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New York’s Attorney General, Eric Schneiderman, unveiled a sweeping Fraud Control Unit designed to target healthcare providers who abuse the Medicaid system. According to the AG’s website, they are continuing to add dozens of prosecutors and investigators to keep up with reports and investigations. Nursing homes throughout the country are largely paid by Medicaid funds. To stay profitable, nursing homes must remain at near full occupancy. This often means cutting corners, refusing to transfer residents who need critical care or higher levels of care, and even billing for services that are not (or cannot be) provided. Below are just three simple examples of Medicaid fraud in nursing homes.

Billing for Services Not Rendered

When a resident goes to a skilled nursing facility, the resident and his or her family typically sign a contract and apply for Medicaid. At times, the application takes some time to be approved, but once it is, the money begins flowing to the nursing home, paying for whatever services are billed. There are fairly strict rules on what the facility can bill for and how much they are paid.

Although most couples make similar wills that leave their estate to their children and other loved ones, some may have reasons why they prefer to distribute their assets differently. For instance, people who marry later in life might have children from previous marriages. In those circumstances, they may ask their estate planning attorneys to create contracts that ensure the bulk of their estate goes to their own children, as opposed to letting the surviving spouse leaving everything to his or her children instead.

These cases can get messy. Once a person dies and leaves his or her estate to a spouse, that surviving spouse is free to dispose of everything freely without concern for the deceased spouse’s wishes.

Markey v. Estate of Markey

Today, everything is online. People build complex virtual realities through social media, professional and personal websites, and even dating sites. We date online, buy groceries online, sell everything from books to brake pads online, and we even register stars online. So, naturally when we die, there is a lot of personal information about us still available on the Web. After all, the Internet does not come to a screeching halt just because one person passes away. Some have even asked attorneys if they can leave their virtual reality to a loved one. In some ways, the answer may be yes.

But one might ask, what becomes of all that information? What if we own a business or have a public brand, such as a celebrity or business owner? Believe it or not, there are several interesting ways that people can preserve their virtual presence after death and even leave certain intangible benefits found uniquely in the virtual world.

Facebook Legacy Accounts

Forbes loves to tell us who the happiest workers are, or what the healthiest careers are. But no one seems to talk about post-job satisfaction. While these types of articles are generally highly subjective, we can certainly look at professions that tend to produce happier retirees. Whether these can actually be ranked is another thing altogether.

The following list focuses on just 3 areas of health and satisfaction: smoking rates, self-reported job satisfaction, and obesity rates. Obviously, there are plenty of other areas that play a role in health and happiness, but these are generally good indicators as well.

Nurses

In this tight economy, people are always looking for value. Budget options are popping up in every industry, from substandard tires to refurbished televisions. Some even view legal services this way. Let’s face it; folks do not want to pay top dollar for a product they will never use. This is the plight of estate planning. The one who pays for a will or trust will never personally use it. Instead, that individual’s children will be using it to ensure things go right later. Even tools like powers of attorney are created many years before their intended use. Much like passive investing in a 401(k), these are purchases that may not truly prove their value for decades. Naturally, many are turning to low cost DIY form providers, and worse yet, office supply stores, in order to create their estate plan.

While the Internet is full of attorneys and other experts who strongly oppose these DIY options, you may be surprised how many lawyers love Legal Zoom and its kindred. Here are 3 big reasons why experienced attorneys love DIY estate plans.

Litigation is far more expensive than skilled estate planning

John Grisham, internationally recognized author known for writing captivating legal suspense and drama, released a slightly different type of book in 2013. While most of Grisham’s stories center on violent crimes and courtroom battles, Sycamore Row makes a stark departure into the world of probate law.

Sycamore Row begins with the suicide of a wealthy landowner, Seth Hubbard. He drafts a holographic will and instructions for a trusted employee to deliver it to a small town lawyer. Hubbard knows that his will undoubtedly is going to cause a stir and lead to a will contest by his children. After all, he left the majority of this estate to his African American caregiver. The story details the struggles and litigation of the will contest, which seeks to undo his last wishes.

Holographic Wills

Attorneys strongly advise gay and lesbian clients to prepare their estate plans, because the law generally would not offer many of the same protections as it does heterosexual couples. But following the recent Supreme Court decision in Obergefell v. Hodges, striking down the Defense of Marriage Act (DOMA), misinformation abounds, especially on the Internet, regarding whether LGBT seniors should bother considering estate planning now that marriage is an option for all. The short answer is a resounding yes.

Here are just a few benefits of estate planning that elderly LGBT clients can and should take advantage of, regardless of their marital status.

Wills & Trusts

It seems estate-planning attorneys are often asked to help clients avoid probate. In fact, this is typically one of the first questions people ask in a consultation. There are likely many reasons why people are so focused on probate avoidance, not the least of which is probably a wide misunderstanding of the process. Perhaps family members have told horror stories of oppressive attorney fees or family feuds that destroyed close relationships. Nevertheless, probate is not a dirty word. While probate is a perfectly useful process for disposing of a person’s estate, there are a few points to consider.

A last will and testament does not necessarily avoid probate

Many people mistakenly believe that having a will means not having to go through probate. This is not always the case. While every state has different rules, New York only requires probate if a person dies with more than $30,000 of probate assets. Not every asset is subject to probate. For instance, joint accounts, properties held in joint tenancy, life insurance accounts, 401(k) accounts, generally any asset that has a beneficiary designation, and assets held in trusts are not included in the probate estate. The will simply tells the probate court what the decedent wanted. It also usually waives an executor’s bond requirement and provides a more streamlined method of moving through the process.

When it comes to deciding how to spend one’s later years, institutional care is nobody’s first choice. However, there are times when family and professional home healthcare are just not enough. Beginning in 2003, a new concept has been sweeping across the country – The Greenhouse Project. These alternative living concepts are unique and offer the greatest possible autonomy for older adults who wish to age in place in a comfortable, home-like environment, while still maintaining high levels of skilled nursing care.

How are Greenhouses different?

Unlike traditional nursing homes, which can hardly be described as “homes,” these dynamic group homes allow groups of seniors to reside together in actual homes that are adapted to provide the required levels of care. In these homes, medical devices are inconspicuously hidden in cozy, discrete cabinets and whiteboards. Residents have separate rooms and share a common area and open kitchen concepts. At times, small pets are allowed. Employees are encouraged to participate in the house’s activities and some even reside with the residents.

An estimated 50 million American households now include a child being raised by a grandparent. Even more households include multi-generational families, where 3 and 4 generations live together. Even the Whitehouse included such an arrangement, as President Obama’s own grandmother resided with his family until her death just before the 2008 election.

But with more Americans than ever raising their grandchildren, there is even more urgency for aging caregivers to consider early estate planning. Without wills, trusts, and powers of attorney, elderly grandparents may find their estates being paid to adult children who have no been a part of their lives for many years. Here are just a few ways that estate plans may be used to protect grandchildren and the grandparents who raise them.

Wills and Trusts

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