Nurse and Employee or Independent Contractor?
How to Know if Nurse and Employee or Independent Contractor?
The only setting where you can function as a Nurse and Employee or Independent Contractor is in-home healthcare. It must not be a healthcare facility and you must be paid privately by the patient…not Medicare or Medicaid. Don’t be misled by agencies offering hospital contracts to, “self-employed nurses”. Many have fine print in their contracts that essentially state, “If your position is ruled as ‘employee’ by the IRS, you are responsible for all back taxes, penalties and interest.” Consult Accountants in Miami. Take it From an Expert Accountants in Miami has consulted and/or testified as an expert witness in several cases regarding the employment status of independent nurse contractors as managing partner of a Miami CPA Firm. “In the U.S., there are two work status designations for tax purposes, one is an independent contractor and the other is an employee. The IRS makes the designation. Nurses working for temporary help services (nursing agencies) providing clinical nursing services to healthcare facilities are designated as employees by the IRS and by state governments taxing (revenue) departments. If you are working for an agency that has designated you as an independent contractor and the agency (or you) are audited, you and the agency will owe back employee taxes and penalties to both the state and federal governments. The agencies hire independent contractors for one reason, to make more money by not paying applicable taxes.” Physician Independent Contractors Included Don’t feel slighted. Physicians are also affected. ER doctors and Hospitalists, many who called themselves independent contractors, are also finding themselves in legal and financial hot water. They use the facility equipment, work scheduled hours, and adhere to the facility P&Ps. Patients often view them as employees of the hospital. Facilities are finding they are liable for these physician’s actions. They are, therefore, turning from contracting self-employed doctors to developing employee-employer relationships.Healthcare Accounting
Organizations with a mission dedicated to delivering premier home health, hospice and community-based services are all too familiar with the economic and regulatory pressures of the current healthcare environment. Now more than ever, business owners, management, and staff have been forced to address many issues and challenges, including:- Increased accountability and outcomes on operations.
- Development of “Best Practices” governance and behavioral guidelines and standards.
- Monitoring compliance with regulatory policies and procedures.
- Implementation of operational and financial controls in new services and initiatives.
Nurse and Employee or Independent Contractor?
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