010 and D.0. Medicare has performed a side by side comparison of the current 4010A1 and 5010 base formats found at: www.cms.gov/ElectronicBillingEDITrans/18_5010D0.asp. The side by sides do not include errata changes and do not replace the TR3s. To purchase TR3s and access Technical QuestionsX12 please go to www.x12.org or for NCPDP D.0 go to www.ncpdp.org.

2. Software must be modified to produce and exchange the new formats (e.g. trading partners must be able to read incoming 277CA transactions sent from Medicare).

3. Review business processes to ensure changes are not necessary to capture additional data elements not previously required (e.g. Impact of patient registration, billing, and claim reconciliation).

4. Contact your vendor and/or clearinghouse to ensure products and processes are updated (e.g. license includes regulation updates, and will the upgrade include acknowledgement transactions 277A & 999).

5. Trading Partners should contact their local Medicare-Fee-For-Service contractor (MAC) for specific testing schedules. See http://www.cms.gov/ElectronicBillingEDITrans/ under downloads, to find a MFFS contractor in your state, or find your operational MAC on this list. For details on testing requirements see the 5010 National Call presentation on Provider Outreach and Education – Transition Year Activities found at http://www.cms.gov/Versions5010andD0/downloads/OE_National_Presentation_12-8-10.pdf.

Do not wait to begin testing with your MAC because the MACs will not be able to accommodate large volumes of trading partners seeking production status all at once. Be sure to start testing Version 5010 and D.0 as early as possible in 2011. Be prepared.

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Standard Milage Rate Increases July 1, 2011

The IRS has informed taxpayers of revising the optional standard mileage rated for computing the deductible cost of operating an automoblie for business, medical or moving expenses purposes and for determining the reimbursed amount of these expeneses that is deemed substantiated.  The increases take affect July 1, 2011.

The revised standard mileage rates are:

Business –  55.5 cents per mile

Medical & moving - 23.5 cents per mile

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Electronic Prescribing (eRx) Incentive Program 2011 Updates

CMS News Flash from MLN Matters July 7, 2011

For 2011, eligible professionals who successfully report the electronic prescribing measure will become eligible to receive an eRx incentive equal to 1.0 percent of their total Medicare Part B Physician Fee Schedule (PFS) allowed charges for services performed during the reporting period. Be aware that beginning in 2012, eligible professionals may be subject to a 1.0 percent PFS payment adjustment if they do not meet the reporting requirements for the 2012 eRx Payment Adjustment by June 30, 2011.

The Medicare eRx Incentive Program began January 1, 2009, and is authorized under the MIPPA. The program provides a combination of incentives and payment adjustments for eligible professionals who are successful electronic prescribers. A web page dedicated to providing all the latest news on the eRx Incentive Program is available at http://www.cms.gov/ERxIncentiveon the CMS website.

Reporting Requirements

To be considered asucc essful electronic prescriber and be eligible to receive an incentive payment, eligible professionals must generate and report one or more electronic prescriptions associated with an eligible patient visit – a minimum of 25 unique visits per year (see denominator codes below) for an individual eligible professional or 75-2,500 (varies) for the Group Practice Reporting Option (GPRO) I and II. Each visit must be accompanied by the eRx G-code (numerator code) attesting that during the patient visit at least one prescription was electronically prescribed.

Electronically generated refills without an associated face-to-face visit do not count and faxes originating at the eligible professional’s office do not qualify as eRx. New prescriptions not associated with the denominator codes in the measure specification are not accepted as an eligible patient visit and do not count toward the minimum 25 unique eRx events. The eligible professional’s Medicare Part B PFS allowed charges for services in the eRx measure’s denominator should be comprised of 10 percent or more of the eligible
professional’s total 2011 estimated allowed charges.

If you have not yet participated in the eRx program, you can begin by reporting Rx data for January 1, 2011, through December 31, 2011, using any of the following three ptions:

Claims-based reporting involves the addition of a Quality-Data Code (QDC) to claims submitted for services (occurring during the reporting period) when billing Medicare Part B. For 2011, report G-code G8553 (At least one prescription created during the encounter as generated and transmitted electronically using a qualified eRx system);

Registry-based reporting using a CMS Physician Quality Reporting System qualified registry. Eligible professionals have the option of using a qualified registry to assist in collecting eRx measure data and submitting 2011 data to CMS during the first quarter of 2012. The registry will submit quality data directly to Medicare, eliminating the need for adding the QDC to the Medicare Part B claim; and

EHR-based reporting using a CMS Physician Quality Reporting System qualified EHR product submitting 2011 data to CMS during the first quarter of 2012.

Eligible professionals do not need to sign up or pre-register to participate in the 2011 eRx Incentive Program. Reporting one QDC (G8553) for the eRx measure to MS through claims-based reporting, or submission via a qualified registry or a qualified HR will indicate intent to participate.

Avoiding the 2012 eRx Payment Adjustment

An eligible professional can avoid the 2012 eRx Payment Adjustment if he or she:

Is a successful electronic prescriber (submit required number of electronic prescriptions via claims before June 30, 2011); Is not a physician (MD, DO, or podiatrist), Nurse Practitioner, or Physician Assistant as of June 30, 2011, based on primary taxonomy code in the National Plan and Provider Enumeration System (NPPES); Does not have prescribing privileges and reports G-code G8644 (defined as not having prescribing privileges) at least one time on an eligible claim prior to June 30, 2011; Does not have at least 100 cases containing an encounter code in the measure’s denominator; Becomes a successful electronic prescriber (submits required number of electronic prescriptions (10 for individual) via claims and reports this to CMS before June 30, 2011)

 

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Announcement of Medicare Rural Health Clinics (RHCs) 2011 Payment Rate Increases

The Rural Health Clinic (RHC) upper payment limit per visit is increased from $77.76 to $78.07 effective January 3, 2011, through December 31, 2011 (i.e., CY 2011). The 2011 rate reflects a 0.4 percent increase over the 2010 payment limit in accordance with the rate of increase in the Medicare Economic Index (MEI).

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Alternative Minimum Tax – Not Just for High Earners Anymore

National Association of Tax Professionals (NATP) Appleton, WI – In 1990, 132,000 individual taxpayers paid alternative minimum tax (AMT), a tax created to ensure that high-income taxpayers paid their fair share of taxes. Because Congress has not indexed the AMT for inflation, increasing numbers of middle-income taxpayers will end up footing the bill in the future. Unless things change, the nonpartisan Congressional Budget Office estimates that by the year 2016, AMT will affect 33 million taxpayers to the tune of $81 billion

Think you’re exempt from AMT? Think again. Consider George Greatheart (fictitious name to protect identity), whose elderly parents are in declining health and incurring some astronomical medical bills. George’s father requires the use of a wheelchair and needed an accommodating home. George, in caring for his parents, took over their support and purchased a small wheelchair-friendly house in which his parents could more comfortably reside. He planned to deduct the real estate taxes paid on his own residence and two years of back taxes on the house purchased for his parents, anticipating a significant refund. Instead, George found out that the over $17,000 in medical expenses and $11,000 in real estate expenses are AMT ‘preference items’ and they put him over the 7.5 percent adjusted gross income threshold. Instead of a much-needed refund, George got stuck paying the AMT. After the sick feeling he got when he saw his tax return, he enlisted the help of a tax professional so he knows how to better leverage his expenditures and avoid similar situations in the future.

Stan Smoothtalker (another fictitious name), a regional sales manager earned a nice fat W-2 of about $350,000. However, he also had to pay his own business expenses which were substantial because travel comprised about 80 percent of Stan’s work time, plus he worked out of a home office. Stan learned that instead of a sizeable tax refund check, he instead owed another $10,000 in taxes. Stan, like an increasing number of middle-income taxpayers, was caught by another AMT preference item – employee business expenses. Stan’s tax preparer, Linda Burney-Fuhr, an NATP member and enrolled agent from Lewisville, Texas, worked with Stan to fix this problem so it wouldn’t happen in subsequent years. Here’s how they did it: Linda and Stan developed a plan that Stan took to his employer. It restructured how Stan was paid by having him take a drastic salary cut in exchange for his employer reimbursing his expenses under an accountable plan. This puts Stan in a positive cash flow situation. By planning now, Stan greatly reduces his chances of getting caught by AMT again in the future.

“AMT is like a ‘stealth tax’,” contributes NATP enrolled agent Kevin Huston of Arden, North Carolina. “It comes out of nowhere when you least expect it, and catches you by surprise. All the rules for regular tax planning are turned upside down when you are planning to avoid or minimize AMT. It looks very much like a flat tax, where you don’t get to use your deductions – with AMT, planning is critical, as tax professionals cannot usually fix it after the end of the year,” Huston adds. However, Dawn J. Renner, CPA, MBA of Minnetonka, Minnesota, mentions that that in some cases there is a glimmer of hope, “In years after paying AMT, tax preparers can see if filing Form 8801, Credit for Prior-Year Minimum Tax, will allow you to recoup some of the AMT paid.” Renner also reminds that many states also have an AMT and the state AMT may be computed differently than federal taxes.

Depending on your circumstances, you may be a target for AMT. Here are the top ten AMT preference items that could potentially hurt you in the future:

Personal exemptions.
Standard deduction.
State and local income, sales, and property taxes.
Mortgage interest on refinanced or second mortgages and home equity loans not used to buy, build, or improve a home.
Medical expenses.
Miscellaneous itemized deductions subject to the two percent floor.
Exercise of incentive stock options.
Long-term capital gains.
Tax-exempt interest from private activity bonds.
Business tax deductions.

If you are part of the potential group of middle-income taxpayers that may be ensnared in the coming years by AMT, talk with your tax preparer when you have your taxes prepared this year, to avoid being caught in coming years. Small changes can reap big rewards.

The IRS will allow employers with SIMPLE IRA plans until December 31, 2006 to update their plans to reflect the provisions of the Economic Growth and Tax Relief Reconciliation Act of 2001 (EGTRRA).

Remember the tough, new auto-donation rules are in effect for 2005. In the case of donated motor vehicles (as well as boats and airplanes) with a claimed value of more the $500, the amount of a taxpayer’s charitable deduction for the donation depends on how the vehicle is used by the charity.

If the charity sells the vehicle without any “significant intervening use” or “material improvement” the donor’s charitable deduction generally can’t exceed the gross proceeds from the charity’s sale. If the significant-intervening-use or material-improvement tests are met, the taxpayer can generally claim a deduction for the full fair market value (FMV) of the donated vehicle. The FMV deduction can also be claimed if the charity sells the vehicle at a price significantly below FMV (or gives it away) to a needy individual.

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