ExpiredPer Visit Pay of RNs and Therapists Has Become Dangerous!

  • March 16, 2016
    3:00 am

Many agencies simply assume that registered nurses and therapists who are paid on a per visit basis are exempt from minimum wage and overtime pay under the federal Fair Labor Standards Act (FLSA). Unfortunately, that is not the case. In recent years, agencies have rarely been successful in convincing courts that professional employees paid on a per visit basis are exempt. As a result, the agency is subject to significant penalties including back pay awards for up to 3 years, twice that amount in damages and the employees’ attorney fees.

This webinar will first identify the things which must be proved before an RN or therapist falls into the FLSA’s professional exemption from minimum wage and overtime pay. It will then review the court cases which have addressed whether per visit pay under various circumstances meets the requirements for the professional exemption. It will conclude by identifying the options available to agencies in light of the current legal risks as well as the primary compliance issue when nonexempt employees are paid on a per visit basis.


This Webinar Will Cover:

  • What must your agency be able to prove before an RN or therapist who is paid on a per visit basis is exempt from minimum wage and overtime pay?
  • What is meant by “fee basis of payment?” How is fee basis of payment important to the per visit pay issue?
  • Why paying per visit plus additional pay for other work, such as in services, can cause loss of the exemption?
  • Why using a point system to establish the amount of the per visit pay usually does not solve the problem?
  • What compensation method avoids the legal risks surrounding per visit pay?
  • How do you determine if a per visit employee is a part time employee for purposes of the employer mandate.
  • How is overtime pay calculated for a nonexempt employee who is paid on a per visit basis?


Webinar Presenters:

John C. Gilliland, II, is an Employment and Health Law attorney practicing from the office of Gilliland, Maguire & Harper, P.C., Indianapolis, Indiana. Mr. Gilliland received his JD from the Georgetown University Law Center, Washington, DC and was a Rotary Foundation Fellow, Faculty of Law, Queens University of Belfast, Northern Ireland. He practices in the areas of health law, employment law, wage and hour law, and HIPAA. Mr. Gilliland is a frequent speaker for state, local and national health care organizations and publishers concerning his practice areas.


Eileen Maguire is an Employment and Wage and Hour Law attorney practicing from the office of Gilliland, Maguire & Harper, P.C. While based in Indianapolis, Ms. Maguire serves home care, home health and hospice agencies nationwide, assisting with their employment law, and wage and hour compliance needs. Ms. Maguire is a frequent speaker, trainer and author for her practice areas. She received her J.D. from Indiana University, Maurer School of Law, Bloomington, IN.



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