- A voice for independent doctors
- Are you prepared?
- How to fill your staffing needs
- The latest on AI and optometry
- More courses, more uses, more impact: Why more AOA member doctors, staff are turning to AOA EyeLearn
- Master paraoptometric certification exam prep with AOA’s study resources
- 5 things every office needs to practice full-scope optometry
- Why thriving practices are prioritizing retirement plans
- What happened to the FTC’s noncompete ban?
- Keeping your practice (and finances) safe
- Is your exam chair ADA compliant?
- 2.9% Medicare cut, broadly panned, looms over 2025 as advocates press Congress
- How to navigate political conversations in your practice
- Making the grade
- Does your malpractice insurance provider measure up?
- The power of delegation
- New technologies shaping optometry’s future
- How AOAExcel makes your life easier
- Next-gen optometry’s focus on independent practice
- Inferiority complexity?
- Is your staff connected? How peer connections benefit practices
- Protecting patient privacy when a clinical observer visits
- Does your practice do in-house billing? Here’s something to know
- Where to start? The tools and resources to leave a positive impact on your patients and community
- AOA boosts support for optometrists rocked by Change Healthcare cyberattack
- Be aware of new classification of employee vs. independent contractor from labor department
- Why optometrists love the AOA Business Card
- Paraoptometric Month
- Patient intake coding for medical diagnoses
- Set your practice up for success
- New federal Corporate Transparency Act
- How to compete with online sellers
- CMS finalizes 2024 physician fee schedule: AOA’s 8 takeaways for optometry
- How do you measure success in your practice?
- 4 tips to elevate the profession and educate the public
- Now we’re talking: Communicating with the public
- Level up your optometric surgical team: AOA launches surgical assistant coursework
- 4 essential personal financial tools for optometrists
- Coding for orthoptic training
- New remote testing option for paraoptometric certification saves time, distance
- Testing 1, 2, 3 … paraoptometric exam handbook, resources for certification testing
- 6 things every hiring practice owner should include in a career center listing
- Now we’re talking: Patient communication
- AOA, leading schools organize to safeguard and expand optometry’s independence
- Co-managed care rife with success stories for patients, doctors
- 3 ways to grow careers and practices at Optometry’s Meeting® 2023
- Why disability insurance is crucial
- Now we’re talking: Interprofessional communication
- Build your practice and protect the planet
- You’ve been served—now what? Where ethical intersects legal
- DEA’s new opioid training mandate: What you need to know
- How to handle bad reviews and ratings
- How the updated position statement can help guide telemedicine in optometry
- 3 questions to ask your malpractice insurance agent
- Optometry’s ‘medical’ eye care opportunity a boon for patients, coordinated care
- AOA Antitrust Compliance Policy
- How the AOA Business Card can benefit your practice
- Combatting inflation
- How to earn an MBA while practicing
- AOA’s new Center for Independent Practice to amplify members-only resources for practice success
- Window Tinting
- The most important thing to know about retirement savings planning
- bolster your cybersecurity
- Identity Theft
- How the HIPAA Privacy Rule applies in a public health emergency
- Partners in care
- 4 tips for handling payer clawbacks: What the experts say
- When patients defect: A case study in emotional intelligence
- A career choice
- Be proactive: Identifying improper sales programs, financial incentives
- Scope of practice and malpractice insurance
- website ADA compliance
- Which retirement plan is right for you
- AOA practice success initiative can help with payer issues
- The most important questions to ask about disability insurance
- audio-only telehealth
- A case study in professionalism
- How to eliminate bias in the exam
- Keeping the practice’s mental health top of mind
- Managing expectations Telemedicines next step
- Optometrys Meeting Surgical Saturday
- 5 ways AOA membership can bring your practice success
- 6 ways to make a job posting pop
- The impact of paraoptometric certification
- AOA EyeLearn revamp improves accessibility of CE resource
- Good faith estimate requirement takes effect
- Optimize your student loan repayment strategy
- How to speak the universal language of care
- How to Obtain Hospital Privileges
- 4 common misconceptions about life insurance
- The privileges of providing care
- How team learning improves doctor-staff coordination
- Pandemic savings strategies
- doctor-patient-communication
- AOA 2021 Virtual Learning Livecast opens for registration
- Virtual interview tips for employers and applicants
- Paraoptometric Exam Materials & Certification
- Keeping the medicine in telemedicine
- Know your options
- Business transition tips for buying or selling
- The wrong patient communication plan could be costly
- New must have resource by AOA for MIPS providers
- AOA faults Ophthalmology journal MIPS study
- Doctors find lessons and success in applying for lifeline PPP loans
- AOA MORE takes yearlong pause
- New rules ahead for patient access to electronic health records
- 7 things to know to protect your future
- PPP Loan Tax Implications
- AOA offers CE-eligible webinar-paraoptometric certification
- 8 lessons the COVID-19 pandemic has taught us
- talking politics keep peace in the practice
- Selling your practice to a private equity firm
- paraoptometric certification
- Life Insurance Awareness Month
- Members support AOA during COVID-19
- VLL courses debut on AOA professional development hub
- Why back to school eye exams are crucial this year
- Protection check-in
- AOA 2020 Virtual Learning Livecast a success
- How to turn your patients into brand ambassadors
- Paraoptometrics have key role in scope expansion
- Communication key unlocking patients virus fear
- lessons from phase one reopening practices
- Report quality measures and MIPS data
- AOA offers guidance for post-COVID-19 reactivation
- How to reduce your carbon footprint
- federal loans ease pain of COVID-19 pandemic
- life insurance questions answered
- ethically providing telehealth services in your practice
- AOA surveys can benefit optometry
- Healthcare cybersecurity
- Doctor google web health-related inquiries can cloud care
- AOAExcel GPO Contact Lenses optical products
- How to get the most out of your AOA member benefits
- How AOA MORE can help you
- Co management 4 steps to success
- What doctors need to know about retirement savings
- Crafting a clickable job posting
- health information cyber attack
- Service animals vs emotional support animals in the practice
- InfantSEE tips for children eye exams
- Medicare Beneficiary Identifiers and doctors of optometry
- Physician burnout EHR
- Flushing Hazardous Waste EPA
- Ethically incorporating telehealth-telemedicine services into your practice
- Transition Right
- Frequently asked questions about liability insurance
- How good doctors compete with bad companies
- National Life Insurance Day
- Team effort
- National Retirement Week
- How to become a bilingual practice
- Be a social whiz
- How to balance work and home life
- Physician burnout improving, still high comparatively
- What do patients think about the Open Payments program
- Paraoptometric certification can boost a career
- Doctor of optometry diabetes crusade
- How AOA membership helps protect your practice and the profession
- How to optimize diabetic care
- How to improve patient care and practice economics
- Pediatric Exams Kids Fears
- How to retire with confidence
- CMS ONC send message on faxs demise doctors put them on hold
- Data breaches cost insurers big but providers more frequently
- How to start a sports-vision practice
- 4 practice tips when disaster strikes
- Bad hires happen
- AOA MORE reports first patient data_helps MIPS providers attest
- Keeping up with Doctor Jones
- STEM academia no different Women face harassment
- The dos and donts of customer service
- Medicare repeals payment cap for therapy services
- Earned interest
- Optometrys bread and butter
- Disability Insurance
- Sustainable solutions-Focusing on a green future
- Ethics Disabilities
- Flu Epidemic
- CMS-Texting PHI among health care providers OK with caveats
- TaxTips
- AOA tools you need to succeed
- Keeping peace in the practice during the holidays
- Handle with care How to dismiss a patient
- Cybersecurity Awareness Month
- Dont let your nest egg lay an egg
- How to add a subspecialty to your practice
- Disaster Lessons
- 4 things to consider before volunteering
- Go green and save green
- server and protect
- AOA encourages members to protect themselves against cyberattacks
- Credit breach continues grip on doctors
- AOA cautions against email phishing scams
- AOA to CMS Significant changes needed to MIPS proposed structure
- Caution email phishing scam
- EBO Guidelines in Practice
- Aging Eyes
- Sunshine Act-Industry Reports
- the-best-defense-against-office-harassment
- Review practice policies on harassment
- Cybersecurity and Cyber Monday
- Medicare Part D drug costs
- tips to get more pediatric patients through your door
- Windows OS on Life Support
- 9 business solutions for doctors
- Tools of engagement enrolling staff as AOA associate members
- retinol ruses and root veggies-fantastic tale of carrots
- Practice changes can increase office efficiency
- On Employee Appreciation Day show your staff you care
- Data breach implications for tax season
- How to make the most of the media megaphone
- 6 types of photos to share on social media
- Holiday how to gifts goals and goodwill
- Credit freeze hinders PQRS feedback
- Considerations for a comanaged care strategy
- Whats your plan 4 tips for emergencies
- AOA US Postal Service raise awareness on eye health
- 3 solutions for noshow patients
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- In case of emergency
- 3 actions to help staff grow
- AOA tool helps solve social networking dilemmas
- AOA asks NBEO for assurances on data
- How to prevent theft
- How to fund a retirement program for your practice
- Not meeting attesting to MU Hardship exceptions available
- Malpractice insurance Ensure coverage even after retirement
- Does the white clinical coat matter to patients
- HIPAA Then and now
- Doctors of optometry can play a role in erasing health disparities
- Credit breach continues grip on doctors, students
- AOA member feedback impacts Medicare valuations for services
- How a strong doctor office manager relationship can grow your practice
- Share questions and comments in Ethics Forum
- Think About Your Eyes campaign continues to raise public awareness
- Be prepared for more patients requesting to access their health records
- Medicare Supplier Program Requires Fingerprint based Background Checks
- 4 ways to protect your patients and practice from cyberattacks
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- The benefits of a bilingual practice
- Harmed by contact lenses Report now
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- 9 member benefits through AOAExcel
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- Doctors Are you covered
- Tax law change could impact doctors
- Why doctors of optometry should seek hospital privileges
- CMS issues EHR Incentive Programs final rule
- Cybersecurity Is your patient information practice protected
- Create a space for kids in your office
- Prepare for a shift in credit card fraud liability
- Significant policy change in post-op co-management
- How to go the distance
- Accommodate aging eyes in your practice
- CMS tests Medicare Advantage plan benefit designs
- Get your practice noticed online
- Protect your practice from copyright infringement
- New reports AOA members tally higher incomes
- Position your practice for aging eyes
- Survey Vision insurance sales increase
- 4 paths to practice protection
- Improving patient care with certified paraoptometric staff members
- How to successfully navigate Medicare Advantage plans
- AOA releases directory of accountable care organizations
Who gets OT pay? Labor laws make 1.3 million eligible
October 8, 2019
Changes to federal labor laws mean more employees are eligible for overtime pay. What does this mean for your practice?
Once considered 'exempt,' over a million additional American workers will become overtime-pay eligible come 2020, prompting small businesses nationwide to review their compliance with federal labor laws.
Effectively closing out a four-year saga to update overtime provisions of the Fair Labor Standards Act (FLSA), the Department of Labor (DOL) issued a final ruling on Sept. 24 that updates earnings thresholds necessary to exempt executive, administrative and professional (EAP) employees from minimum wage and overtime pay requirements. The rule takes effect Jan. 1, 2020, and, more specifically, will:
- Raise the 'standard salary level' from $455 to $684 per week (equivalent to $35,568 per year for a full-year worker).
- Raise the total annual compensation requirement for 'highly compensated employees' from $100,00 to $107,432 per year.
- Allow employers to use nondiscretionary bonuses and incentive payments paid at least annually to satisfy up to 10% of the standard salary level, in addition to other revisions.
This update represents the first adjustment to the overtime rule since 2004, the DOL notes, and will affect an estimated 1.3 million workers. Even then, it still falls short of the 2016 proposal to nearly double the salary threshold to $913 per week ($47,476 per year) that many business groups balked at via a successful 2016 court challenge.
As such, many businesses and employers must assess how the new overtime provision may affect their staff in the new year. This self-audit affords employers an opportunity to ensure not only complete compliance with FLSA provisions but also that they're protected from claims associated with the employment process.
Determining exemption status
Essentially, FLSA dictates when workers are considered "on the clock" and how that time is compensable for two categories of employees: those exempt or non-exempt from overtime regulations. While most FLSA-covered employees are non-exempt (and must receive at least "time and a half" for hours worked in excess of 40 in a given workweek), EAP employees or "white-collar workers" are exempt. Doctors are subject to neither a salary basis nor salary-level test.
The DOL's Wage and Hour Division outlines three tests (all three tests must be met) to satisfy an exemption claim:
- Payment on a salary basis. The employee must be paid a predetermined and fixed salary that is not subject to reduction because of variations in the quality or quantity of work performed.
- Payment of a minimum salary level. The amount of salary paid must meet the specified minimum amount of no less than $684 per week.
- A duties test. The employee's job duties must primarily involve those associated with exempt executive, administrative, professional, outside sales or computer employees.
So how do optometric practices know if their employees are correctly classified? As of Jan. 1, 2020, if an employee makes less than $35,568 per year, they could be entitled to overtime pay even if they're paid on a salary basis. However, the question gets more complex if staff perform EAP job duties.
Employers should closely review DOL's WHD guidance to determine how staff should be classified. For additional tools and resources to ensure optometric practices are operating in compliance with the variety of federal labor laws, employers should access DOL's WHD website.
AOA General Counsel Mike Stokes, J.D., advises optometric practices of the age-old adage: an ounce of prevention is worth a pound of cure.
"I would encourage employers not to assume everything is ok, but to take a serious look at their employee classifications and pay practices on a periodic basis," Stokes says.
Protect against employee claims
Failure to comply with FLSA opens employers up to legal action, and in fact, FLSA lawsuits were up 417% in 2017 over the previous decade. By its very nature, health care makes for a particularly challenging industry when it comes to FLSA compliance with more than 22,100 prosecutions since 1984—the second-most affected industry behind food services and accommodation. Chief among those FLSA compliance mistakes in health care is the misclassification of employee exemption status.
To mitigate the fallout from such employment-related incidents and claims, employers can protect their practices with employment practices liability (EPL) insurance available through AOAExcel®'s professional liability insurance partner, Lockton Affinity. With EPL insurance, employers are covered for the cost of fighting employee allegations in court, regardless of the outcome, as well as judgments or settlements that result. Common claims include:
- Wage and hour law.
- Wrongful termination.
- Sexual harassment.
- Invasion of privacy Discrimination.
- Breach of contract.
Oliver Sowards, assistant vice president, program executive, at Lockton Affinity, says EPL simply protects employers and their practices from the costs stemming from claims associated with the employment process, as well as claims arising from a third party.
"Any optometric practice that has employees is at risk for an employment practices claim," Sowards says. "While it is not legally required for companies to carry EPL insurance, it is always a good idea to protect your practices, as defending an EPL claim can be detrimental to the financial future of optometric practices of all sizes."
Should employers have questions regarding EPL insurance, contact AOAExcel endorsed business partner Lockton Affinity at 888.343.1998 for a licensed agent. Find more information about EPL insurance.