Showing posts with label sean r callagy. Show all posts
Showing posts with label sean r callagy. Show all posts

Wednesday, May 4, 2016

Supreme Court upholds Agreement terminating alimony upon showing of cohabitation



The following article was written by Callagy Law’s Legal Team, and will focus on many common questions and concerns surrounding new developments, legal matters, and other procedures within the practice area of Family Law. Our mission is to answer any questions and give knowledge to many different aspects of these matters.



In the recently published opinion Quinn v. Quinn (A-5-14, decided May 3, 2016), the Supreme Court upheld the parties’ divorce settlement agreement which provided for a termination of alimony upon cohabitation.  The majority’s decision is not surprising given the strong public policy favoring agreements and, absent a showing of fraud, coercion or overreaching, agreements will be enforced as written.  The wrinkle in the dispute was that, absent the parties’ agreement calling for an outright termination of alimony upon cohabitation, cohabitation may not have resulted in a termination of the obligation and the court would have had the discretion to modify or suspend the obligation.  In fact, the trial court in Quinn v. Quinn did suspend the alimony obligation for the period of cohabitation, rather than terminating the obligation in total, reinstating the obligation as of the date the cohabitation ended.  The trial court’s decision was affirmed on appeal, but the Supreme Court reversed, finding that the trial court was bound to enforce the parties’ agreement, which was entered freely, voluntarily and with the advice of independent counsel.  By failing to enforce the terms of the agreement, the trial court effectively created a different agreement not contemplated or intended by either party.


Two (2) of the Supreme Court Justices dissented noting the severe financial consequences to Ms. Quinn as a result of the termination of the alimony obligation.  The dissent believed that the provision of the parties’ agreement mandating a termination of alimony upon cohabitation is contrary to public policy and would effectively “pauperize” the ex-wife.  The dissent cites a lack of evidence of any financial or economic benefit received by the ex-wife as a result of the cohabitation.  The dissent viewed the anti-cohabitation provision in the parties’ agreement “as a means to oppress an ex-spouse,” viewing the provision as requiring the ex-wife to choose between her right to alimony and her “desire to enter into a loving relationship.”


The majority opinion, in addressing the dissents concern regarding the economic consequences, acknowledged the “serious” financial consequences to the ex-wife resulting from the termination of alimony.  However, the majority clearly felt that the ex-wife understood without doubt that her conduct could result in a termination of the alimony obligation, yet she proceeded to cohabit anyway.  Interestingly, Ms. Quinn stopped cohabitating just after her ex-husband sought to terminate the alimony obligation.  Yet, the majority found that the cessation of cohabitation was of no moment and irrelevant.  Will this open the door for similar applications to terminate or modify alimony obligations based upon cohabitation that existed months or maybe even years earlier, but subsequently ended?


The Quinn v. Quinn decision exemplifies the clash of equities often experienced in family law disputes.  Certainly Mr. Quinn believes that enforcement of the bargained for agreement was equitable and the majority of the Supreme Court agreed.  If nothing else, the Quinn decision should serve as a reminder that notions of equity and fairness are subject to judicial interpretation.



The Team at Callagy Law hopes the information in this article was helpful in either your personal or professional life.. Callagy Law, is a multidisciplinary law firm, headquartered in Paramus, NJ owned and operated by Sean Callagy. We are committed to providing legal representation and advice to our clients at additional law offices located across the United States. Please note that the information posted here should not be used as a legal argument of defense. If you find yourself needing legal advice pertaining to your unique situation, you can contact us at here. Feel free to search us on Facebook, Twitter or LinkedIn! Additionally you can subscribe to our daily videos on YouTube.



Learn More About Callagy Law Here:


Avvo


Blog


Facebook


YouTube


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website



Tuesday, November 17, 2015

PIP ARBITRATION PRACTICE TIP | CALLAGY LAW

THE IMPORTANCE OF FILING INTERNAL APPEALS PRIOR TO FILING A DEMAND FOR ARBITRATION


The purpose of this post is to help assist healthcare providers and owners with questions they have concerning their business or relevant knowledge in the field. The Callagy Law team is knowledgeable in many law practice areas and will frequently post topics ranging from Medical Revenue RecoveryPIPWorkers Compensation, andCommercial Insurance. We hope to have this blog shed a light on many common questions.


One of the most common defenses raised by insurance carriers as a basis to deny a medical provider’s claim for personal injury protection (“PIP”) benefits is failure to file internal appeals.  Prior to filing a Demand for Arbitration on assignment from a patient, medical providers must comply with the PIP insurer’s internal appeal process.  Thus, it is of critical importance for medical providers to abide by the PIP insurer’s internal appeal requirements, which can be found in the insurer’s Decision Point Review Plan (“DPRP”).  Insurers generally forward their DPRP to treating medical providers after receipt of the treating provider’s 21 day notice letter.


The controlling regulation , N.J.A.C. 11:3-4.7(d)(8), requires that informational materials for policyholders, injured persons and treating medical providers shall include particular information including an explanation of the alternatives available to the provider if reimbursement for a proposed treatment, diagnostic test or durable medical requirement is denied or modified, including the insurer’s internal appeal process and how to use it. If the insurer does not have proof that it sent a copy of its DPRP to the patient and/or treating medical provider, it may lose the right to assert the defense of failure to file an internal appeal based on the fact that there was a lack of notice to the patient and/or treating medical provider of the internal appeals process.


It is important to review the PIP insurer’s internal appeals process since carriers have different requirements regarding whether both a 1st and 2nd level internal appeal must be filed, the deadlines for filing same and whether the appeal can be faxed or must be sent by regular mail or certified mail to a specific address listed in the DPRP.  Medical providers must retain written proof that they forwarded the internal appeal(s) in compliance with the DPRP requirements, which can be by facsimile confirmation or certified mail return receipt.


There are two different types of internal appeals: (1) an appeal of an adverse determination based on lack of medical necessity and (2) an appeal of non-payments or under-payments, which can be based upon any of the following grounds:


  • Causation

  • Improper coding or down-coding of services

  • Usual, customary and reasonable rates

  • Lack of documentation

  • Coverage issues such as lack of cooperation

  • Improper pre-certification penalties.

Medical providers should keep in mind the importance of listing all potential bases of their appeal since the information listed on the appeal governs and may limit the arguments that may be raised in a later PIP arbitration proceeding.


In sum, medical providers should pay close attention to a PIP insurer’s DPRP plan’s internal appeal requirements.  When an insurer denies treatment, a medical provider should promptly file an internal appeal of the denial to protect its rights to proceed to PIP arbitration.


We hope you have found this information helpful and interesting. Please reach out to us here with any questions or comments regarding healthcare legal matters, or if you are a medical provider that has questions regarding Medical Revenue RecoveryPIPWorkers Compensation, and Commercial Insurance.. Feel free to search us on FacebookTwitter or LinkedIn!


Learn More About Callagy Law Here:


SUBSCRIBE on YouTube


Avvo


Vine


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website



PIP ARBITRATION PRACTICE TIP | CALLAGY LAW

New AND FREE to Share - Why Not with Sean Callagy #18



Why Not Follow THIS ONE Success System #18


Dear Kindred Spirits,


 


We all have dreams, wants, and needs. In our Why Not world, we put these into three categories: money, time and fulfillment.


 


When I first began my journey of learning about how to produce results, I remember feeling two things, and neither worked for me.


 


First, I felt completely overwhelmed. If you looked for answers, the self help section of the book store, this was in the pre-internet days, was completely overwhelming. You stared at a wall of books on every topic imaginable. It would take a lifetime to read all of the books staring you in the face.


 


Today, it far worse. It would take you 100 lifetimes to read all the books on the internet designed to help you get better at something.


 


Second, I thought that every book on personal development I read, or system I bought, didn’t seem to have a full and complete system. So, finally I would decide on which book, but it would only lead me to many other books.


Even if the book claimed to be one full system, however, and was not pointing to other books, it didn’t have all the answers. More importantly it was not one complete system to follow.


 


Based on these two feelings, I decided that I would take all of this information, and all of the amazing mentoring and teaching I had received, and I would create one success system to help people produce the results they wanted.


 


This system has helped me create a life that is the life I wanted in terms of the three core wants people have: money, time and fulfillment. We always want more, but if you would have asked me at twenty-one years old if I would sign up for my life today, I would have done it in a heartbeat. This system has served me well, and allowed me to build four successful companies, one an eight figure and growing revenue producer, while maintaining a work life balance where I’ve missed less than five games that my children have played in out of more than 1,500, other than when their games conflicted with each other. Work, while tremendously important to me, has been built in a way to support my time and fulfillment goals in an amazing and optimal way.


 


This same system has allowed me to help hundreds of other people produce more time, money and fulfillment for them.


 


Maybe most significantly, my Results Formula, as I call it has allowed me to do things with extraordinarily rapid speed. Some people even tell me they think I have special powers, whatever that means.


 


I do not have “special powers”. I simply follow advanced science for achieving results through one amazing complete system that allows me to know and understand if I am moving closer to ANT result I want, or further away.


The system is complete and allows for determining where the challenge lies if a result isn’t produced.


 


Maybe most importantly, the system is based on non-linear exponential growth for all areas of our lives. This is why you will receive ever increasing exponential results in exchange for spending less time on trying to produce your results.


 


If you are not moving closer to your results, you will quickly be able to determine the reason. This applies whether the goal is to make more money, have more fun, win more games, have a higher batting average, find more customers, build a better relationship, be a world class public speaker, make a great cake, buy a beach house, travel to beautiful places multiple times a year, or whatever.


 


Yes, the system is REAL. The system Callagy Results Formula is also tremendously valuable.


 


AND, I am giving the three key ingredients away to you for free.


 


Why am I doing this?


 


First, I like helping people.


 


Second, I am building my brand by giving away massive value. What is my brand? I would hope it is someone is as good as anyone on the planet at helping people produce results that allows them to achieve their money time and fulfillment goals.


 


This system includes all of it, and isn’t a “Secret” that claims to allow you to just wish for things and make them appear, although I do believe in the Law of Attraction, but I also believe in leveraging our actions and processes to produce our results far faster than people would ever believe.


 


So, what is the Callagy Results Formula? Tune in to today’s Why Not Huddle to learn the answer…….


 


AND, please share this letter, AND the Why Not Huddles. Please!


 


I am also in the process of writing my first book: Why Not? The First Book of Personal Development. I would appreciate your help in checking in on me and holding me accountable. My goal is to literally create the first book everyone should read who wants more from their life, which is basically, everyone.


 


If you want to find the Why Not Huddle, “like” the Callagy Law Facebook page and you will receive the Huddle daily. BUT, it is even easier if you also subscribe, for free, on YouTube to the Why Not Huddle on the Sean Callagy YouTube channel.


 


See you on the Why Not Huddle!


 


Please post your comments or questions, or contact me at scallagy@callagylaw.com.


Have an “At Cause” day!


 


In Your Service,


 


 


Sean Callagy


Please subscribe on YouTube and spread the word.


You can see all of our WHY NOT – HUDDLE videos by clicking here and subscribing! If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.


The Daily Why Not Huddle is for you if you want to exponentially increase your money, time, or fulfillment. The Why Not Huddle with business coaching expert, successful entrepreneur, and attorney Sean Callagy provide the essential daily ingredients for you to create and achieve your destiny.



New AND FREE to Share - Why Not with Sean Callagy #18

Law and Entrepreneurship TV - Episode #18, #‎AskSeanCallagy‬




Exponential Growth and the Trajectory of Your Success


Callagy Law and Entrepreneurship Library – TV is an original series from Sean Callagy, President and Founder of Callagy Law; to help the general public with every day legal questions and information. For more information about Sean Callagy, Callagy Law, or any questions you have, please email scallagy@callagylaw.com


If you’d like to have your legal questions answered on the show, email Sean: scallagy@callagylaw.com


See more here: www.callagylaw.com/blog


In this article / video, Sean Callagy will focus on topics to help people better their legal knowledge of vital information. Clients often come to Sean Callagy’s team with questions about their businesses, ranging from contracts, disputes, and other common legal issues in the business and entrepreneurial world. Our mission is to answer any legal questions and provide information to anyone who may need it. If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.



Law and Entrepreneurship TV - Episode #18, #‎AskSeanCallagy‬

Friday, November 13, 2015

New AND FREE to Share - Why Not with Sean Callagy #16



Today’s Why Not Huddle with Sean Callagy:


Why Not Realize Defensiveness Destroys! 


Dear Kindred Spirits, Welcome to our third “Why Not” Friday, and your 16th episode of the Why Not Huddle.


How are you doing so far?


We are here to support you. Send any questions or comments to scallagy@callagylaw.com if you need a private response or post your questions for a response.


Yesterday, we were discussing a very common challenge for all of us: when it’s us, we don’t think we can “do” much more to change things to increase the quality of our results.


When last we spoke, our friend from yesterday was believing she was doing “everything”. I have heard this more times than you can imagine over the past twenty years. One of the great destroyers of success is people’s defensiveness.


Most often, their defensiveness is rooted in a feeling that somehow their success, whether it be financial, sales, business, career, or whatever, is directly connected to who they are and their value as a human being.


We had a great comment from Paul C. yesterday describing the amazing compounding of a penny over one month. Check it out on Callagy Law Facebook. It is this concept that most people cannot grasp, in my experience, when it comes to them.


When I speak with business people who have big goals, but are challenged to reach them, they want to hear new “tricks”. What people become defensive and resistant when we begin to discuss the very simple shifts available that can create enormous benefits. In the situation with my friend, a real life example, she felt very successful in negotiating a $15,000.00 per month billing contract. I thought she got completely taken advantage of and her fear got to her.


She didn’t like hearing that. I am completely confident that a fair arrangement would have yielded one to two million dollars per year. She really didn’t like hearing that. Moreover, I shared that she didn’t have enough products to cover her clients’ full needs, and therefore, was losing sales. I also believed her marketing process to get to meetings was very weak, and therefore, tons of opportunities were being missed. Her response was that I thought I was smarter than her, and did I know how much she’s accomplished.


My answer: I don’t care. Well, I do care, but not enough for me to lie to her and tell her something different than the truth. The truth is, a few tiny changes, and the company will go from a one million dollar to ten million dollar company in less than three years. She still didn’t like it.  Why? She was at affect.


She was also lacking the at cause ability to be completely self-aware and open to the turning of a couple of small screws to explode her business forward. After a few tears and some back and forth (that’s where my skills come in), we agreed to turn those screws. Here’s the challenge though: we all do this.


We all avoid the simple obstacles that will lead us to our results because we are often very emotionally committed to its meaning about us a smart, strong and competent person.


What? It goes like this: could a twenty dollar book or a free video really increase my income by thousands or even millions of dollars over time. Absolutely!!!!!!!!!! BUY, not if defensiveness and the need to prove how unique and impossibly unique your problems are. Let’s be open, self-aware and AT CAUSE! Have an amazing Friday and weekend.


Please share this, ask questions and post comments. We are over 11,000 Callagy Law Facebook Likes. Next stop: 50,000. Please help us get there. When we do, we are giving away a phenomenal gift worth over $1,000.00 to everyone.


Why Not?


In Your Service,


Sean Callagy


Please subscribe on YouTube and spread the word.


You can see all of our WHY NOT – HUDDLE videos by clicking here and subscribing! If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.


The Daily Why Not Huddle is for you if you want more money, time, or fulfillment. The Why Not Huddle with business coaching expert, successful entrepreneur, and attorney Sean Callagy provide the essential daily ingredients for you to create and achieve your destiny.



New AND FREE to Share - Why Not with Sean Callagy #16

Thursday, November 12, 2015

Callagy Law Library TV - Episode #15, #‎AskSeanCallagy‬




Exponential Growth and the Trajectory of Your Success


Callagy Law Library – TV is an original series from Sean Callagy, President and Founder of Callagy Law; to help the general public with every day legal questions and information. For more information about Sean Callagy, Callagy Law, or any questions you have, please email scallagy@callagylaw.com


If you’d like to have your legal questions answered on the show, email Sean: scallagy@callagylaw.com


See more here: www.callagylaw.com/blog


In this article / video, Sean Callagy will focus on topics to help people better their legal knowledge of vital information. Clients often come to Sean Callagy’s team with questions about their businesses, ranging from contracts, disputes, and other common legal issues in the business world. Our mission is to answer any legal questions and provide information to anyone who may need it. If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.



Callagy Law Library TV - Episode #15, #‎AskSeanCallagy‬

Wednesday, November 11, 2015

NEW! FREE! PLEASE SHARE! Why Not Double Your Income Part II - How?!




Today’s Why Not Huddle with Sean Callagy


Why Not with Sean Callagy Episode 14 – November 11, 2015


Dear Kindred Spirits:

Good morning!!!!!

If you haven’t checked out our Why Not Talk Episode 2 with Rey Rostami, you will be missing a how to quadruple your sales appointments, along with a story to give you certainty on how to overcome huge challenges as Rey went from gang member to award winning sales man and trainer.

Yesterday, we discussed the idea of how you feel about doubling your income, and the practical impact of those thoughts and feelings on your income.

Some people felt teased by Why Not Huddle 13 as we didn’t discuss any “how to”.

Believe it or not, the “how to” is always far easier than remaining “At Cause” in “Zone Action”.

Okay, so, let’s get right to it.

If you are working for a salary, you have two choices:

1. Start a separate company on your own: or

2. Figure out how to add five to ten times the value you are currently creating for your company.

If you are a sales person or business owner, then you double your income by doubling your sales. This is far easier than most people think.

All sales increases are reverse engineered. It starts with doubling the number of your meetings. If you double the number of meetings, and increase your yes rate, or even simply maintain it, then if you work on commission, you will obviously have doubled your income.

So, if it’s that easy, WHY NOT follow that system? Well, we come right back to the reason the Why Not Huddle exists: to keep people “AT CAUSE IN ZONE ACTION”.

Most people simply don’t operate in Zone Action virtually at all. Simply changing this fact will change everything.

What is Zone Action in Sales?


1. Engaging in direct and controlled actions to create meetings; and

2. Engaging in direct and controlled actions to have clients say yes to your product or services that they need.

This doesn’t happen. Only the top small percentage of sales people who are following a Zone Action system and living At Cause do this.

AND, if they care to, are very capable of doubling their income.

Remember, I went from broke to a beach house in one year. This is how it works for everyone!

Please share this on your Facebook Timeline or on LinkedIn, along with today’s Why Not Video!

Why Not?

In Your Service,

Sean Callagy


Please subscribe on YouTube and spread the word.


You can see all of our WHY NOT – HUDDLE videos by clicking here and subscribing! If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.


The Daily Why Not Huddle is for you if you want more money, time, or fulfillment. The Why Not Huddle with business coaching expert, successful entrepreneur, and attorney Sean Callagy provide the essential daily ingredients for you to create and achieve your destiny.



NEW! FREE! PLEASE SHARE! Why Not Double Your Income Part II - How?!

Why Not Talk Episode 2 with Sean Callagy and Rey Rostami - November 10, 2015




Please Watch This! Sean Callagy with Special Guest: Rey Rostami!


Please subscribe on YouTube and spread the word.


You can see all of our WHY NOT – HUDDLE videos by clicking here and subscribing! If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.


The Daily Why Not Huddle is for you if you want more money, time, or fulfillment. The Why Not Huddle with business coaching expert, successful entrepreneur, and attorney Sean Callagy provide the essential daily ingredients for you to create and achieve your destiny.



Why Not Talk Episode 2 with Sean Callagy and Rey Rostami - November 10, 2015

Tuesday, November 10, 2015

NEW! Free! Why Not #13 - Why Not Double Your Income? - November 10, 2015




Today’s Why Not Huddle with Sean Callagy


Dear Kindred Spirits:


 


Before we get to this question, please check out our Why Not Talk with sales award winner Rey Rostami who’s used my Success Formula to triple meeting numbers for his team. There’s a challenge though… We are going to help Rey out! Join us on YouTube and subscribe. Hey, it’s got massive value, and it’s FREE. Anyone you know that is involved in sales has will benefit big time.


 


Now, suspend your belief for a moment, and simply answer this question: Would You Want to Double Your Income?


 


How does that question make you feel?


 


Does it make you excited? Does it make you stressed? Does it make you think I’m setting you up for something? Does it make you feel like there’s a scam on the way?


 


They idea of Why Not is to be the first indispensable building block of living “At Cause” (for a great explanation on that, check out Why Not Episode number 11 from November 6, 2015).


 


When we begin to discuss the idea and topic of money, it impacts people in ways that are directly related to our feelings about money. Our feelings about money relate to our beliefs about money.


 


What do you think about people who are RICH?


 


Describe how rich people act, feel, and relate to other people. What level of empathy and caring do “rich” people display?


 


I don’t mean tell me what you think is the “right” answer. I mean tell me what you really feel.


 


If your answer is positive, then I guarantee you that you either have or are on your way to having, more money than most people.


 


On the other hand, if you are answering that question in a negative way, then I would say that money and finances are a challenge in your life.


 


Now, before you feel judged, please keep in mind that I am trying to help. We will talk more about money in the future. This short letter is designed to help you think about the basics of where you are emotionally, right now, with regard to your relationship to money.


 


By the way, most, certainly mot all, but most people would like to double their income. What is amazing, is how relatively easy it is to do.


 


Now, I’ve possibly really touched a nerve. Money is one of the issues most attached to our egos. Thus, there may be a strong desire to make me “wrong” right now that you are feeling.


 


You’ve possibly heard me introduce the concept of “Zone Action” in prior Why Not Huddles. After having spent time coaching hundreds of different people, I’ve found that very few people ever get near Zone Action to increase their income or the profit from their business.


 


I am fortunate to earn a great living. Within one year, if I so choose and follow my own success formula, I would certainly double my income. I know this with absolute certainty. The only way I wouldn’t, is if I wasn’t in Zone Action.


 


The challenge is, most people never get into Zone Action to double their income because they don’t have the right emotional relationship with money.


 


So, for today, think about what you really feel. Then, ask if those feelings are serving you and your finances.


 


On a final note: don’t think you can set the value for double your salary. That is a major move. It is set by the value you create for others, either your company or your clients if you own a business.


 


Then, be ready to truly live a Why Not life and commit to playing a huge game to get there.


 


By the way, I helped one client go from making $150,000.00 per year to $500,000.00 per year in 1, yes ONE, coaching session. That income level lasted for nearly a decade from one of his businesses.


 


And no, I am not actively taking on coaching clients right now. I’m telling you that to help you to understand that I know what I am talking about and how real your potential is.


 


Why Not?


 


If you see value in these Why Not Letters and our Why Not Talks, please forward them and share them. Subscribe to our Why Not Huddle on my Sean Callagy You Tube and like our Callagy Law Facebook Page to get these materials.


 


Check out our Why Not Talk with Rey Rostami later today who increased meeting numbers by numbers incredibly by application of my Success Formula.


 


In Your Service,


 


Sean Callagy


Please subscribe on YouTube and spread the word.


You can see all of our WHY NOT – HUDDLE videos by clicking here and subscribing! If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.


The Daily Why Not Huddle is for you if you want more money, time, or fulfillment. The Why Not Huddle with business coaching expert, successful entrepreneur, and attorney Sean Callagy provide the essential daily ingredients for you to create and achieve your destiny.



NEW! Free! Why Not #13 - Why Not Double Your Income? - November 10, 2015

Monday, November 9, 2015

Why Not #13 Why Not Indulge in this "Guilty Pleasure"- November 9, 2015




Today’s Why Not Huddle with Sean Callagy


The world is a crazy place!


I find myself thinking and saying that almost every day. For those that believe in quantum physics or even the simple concept of “you get what you focus on” due to simple issues of self-fulfilling prophecies as a result of self-directed thoughts, feelings and actions, this would explain some of the more “interesting” moments in my life. Maybe I need to check this out as a limiting belief….


 


Regardless, I think the way our culture exists in 2015 is amazingly bizarre at best and horrifically self-defeating, if not self-destructive at worst.


 


How does that grab you for “positive thinking?!”


 


This is one of the reasons I am doing the “Why Not Huddles” and “Why Not Talks”.


 


I love people. I despise any process or thinking I believe is harming people, their happiness and their fulfillment.


 


So what about this “guilty pleasure” stuff?


 


When you say the phrase “guilty pleasure,”  what thoughts, feelings, pictures and sounds does it conjure up?


 


Maybe some reality shows about housewives? How about some chocolate thing you love to eat even though you’re on a “diet”?


 


To me, “guilty pleasure” implies something a bit secretive from which you gain pleasure, but are a bit embarrassed. It’s something that society generally would not see as a good thing, but we all “deserve” a little bit of it in our life.


 


Is it possible, just POSSIBLE, that the world of “self-help”, “personal development” and even just being “happy” and “positive” are now “GULTY PLEASURES” in our society and culture?


 


Hmmmmm………. I think they just might be.


 


We live in a society and future where if you believe in anything positive, you stand open to attack and criticism as someone who is a “sucker” or a “Kool-Aid drinker”.


 


When I first read Awaken the Giant Within by Tony Robbins, I got very excited and shared it with my friends. For many of them, it became a joke and a way to them to goof on me.


 


Also, what typically happens when you tell people you have a new goal or a dream? Let’s say it is to start a business, double your income, find the person of your dreams, help your kids begin a process to ultimately play Division 1 college sports, or whatever?


 


What do you think most people are thinking if you share these goals or dreams with them?


 


Hold that thought for a moment, while we explore what most people do think is okay, and therefore, leads you to a deeper connection with other people.


 


What is a connecting and comfortable way to “fit in” in social group settings in 2015 in our culture?


 


Let’s say you are at a back to school night, and you are milling about waiting for things to start. What are people commonly chatting about?


 


How about if you’re on line at a theme park? It’s a beautiful summer day and people take the time and spend the money to have a “great day” with family and friends at a theme park built for fun. What are the conversations we are mostly hearing all about?


 


The grocery line, waiting in traffic, a bar, youth sporting events, business conferences or any grouping of human beings in 2015?


 


What are people discussing?


 


My experience, and maybe I live on a different planet, but I don’t think so, has been: something NEGATIVE. From the heat, the line, the crowd, the rain, the traffic, the latest scandal, why the event is set up less than optimally, what we are putting up with, women blah, men blah, kids blah, our jobs blah, it is, for the most part negative.


 


AND……….if you dare discuss something positive, what has your experience been there? Mine has been that people, in social circles, begin to speak negatively about the positive person. I’ve heard things like that person is “delusional” because their kids not that good, who do they think they are, they aren’t being realistic, they are so fake, they are setting themselves up for a BIG disappointment, she drank the “kool-aid” or she’s so positive it makes me sick.


 


I’ve heard these exact statements. All of them. I’ve heard similar words more than a thousand times in my life.


 


So what’s the point? Give up?!


 


No. There is an amazing counter phenomenon.  As much as this exists in our culture, people really do want to believe. People crave positive. They just need to believe and know it’s real.


 


The challenge is that people are conditioned to be negative to feel comfortable. As Tony Robbins first introduced to me, we will do “far more to avoid pain, than to gain pleasure.” This is why people would rather be negative than live life in a positive way. We feel more comfortable being right about negative than wrong about positive.


 


It is much easier to say: this line is horrible than I’m so excited about my daughters game today. It also because most people are living at effect of all this negativity. Thus, if you are happy, you are most likely not following a key relationship building element of “matching and mirroring” to build rapport.


 


Wow Sean, “what the h, e, double hockey stick (as my daughter loves to say) are you talking about?!”


 


What I am saying is YES we perceive positive things, including the “Why Not Huddle”, as “Guilty Pleasures” in our culture today. We feel a bit embarrassed or uncomfortable, generally, because saying something negative is far easier in our world.


 


BUT, the people that are in fact magnetically attractive in our culture are the people who can genuinely and congruently communicate positive, real, meaningful and inspirational message to others. I simply believe that most of us don’t know “how”. So, when we try, we are less certain about our message than the people with whom we are communicating are certain about their message that “that won’t work”.


 


Tomorrow, we will discuss how to reverse this entire process. Why should you care? Because if you don’t you will have people creating doubt for you wherever you go as you create and live your greatest life and destiny. I’ve lived it.


 


When I said I was starting my own law firm, all of the positive and amazing people around me told me I was crazy, I would fail, I was too young, and lots of other things that were proven to be totally and completely wrong.


 


I care about your dreams. I care about you. These “small distinctions” are critical and very real.


 


Please watch and read every day. Please spread the word and share these articles and Why Not Huddles and Talks. Please post your comments and questions.


 


One of my ultimate goals is to make being negative, cynical and sarcastic the “Guilty Pleasure” and be standing on line at Great Adventure and listening to everyone talking about the amazing day they are having and how happy they are to be with each other.


 


Tune in tomorrow for “how” to tap into this part of people and make yourself a true magnetic positive leader.


 


Why Not?!


 


In your service,


 


Sean Callagy


Please subscribe on YouTube and spread the word.


You can see all of our WHY NOT – HUDDLE videos by clicking here and subscribing! If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.


The Daily Why Not Huddle is for you if you want more money, time, or fulfillment. The Why Not Huddle with business coaching expert, successful entrepreneur, and attorney Sean Callagy provide the essential daily ingredients for you to create and achieve your destiny.



Why Not #13 Why Not Indulge in this "Guilty Pleasure"- November 9, 2015

Monday, November 2, 2015

Why Not #8 - Why Not Form Life"s Most Valuable Habit? November 2, 2015


Also, you can subscribe on YOUTUBE to the Why Not Videos.  Please e-mail me any questions at scallagy@callagylaw.com. Be here everyday. We’re are creating. A movement here to help support people in the creation of their goals and dreams in a real and powerful way. Be a part of it and please help us by tuning in daily and spreading the word!!


You can see all of our WHY NOT – HUDDLE videos by clicking here and subscribing! If you have questions about any of the content you see or to have your questions answered on an upcoming show by Sean, please email your questions directly to him by clicking here.



Why Not #8 - Why Not Form Life"s Most Valuable Habit? November 2, 2015

Friday, October 30, 2015

The Ten Commandments of Being a Quality Client Liaison in Medical Recovery

The purpose of this post is to help assist healthcare providers and owners with questions they have concerning their business. The Callagy Law team is knowledgeable in many law practice areas and will frequently post topics ranging from Medical Revenue Recovery, PIP, Workers Compensation, and Commercial Insurance. We hope to have this blog shed a light on many common questions.


The responsibilities of a client liaison for medical provider revenue recovery are threefold:


  • To assist in the identification and assembly of claims to be pursued either in PIP (No-Fault) arbitration (injuries related to motor vehicle accidents), Worker’s Compensation (WC) litigation, or Commercial Insurance (CI) litigation.

  • To be a responsive and considerate supporter of the Firm’s attorneys and their staffs in the above areas.

  • To be an integral part of the customer service, sales and marketing efforts of the Firm.

To perform these functions at the highest level, client liaisons should always adhere to the following Ten Commandments.


  1. To exhaust the file output of each and medical every provider as soon as possible. This ensures that providers will receive the most money possible as quickly as possible.

 


  1. To do whatever is in your power to meet monthly goals, without sacrificing quality in any way, shape or form. Monthly goals are not an end in and of themselves.  They are a measuring stick for your performance.  Meeting goals in some artificial or manipulative way is not only dishonest, it is the opposite of effective performance.

 


  1. If you do not have a sufficient number of medical providers to achieve monthly goals, to obtain additional providers as soon as possible in order to do so, and to speak with your supervisor about getting them. Seek out what you need in order to make your objectives.  If it is a wider customer base, go get it.

 


  1. To never lose a provider by virtue of anything you did or did not do effectively. A good liaison views losing any client as a shortcoming in his or her efforts.  A liaison should always be looking to satisfy a client while at the same time managing expectations appropriately.

 


  1. To minimize any inconvenience to your providers, and, accordingly, take care of office requests yourself as much as possible. A provider upset at being asked to perform functions they do not regard as their responsibility is not a good thing.

 


  1. To never have a provider voice a single complaint about you or your performance. A provider complaint directed at you or your performance is never trivial, never petty, never excusable.

 


  1. To do everything you can to make easier the job of other office personnel, so they can operate more efficiently. Treat those to whom you hand-off work as if they too are your customer.  Colleagues are customers.  Treat them with care and consideration.

 


  1. To help the settling team as best you can to facilitate settlements. Settlements ensure the quickest recovery for medical providers and should always be regarded as a priority.

 


  1. To assist the attorneys as best you can to facilitate awards. This is the bread and butter of the Firm.  The Firm exists ultimately by virtue of the success of the attorneys.

 


  1. To recognize and pursue sales and marketing opportunities wherever they exist. This is last but hardly least.  All employees, but particularly liaisons, are ambassadors for the Firm and should at all times behave as such. Liaisons, moreover, are out in the field and should always be on the lookout for business development opportunities.

These Commandments have relevance for all people in the customer service / sales / marketing arenas, not just those attached to a law firm specializing in recovering money for medical providers against insurance carriers.


We hope you have found this information helpful and interesting. Please reach out to us here with any questions or comments regarding healthcare legal matters, or if you are a medical provider that has questions regarding Medical Revenue Recovery, PIP, Workers Compensation, and Commercial Insurance.. Feel free to search us on Facebook, Twitter or LinkedIn!


 


Learn More About Callagy Law Here:


Avvo


Vine


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website



The Ten Commandments of Being a Quality Client Liaison in Medical Recovery

Monday, October 19, 2015

Drafting Contracts To Avoid Litigation Later

Businesses need to be proactive in choosing vendors and drafting and finalizing contracts to protect themselves from expected and even far-fetched litigation risks.  The risk of contracts leading to litigation may be the last thing on the minds of busy employees who are on deadline to get projects moving.  However, businesses need to be mindful of avoiding unnecessary risk in writing contracts as well as monitoring the progress of these agreements.


 


Front-end or Back-end Investment


 


In drafting (or writing) contracts as well as negotiating contracts there are tradeoffs in how much time and effort the parties should expend in setting highly precise terms versus more generic or vague terms.  While it may be easier to use more generic terms that can be applicable for multiple contracts, it is risky because those generic terms may lead to confusion and conflict between the two contracting parties.


 


To avoid litigation, it may be advantageous to put more time into negotiating and simply discussing terms up front to avoid confusion later between the two businesses.  When parties use only vague terms they push issues into the back end which generally means that the disputes end up in litigation.


 


Businesses need to think long and hard about whether they are willing to take the potential risk of costly litigation in the event of contract litigation.


 


Litigation can be very time-consuming in addition to financially costly so business leaders need to take the overall inconvenience and risk of this into account when preparing contracts.  So, investing in the front-end, while inconvenient and time-consuming, can more predictable than the risk, even if it is relatively unlikely, of litigation at some unknown time in the future.


 


Maintaining Good Records is Also Key


 


In addition, it is important to keep good records regarding business relationships and contracts.  The contract itself with signed versions should be kept in a safe and accessible location whether that is in hard copy files or electronically.


 


Also, records showing invoices, payments made, and other relevant information about the contract are important to show whether or not your business, or the other party, is adhering to the terms of the contract.  Even documents such as emails or notes from meetings between the two contracting parties can be helpful in determining what the parties actually meant in drafting contracts or how those obligations may have evolved over time.  All of these records are potentially important in determining liability as well as damages.


 


Of course, keeping good business records is simply a good practice for all sorts of other reasons as well.  Good business records are important for tax purposes as well as for monitoring revenue, costs, and the overall health of the business.


 


Contact a Knowledgeable Attorney Now for Guidance


 


In order to make sure that you are minimizing litigation risk and know exactly what you are getting into when you are negotiating a contract with another business partner, contact one of the knowledgeable lawyers at the Callagy Law firm.


 


Learn More About Callagy Law Here:


Avvo


Vine


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website


Share Button

Drafting Contracts To Avoid Litigation Later

Monday, October 12, 2015

Employee Handbooks or Employee Contracts?

Most employees are classified as what is called “at-will” employees meaning that at the will of either the employee or the employer the employment agreement between the two parties can be ended at any time.


 


However, in some jurisdictions, certain factors have the potential of turning at-will employment into a contract or permanent employment situation.


 


Probationary Periods


 


Many employers have probationary periods of 30, 90, or some other set number of days during which the employer closely evaluates the employee’s performance and behavior while providing regular feedback.  At the end of that probationary period, the employer may summarily terminate the employee or permit him or her to continue working at the firm indefinitely.


 


The issue is that in some cases, once an employee is no longer probationary, it is assumed that the employee is a permanent employee who should only be terminated for cause.  Courts may find that the employer has offered a contract for permanent or something more secure than at-will employment based on a probationary period.


 


Some human resource experts believe that foregoing probationary periods altogether may be a better option.  Or, employers can introduce certain benefits in stages, such as health care benefits after 30 days, and retirement benefits after 90 days, to minimize costs associated with hiring employees who do not work out.


 


Employee Handbooks as Employment Contracts


 


It is a common business practice for businesses to create employee handbooks that lay out the responsibilities and rights of employees at the business.  These handbooks discuss any number of topics such as non-discrimination statements, dress codes, vacation and sick leave rules, as well as performance appraisal information.  Additionally, these handbooks may include information on the terms of employee or the procedures for termination of employment.


 


In some situations, it is possible to argue that that the handbook creates an employment contract that supersedes the at-will default rule.  Employers need to be careful to explicitly state that the handbook is not a contract and that the handbook is not intended to change the nature of the employment arrangement or supercede at-will employment.  It is possible to inadvertently create an employment contract that creates additional burdens on employers.


 


So, why bother writing an employee handbook in the first place?  While there are risks in writing down policies because there may be unintended consequences, there are significant risks in failing to provide written documentation on job requirements and expectations to employees.  Without written standard language for employees to reference, there is the potential that employees will not know what is expected of them or that terminated or disgruntled employees may pursue litigation against the company alleging that he or she was somehow mistreated or discriminated against as there were no clear policies to follow or that each employee was treated differently in some sort of discriminatory and illegal manner.


 


Contact a Skilled Law Firm for Help Now


 


Creating and maintaining a business can be a daunting endeavor.  The experienced and dedicated attorneys at Callagy Law are ready to help answer your questions about forming a business or ensuring that your existing business is in compliance with the law.  Contact Callagy Law now for legal guidance.


 


Learn More About Callagy Law Here:


Avvo


Vine


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website


Share Button

Employee Handbooks or Employee Contracts?

Friday, September 25, 2015

How Do Businesses Ensure Compliance When Picking Healthcare Plans?

New and existing small businesses have to consider if they will offer health insurance and if so the owner must pick the specific benefits for the company.  Under the Affordable Care Act individuals and businesses have new rights and responsibilities regarding health care insurance.


 


The ACA has instituted new requirements involving various parts of employer-sponsored health care insurance including waiting periods, tax credits, and disclosure rules for employees.  Owners and managers of small businesses should be aware of the legal requirements surrounding these regulations to ensure compliance.


 


Waiting Periods


 


Under current law, employers who offer health insurance cannot have waiting periods longer than 90 days.  Employers occasionally use waiting periods before issuing health insurance to employees.  These waiting periods can be to avoid providing costly health insurance to probationary employees before they are hired permanently.  Alternatively, waiting periods are sometimes used for employees who are in training periods or have started on a part-time or temporary basis but are moving to a full-time role.  Of course, employees must still meet other eligibility criteria in order to obtain the employer-based health insurance.


 


Tax Credits


 


For small employers, with fewer than 25 full-time equivalent employees, the Federal government may provide tax credits.  Businesses that pay average wages below $50,000 and contribute 50% or more to its employees health insurance premiums, and buy insurance through the small business insurance marketplace may be eligible for the tax credits.  The tax credits may equal up to 50% of the employer’s insurance premium costs.


 


Notably, employers do not have to provide coverage to employee dependents or to part-time employees.


 


Alternatively, employers who fail to meet IRS requirements with regard to offering health insurance, may face financial penalties.


 


Disclosures


 


Employers are now required to provide employees with summary of benefits documents that explain the benefits of the health insurance plan, such as what is covered and what the cost sharing between the employer and employee are under the plan.  The coinsurance, copays, and deductibles for individual services as well as annual and lifetime levels are likely going to be included in the summary documents.


 


Insurance carriers will draft the benefit summary document, which may be based off of a standardized document for small group insurance plans or it may be customized for a particular business.  Employers should familiarize themselves with the documents to ensure that they comply with the contract that the business signed with the carrier and so that they can communicate knowledgeably with employees who may have questions about benefits under the health plan.


 


Employers should note that they may face penalties for failing to comply with the disclosure requirement.


 


Contact a knowledgeable Lawyer for Assistance


 


Treading into the field of Federal and local regulatory law can be confusing for busy business owners.  The experienced and dedicated attorneys at Callagy Law are ready to help answer your questions about forming a business or ensuring that your existing business is in compliance with the law.  Contact the team here at Callagy Law today for legal guidance.


 


You may also be interested in these Callagy Law Blogs:


 


Medical Provider, Heal Thyself: Information on the Affordable Care Act


Citizens United and Hypocrisies


Is Obamacare in the Supreme Court Again?


 


Learn More About Callagy Law Here:


Avvo


Vine


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website


 



How Do Businesses Ensure Compliance When Picking Healthcare Plans?

Friday, September 18, 2015

Pursuing Medical Debt From Insurers | Medical Revenue Recovery

Medical doctors enter medicine to practice medicine, not to be bill collectors, but running a medical practice is far from inexpensive today.  From medical malpractice insurance, personnel costs, operational costs, rent, and other administrative costs, the everyday costs of running a practice can be quite high.


 


Also, under many laws at either the state or Federal level, as well as under insurance carrier in-network contracts with doctors, providers are required to bill patients for their portion of a bill.  So, patients are expected to pay for co-pays, coinsurance, and deductibles as required under their insurance plans.


 


Medical doctors are required to bill patients for the patient’s portion of the cost of medical care.  If a doctor does not do so, he may face legal and financial penalties from regulators and insurance carriers.  For example, an insurance carrier may reduce a provider’s payment by the percentage of the payment that the provider failed to bill the patient for.  For example, if the provider billed a service at $100 with the insurer paying $80 and the patient to pay $20, but the patient was never charged, then the insurer may request a reimbursement of 20% of the $80 since the insurer only agreed to pay 80% of the total bill.


 


ERISA


 


The Employee Retirement Insurance Security Act (ERISA) is a Federal law that establishes minimum standards for employer-sponsored retirement plans as well as health insurance plans.  While ERISA puts many requirements on employers regarding how they administer plans for their employees, providers may also be subject to ERISA.


 


Under ERISA health care plans, employers must provide their employees with health insurance plan information.  As such, employees are expected to know and adhere to their responsibilities in paying for their share of the medical bill, such as coinsurance, copays, or deductibles.


 


Alternatively, insurance carriers representing employers are required to follow certain notice and disclosure rules in working with providers in providing reimbursements.  Insurance carriers must be open and transparent about their policies and payment decisions under ERISA plans.  In other words, insurers cannot simply deny claims or dramatically underpay claims without a reasonable explanation.


 


State Prompt Pay Laws


 


Some states, including New York, have prompt pay laws.  Under prompt pay laws, insurance carriers are required to pay “clean claims” (medical claims from providers without any missing or incorrect information) within a certain number of days, such as 45 days.  So, if insurers are dragging their feet on claims by neither approving or denying them then they may be violating state law.  As a result, it may be necessary for a provider to reach out to the state insurance commission, or similar agency, and file a complaint.  Doing so may push the insurance carrier to improve their processes and pay in accordance with the law.


 


Contact a Knowledgeable Law Firm for Guidance


 


Creating and maintaining a business can be a daunting endeavor.  The experienced and dedicated attorneys at Callagy Law are ready to help answer your questions about forming a business or ensuring that your existing business is in compliance with the law.  Contact Callagy Law now for legal guidance.


 


More information on Callagy Law’s Medical Revenue Recovery program click here.


 


Learn More About Callagy Law Here:


Avvo


Vine


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website


 



Pursuing Medical Debt From Insurers | Medical Revenue Recovery

Thursday, July 16, 2015

Alex Stamos to Join Facebook as New CSO

(Reuters) – Yahoo Inc’s Alex Stamos will join Facebook Inc as chief security officer, he said on Wednesday.


Stamos, who joined Yahoo as chief information security officer last year, said he would start at the world’s largest social media network next Monday.


Stamos announced his move in a post on Facebook and also updated his profiles on Twitter and LinkedIn.


In a LinkedIn account summary, Stamos describes himself as a “security executive who is passionate about building an Internet that is safe and trustworthy for everyday users.”


Stamos will replace Joe Sullivan who left Facebook in April to join Uber Technologies Inc.


Facebook and Yahoo could not be reached for comment outside regular business hours.


(Reporting by Ismail Shakil in Bengaluru; Editing by Anupama Dwivedi)



Alex Stamos to Join Facebook as New CSO

Friday, July 10, 2015

SEC and JPMorgan in talks to settle probe regarding product steering: WSJ

(Reuters) – JPMorgan Chase & Co <JPM.N> is in talks with the U.S. Securities and Exchange Commission to settle a probe by the agency on whether the bank inappropriately advised its private-banking clients toward its own investment products, the Wall Street Journal reported, citing people familiar with the matter.


A settlement may come as early as this summer and could include a fine, the size of which was not known, WSJ said, citing people familiar with the matter.


JPMorgan Chase & Co disclosed in May that it received subpoenas from the Securities and Exchange Commission over how it sells its mutual funds.


Other government authorities and a self-regulatory organization, apart from the SEC, have also sought information about the bank’s use of proprietary products in its wealth-management business, JPMorgan said in a regulatory filing last month.


Representatives at JPMorgan and the Securities and Exchange Commission were unavailable for comment outside regular business hours.


(Reporting by Zara Mascarenhas in Bengaluru; Editing by Diane Craft)



SEC and JPMorgan in talks to settle probe regarding product steering: WSJ