Shielding Seniors from Online Romance Scams

Shielding Seniors from Online Romance Scams

Life hits you fast when the online partner that you are in a romantic relationship with runs off with not only your dreams of marriage, but also $39,000 and your pension. This happened to Kate Kleinert, a 69 year old widow who found herself lonely during COVID.  Her encounter on Facebook with an alleged Norwegian doctor dispatched to Iraq resulted in her losing not only her hopes for love, but also a large sum of money. Unfortunately, Kate's story is just one of many in a growing trend of romance scams that have cost elderly individuals a staggering $304 million, a number significantly higher than it was five years ago. Let's delve into the reasons behind this surge in scams and the serious repercussions they bring.

What do romance scams look like?

While young people can also fall victim to online scams, older individuals, particularly those over the age of 40, are more susceptible to romance schemes. The elderly, including widows, widowers, and recent divorcees, are especially vulnerable to emotional manipulation due to isolated living circumstances. Scammers prey on this vulnerability, knowing that older adults usually have more financial resources, such as retirement funds, investments, and savings, making them attractive targets. These online romancers will say anything to exploit their victims' emotions and financial situation, even luring them with the promise of marriage to lower their defenses.

Typically, the victims of romance scams meet their phony lovers on dating websites or apps. The scammers use pictures of random people they find online to create fake identities and initiate conversations. They engage in intimate chats and exchange photos, leading the victims to believe they are in a genuine relationship. Once they have gained the victim's trust and affection, the scammers create a story about a supposed problem that requires a certain amount of money to be solved. Out of love and a desire to help their supposed partner, the victim sends money. However, this is rarely a one-time occurrence. The scammers continuously create new problems that require more money, draining their victims emotionally and financially until there is nothing left. Some victims find themselves endlessly manipulated, even after they have exhausted their funds. This is exactly what happened to Kate Kleinert.

The European Lover

In Kate's case, she met a person posing as a Norwegian doctor named Tony in 2020. Kate, a 69-year-old widow, made a fateful decision when she accepted a Facebook friend request from an attractive stranger. After a few months of daily messaging, Tony asked her for money. Although it should have been a red flag, Kate obliged, and over time, she sent nearly $39,000 in gift cards to Tony. He depleted her savings, her deceased husband’s life insurance, her pension, and money from Social Security. The financial loss was heartbreaking, but what hurt her even more was the loss of the love and family she thought she was going to have with Tony.

Unfortunately, this deception doesn't stop with Kate; many older adults have fallen victim to these scams. In a recent NYT article, Michael Delaney, an elder law attorney in Chicago, recounts stories of adults taking out mortgages on their homes, borrowing money from neighbors, and emptying their retirement accounts to maintain fraudulent connections. The harm persists until a concerned loved one intervenes. However, when victims report the incidents to authorities, they often receive little help as the scammers frequently use foreign IP addresses, making it difficult for law enforcement to track them down. The aftermath leaves victims emotionally devastated and financially devastated, seeking alternative sources of support, like GoFundMe campaigns, to make ends meet. Even after Kate changed her online privacy settings, months later Tony managed to reach back out to badger her for money. He told her, “I know you have money. I saw your GoFundMe page”. 

Tips to Avoid a “Tony” Mishap

So, how can we protect ourselves and our loved ones from falling into a "Tony" mishap? First, we should spend quality time with our older loved ones, especially those who might feel isolated or are grieving the loss of a partner. By offering companionship, we can help reduce their vulnerability to romance scams. We should also educate them about the risks of online relationships with strangers and help them spot potential red flags.

Additionally, research should be done to verify the identity of potential online partners. Video calls are a great way to confirm someone's identity, but if that's not possible, checking for consistent online profiles and reverse image searches on Google can help identify fake accounts. If a personal social media account has a lot of information posted within a short timespan, chances are that the profile is a ruse.

Above all, trusting our instincts is vital. If something feels off or too good to be true, it probably is. Being cautious, especially when asked to send money to someone you haven't met in person, is essential. Seeking a second opinion from a trusted friend or family member can help avoid falling victim to these scams.

Taking everything into account, online romance scams pose a significant threat, particularly to vulnerable individuals like Kate Kleinert. The emotional and financial toll inflicted by these heartless fraudsters highlights the need for increased awareness and caution. To protect our loved ones, especially older adults, spending quality time with them and promoting digital literacy can help reduce the risk of falling prey to these manipulations. By fostering open conversations and trust, we can create a safer online environment where genuine connections flourish, shielding hearts from the deceptive tactics of romance scammers. If you and your loved one find yourselves in the midst of a romance scheme, please call the Trust and Estate Planning Law Office at (718) 333-2395 to take your next steps.

The Importance of an Elder Law Attorney

The Importance of an Elder Law Attorney

As we get older, we come to see some obstacles that our aging family members face. Oftentimes, no one prepares you for what to do when you reach your late stages of life. Healthcare, financial well-being, and long term care are commonly thought of when considering the next steps for your aging loved ones. However, it may be overwhelming to figure out all this on your own. At times like this, it is extremely helpful to visit an elder law attorney. But what exactly is an elder law attorney? 

 Importance of an Elder Law Attorney

An elder law attorney focuses on assisting the older population and their loved ones. They focus on covering a wide variety of issues that the aging population face or will face. Going to an elder law attorney for a consultation to discuss future needs and what seems to be the best for you or your family may help you gain further insight on what may be needed to better your lives. They can help evaluate your current situation as well as exploring options for the future. Some common work elder law attorneys do is:

  • Trusts and wills
  • Estate planning and probate*
  • Nursing home planning and long term care 
  • Medicaid and Social Security assistance
  • Elder abuse 

* Most elder law attorneys are also esteemed at estate planning but not all estate planning lawyers are accomplished elder law attorneys so make sure to check out client reviews

By having an elder law attorney by your side, you can save time, money and avoid getting into future legal trouble. Since the laws surrounding the elderly are different in each state, it is pivotal to find an elder attorney that is knowledgeable and well-versed in their field. A skillful elder law attorney should be able to alleviate your worries about your future and you should feel as if you are in good hands. Follow this link to see some actual cases that have been alleviated by elder law attorney, Inna Fershteyn.

In addition, it is also important to know that there is no right or wrong age to meet with an elder law attorney. It is a common assumption that people have when thinking about elder law attorneys. For those in their thirties to fifties, visiting an elder lawyer may help with protecting your wealth and assets for the future. They can also have more options for you since you have the benefit of a head start. You do not necessarily have to be “old enough” or a senior to seek an elder law attorney.

If you or a loved one is looking for guidance to put your mind at ease for the future, a consultation from an adept elder law attorney should help. Please contact the Law Office of Inna Fershteyn at (718) 333-2395 to secure your road for the future today.

7 Tips On Caring For Elderly Parents Long-Distance

7 Tips On Caring For Elderly Parents Long-Distance

If you have an aging parent who needs additional assistance, it can be a challenge. If you are caring for your parents from a long distance then there may be additional considerations. Read ahead for seven tips on how to take care of your elderly parents long-distance. 

how-to-care-for-elderly-parents-long-distance

1.) Plan Ahead

Planning ahead and establishing a good system to check-in and care for your elderly parents as early as possible is a great first step, especially when you don’t live near your parents. When your parents are in good health, both physically and mentally, it will be the best time to draw up legal documents, find important papers, and get their home prepared for the challenges of aging. By planning early on, your worries will decrease later on as you have plans and protocols in place. 

2.) Meet Your Parents’ Neighbors

Because you live far away from your parents, visiting them is always a nice idea. While on your trip, assessing their health and support system is also a good idea. You can make a note of your parent’s environment and neighbors. Meeting your parent’s neighbors is a great start to creating a support system. Usually, neighbors are only steps away and would hopefully be okay with dropping in for a quick check or hello. 

Establishing good relationships with your parent’s neighbors, and having their phone numbers on hand, will decrease your worries as you know that help is close by. Sometimes, neighbors may be the first to notice any unusual behaviors or a decrease in activity. Also, if you are unable to reach your parents, you can call their neighbors who can reassure you that your parents are okay and possibly just out of reach from the phone.

3.) Make and Keep Copies of Important Documents

Make sure to make copies of any important documents regarding your parents that you may need. Some of these documents include: insurance cards, medical history, names and numbers of your parent’s doctors and pharmacy. Your parents may have important legal documents that you should have copies of, including copies of any estate planning documents like a will, health care proxy, and power of attorney. By having your own copies, it could even help your parents if they one day can’t find papers you know are in the house.

4.) Evaluate the Home

While visiting your parents’ home, doing a safety check is another great idea. You can help clean up clutter and unused items. As your parents age, the risk of falling and injury increases, so ensuring that their home is hazard free is important in order to prevent injuries. If your parents need further safety features, you can consider installing grab bars or any other installations recommended by doctors. If your parents live in a suburban area, hiring services like snow removal or yard maintenance companies can also help as they keep the land clear from ice or branches.

5.) Managing Their Medication

If your parents are taking numerous medications, you might worry that they can either forget their daily medication or mix up their medication. Nowadays there are services available that can package daily medication and send it in the mail. If your parents receive medication from multiple pharmacies, consider consolidating them into one nearby location so they can have an easier time picking up medication. 

6.) Transportation Services

A transportation service can be extremely helpful if your parents do not drive, or if driving may no longer be possible in the future. Senior transportation services can also ensure that your parents remain active and can go out for leisure and to fulfill obligations. 

7.) Legal Issues

A widely neglected aspect of caring for aging parents revolves around legal issues and estate planning. If your parents have already established an estate plan, make sure to have copies of it in case they cannot find it. If your parents have not yet established an estate plan, and are still in relatively good health, it is important to sit down and talk to them about their estate plan. By having such discussions, they can let you know their wishes should anything happen to them. Once decisions are made, you and your parents should consult an estate planning attorney who will let you know the best legal courses to take to make sure their wishes can be carried out. 

If your parents would like to create an estate plan, please contact the Law Office of Inna Fershteyn at (718) 333-2395.

What is Elder Financial Exploitation and How to Prevent it

What is Elder Financial Exploitation and How to Prevent it

What is elder financial abuse?

Many of us are probably familiar or have heard the term financial exploitation, which is when an individual uses someone else's money or resources for their own personal benefit. This type of abuse can happen to people of all ages. However, elders that are usually 60 years or older tend to be very common targets as they are usually seen as weak minded, easy people to fool and defenseless. Thus, elder financial abuse is on the rise. According to the National Council on Aging, being a victim of elderly financial abuse can cost as much as 36.5 billion a year. 

Unfortunately, it can also be a difficult crime to detect as the perpetrators can fall on a range of people such as children, spouses, family members, scammers or even nursing home assistance. It can also be even more difficult to detect when the elderly victim suffers from mental impairments such as dementia. Therefore, it is important to know the signs of elderly financial abuse to know how to prevent it, it may not only benefit you, but maybe even someone you know.

What is Elder Financial Exploitation and How to Prevent it

How to Identify Elder Financial Exploitation?

Though it can be a difficult task to identify elder financial exploitations, here are a few signs to look out for that may help.

  1. Isolation- One common sign to look for is a change in the elderly's mood such as sadness or depression. This may tend to make them want to isolate themselves more from their own family members. Another sign of this can be seen when it is also hard to get a reach of them whether it be by phone or in person. 
  2. Suspicious Financial Account Activity- If you notice new or unusual authorized users for bank accounts or credit cards, this can be a red flag. This can ultimately result in many negative impacts. For example, large withdrawals, debt, fund transfers and missing money. 
  3. Change in Spending Habits- a big sign to look out for is a change in spending habits. This can be noticed if a person is not paying bills, not buying food or necessities and not shopping as much as they regularly do. These are very big indicators that it may be time to investigate where money is going.
  4. Missing or Unusual Possessions- This sign might be one of the easiest to spot, if you notice significantly important or valuable items missing, a good thing to do is ask what might have happened to them. Alternatively, if you notice many new valuable items, it may also be good to ask where they came from and why. It is better to be on the safe side. 

What You Can Do to Prevent Elder Financial Exploitation

  1. If you suspect that an elderly is in immediate danger such as physical abuse or neglect, it is recommended to call law enforcement and get them involved. Working with them not only helps prevent criminal activity but it also ups your chances of holding the abuser accountable for their crimes. 
  2. If the victim is not in immediate danger, contact Adult Protective Services. The agency will then conduct their own investigation into the matter as well as coordinate with other services such as law enforcement and social services. They will also offer assistance when needed. 
  3. Another way to prevent financial exploitation is by reaching out to financial institutions like banks and credit bureaus. They can then conduct their own investigation which can help clarify any discrepancies.They may also help identify if any financial exploitation is occurring, in many cases they are the ones to first notice any exploitation.  
  4. When it comes to elder financial exploitation, it often involves many legal matters which can best be handled by an attorney who specializes in elder law. For example, an attorney may suggest tips to prevent financial abuse from occurring such as setting up a revocable or irrevocable trust. This will help protect your assets and keep ownership over them. 

If you or someone you know needs help preventing financial abuse, contact the Law Office of Inna Fershteyn, and we can guide and help you determine the best course of action.

What Should Loved Ones be Made Aware of When Seniors are Returning to Nursing Homes After a Hospital Stay?

When your elderly loved ones are returning to a nursing home from a hospital, there are a number of things that you should be made aware of. Understanding what documents are protecting their medical records and attaining healthcare authority or access to healthcare records is essential to managing a loved one’s care. The following information will help make sure that you’re fully prepared to answer any questions regarding the care of an elderly individual in your family.

returning to senior housing after a hospital stay

HIPAA, or the Health Insurance Portability and Accountability Act, has a significant influence on providing medical care for loved ones. This federal law was passed in 1996 to preserve the privacy of medical data about persons. It mandates that healthcare providers and insurance companies maintain medical information private and safe. Unless the patient gives explicit permission, this information cannot be shared. This gives individuals more control over their health information and the ability to regulate who has access to it.

With the public's interest in COVID-19 instances heightened, many people want to know if anyone in their neighborhood has tested positive. HIPAA's right to privacy clashes with this demand for knowledge. HIPAA protects patients' medical information even in the midst of a global epidemic.

HIPAA-protected information includes: 

- any and all confidential info in a patient's medical record 

- any discussions or information collected by a doctor or medical experts, and 

- information on medical billing

A patient can allow their caregiver access to patient data regarding their care by signing a HIPAA authorization form. In many cases, having access to this information allows a caregiver to make better judgments about the patient's treatment. This also enables caregivers to interact directly with a patient's doctor in coordinating treatment and care amongst medical organizations, as well as to negotiate and pay medical expenses on behalf of the patient.

Upon Discharge, Re-evaluation of Physical and Cognitive Abilities is Suggested

Although relatives may be under a lot of stress as discharge day approaches for their loved one, it's a good idea for them to discover how changes in their loved one's condition will affect whether their requirements can still be addressed in their present community and the expense of the nursing home. Reading the community's qualifying requirements for resident admittance is an excellent place to start.

A cognitive evaluation is usually performed upon initial admission and whenever a resident's health changes in order to evaluate their physical and mental skills and identify their care needs. Workers at a loved one's senior care facility should communicate with family members and hospital personnel, such as physicians, social workers, and therapy departments, to assess the patient's changing needs and whether or not the community can satisfy them. Caregivers should be proactive in ensuring that the care team communicates well.

In light of COVID-19, How Have Nursing Home Regulations Changed?

CMS released guidelines on how nursing homes should respond to the pandemic as the number of COVID-19 cases and fatalities rose. In a February 2020 informative bulletin, the Centers for Disease Control (CDC) encouraged health care institutions to evaluate the COVID-19 guidance and recommendations, as well as their own infection control policies. 

With the primary focus on the challenges confronting nursing homes and state survey agencies as they respond to the pandemic, legislators may reconsider whether federal Medicare and Medicaid requirements should be adapted to improve oversight and whether extra capital is required to support providers and agencies in ensuring adequate resources.

How Are The Federal Requirements for Nursing Home Oversight Enforced?

States usually conduct frequent inspections known as surveys to ensure nursing facility compliance with federal Medicare and/or Medicaid standards. States get 75 percent federal matching money for Medicaid nursing facility survey and certification activities, whereas Medicare SNF survey and certification activities are financed by a discretionary appropriation.

The penalties for institutions that are found to be outside of compliance with federal regulations differ based on whether the defect is considered to directly threaten the health or safety of patients.

Civil money penalties (CMPs) can be assessed for the number of days a facility is not in significant compliance or for each occurrence of noncompliance. CMPs can vary from $6,525 to $21,393 for inadequacies that provide an immediate threat, and from $107 to $6,417 for defects that do not pose an immediate threat but either caused actual harm or have the potential to create more than minor injury.

If the individual you are caring for does not have a Healthcare Power of Attorney, it is advised that you persuade them to sign a HIPAA release and maintain copies of these documents in their file. This enables you to contact medical experts as well as any other family members to whom the patient has provided permission. 

For more information on creating a POA for your loved ones please contact The Law Office of Inna Fershteyn (718) 333-2395 for an experienced and diligent elder attorney who can guide you through this process.

Potential Challenges When Naming a POA

A Power of Attorney (POA) is the most important document needed for estate planning. A POA grants an individual, known as a principal or grantor, the right to make health and/or financial decisions for someone else. Seniors usually appoint an adult child as their grantor as their mental and/or physical health deteriorates. While the legal process of obtaining a POA may be quick, the emotional burden is a heavy one. Family members often argue over who can be trusted and will treat their duties with the utmost responsibility. In order to decide who qualifies under this position, it is important to understand what a POA is and what actions the grantor has control of. 

Family Members Feud Over POA

Common Factors in Deciding Who To Name as POA

In many cases, a senior acknowledges their eldest child or child that lives closest to serve as a POA. However, in other cases individuals choose to take other factors into consideration before making a serious decision. Seniors will make their decision on preconceived notions of their child’s history maintaining their personal finances. If the elder knows that their son/daughter is thousands of dollars in debt and spends their money carelessly, then they will be less likely to trust them as their POA. In contrast, if a child is in a related profession, then the elder will be more likely to trust them with control of financial or medical decisions. Professions such as nurses, doctors, bankers, and accountants fall under this category. 

Potential Problems Naming Joint or Co–Agents as POA

At the same time that seniors may have a difficult time determining who to acknowledge as their POA, their children may also not want to take on the role. When the senior finally chooses who to name their POA, other children may exhibit emotions of disappointment and/or anger. Picking one child over another implies that the latter is unfit to take on the responsibility. To prevent a feud from occurring, there are ways in which responsibilities can be divided between siblings. 

POA obligations are divided into two categories: medical and financial. Of course, one individual may take on both obligations, but it is also possible to split them between two people. By granting separate responsibilities to each child, they will feel that their perspectives are equally viable in determining their parent’s elder care. It also allows them to work together as a team when the two obligations cross paths. 

An alternative option is to name consecutive agents when drafting a POA. In this scenario, if a designated grantor is unable or refuses to uphold their obligations as POA, then a secondary agent will take over their position. While this may not improve present sibling tensions, it highly guarantees that a responsible individual will preside over the elder’s decisions. In this case, even if a child refuses to serve as POA, there will always be someone to take on the role in consecutive order as listed by the elder. It is always a good idea to have a backup plan to ensure the elder is taken care of at all times. 

A more likely solution to a sibling feud is to name them as co–agents in the POA document. Co–agents have an equal say on all decisions made for their parents easing tensions between the two. However, it is important to note that not all states allow for a co–agent option and also vary in the ways in which these two can act on decisions together when drafting POA. To find out whether co–agents are a feasible option in your state, it is best to consult with an experienced and knowledgeable licensed attorney. On the downside, co–agents are granted joint powers of attorney, meaning they cannot make independent decisions on any matters. Therefore, when naming co–agents, it is crucial that the two individuals have established a positive and productive relationship. Once again, this legal binding only exists in some states. To find out whether co–agents may act independently in your state, you should always consult with an attorney. 

The POA Decision and Potential Family Aftermath

Some families do not face any obstacles when appointing POA. However, the hardships commence when the agent begins to administer their duties. Oftentimes, siblings disagree over whether the agent carries out their duties in an efficient and responsible manner. 

Questioning the Validity of the POA Document and Actions of the Agent

Sibling rivalry oftens unleashes conflict over POA. Siblings who aim to sabotage the named POA will accuse them of taking advantage of their mentally disabled parents. In some cases, they may accuse them of forcing their parents to sign a POA even if it was signed under legitimate circumstances. Unfortunately, even if the agent has abided by all legalities, these accusations may lead to a long and stressful investigation. 

Unwilling to Follow the Principal’s Wishes

A designated agent must uphold a legal responsibility to ensure that all decisions are made in the best interests of the individual they represent. Even if personal opinion conflicts with best financial or medical interests, the agent must put their opinion aside. For example, a Do Not Resuscitate (DNR) order often classifies as a conflict of interest. If an agent does not follow the principal’s wishes, they can be sued at any time. 

When the POA is not the Hands-On Caregiver

Issues tend to arise when the appointed POA is not the same individual that provides full time care to the principal. This creates animosity between the caregiver and POA. For instance, it is frustrating if one sibling lives with and cares for their mother, while another sibling has full control over medical and financial decisions. This situation may cause miscommunication and/or lack of agreement on what is best for the principal. 

For all of your elder law needs, please contact the Law Office of Inna Fershteyn at (718) 333-2395.

Why a Letter of Competency Should Be Part of Every Senior’s Legal File

With old age comes an inevitable decline in one’s cognitive and mental health, complicating the process for seniors in the midst of their legal planning. If you are a senior who is making arrangements for your future, you might consider adding a Letter of Competency to your file of legal documents. Obtaining a Letter of Competency is especially crucial if you believe there might be any contention regarding the validity of your documents. A Letter of Competency will prevent your documents—such as your will and Powers of Attorney—from being challenged by an incompetency claim. By eliminating any doubts or questions about your mental capacity at the time that your documents were being prepared, you can minimize the chances of familial discord arising.

Prepared Senior with Letter of Competency

Reasons for a Letter of Competency

While it is impossible to predict whether a sibling, grandchild, stepparent, or other family member will challenge the validity of an aging loved one's legal papers, it happens often. Some of these cases even end up in costly and time-consuming guardianship proceedings. Others lead to legal proceedings in which the will of a loved one is contested. These arguments can tear families apart and destroy relationships.

It seems superfluous to ask for more proof of mental capacity when revising or creating legal documents, but there is no harm in prevention and protection. The time and energy required to attend a doctor's appointment and receive a letter of competency is minimal compared to the emotional turmoil and legal costs associated with a trial or investigation by Adult Protective Services (APS).

How a Letter of Competency Works & Who Can Provide One

The certificate of competency is usually written by a primary care physician who is familiar with the patient’s initial physical and mental health changes. In some cases, it may be a good idea to obtain this letter from a doctor who specializes in cognitive or mental health, such as a neurologist or psychiatrist.

Obtaining a letter of competency at the time one’s will, Power of Attorney forms, advance directive, and any other legal documents are drafted and signed will help dispel any suspicions that these documents were produced while lacking the mental capacity to make sound medical, financial, and legal decisions. 

Attorneys are prohibited from helping incompetent individuals change or create legal documents, but the legal definition of incompetence is slightly different from the medical definition of mental capacity. To ensure that a person can make legal and medical decisions about their health care, finances, and property, any doubts about the validity of their documents should be removed.

What a Letter of Competency Includes

A Letter of Competency should be printed on the physician’s letterhead and include the following pieces of information:

  • The patient’s name & date of birth
  • The date on which the patient-physician was first established 
  • The physician’s statement affirming the patient’s ability to make independent decisions regarding finances, legal matters, and healthcare
  • Relevant medical diagnoses & each of their dates
  • The physician’s contact information

In addition to the information mentioned above, it is wise to work with an elder law attorney to determine if any other facts or supporting evidence should be included in the letter. The original letter should be filed with the corresponding legal documentation and kept in a secure location. Your attorney should also have all of your documents, including the letter, readily available. It is recommended that your physician keep a copy of the letter in your medical file as well.

How to Obtain a Letter of Competency

This letter may be requested from a primary care physician with whom the patient is familiar and has an established relationship. The physician should be able to recognize any changes in the patient’s baseline mental and physical health. In certain cases, it may make more sense to request the letter from a specialist in mental or cognitive health.

An attorney should be able to determine when it is necessary to obtain the letter from a specialist rather than a primary care physician.

The basic legal planning recommended for seniors can be a confusing and lengthy process to navigate on your own. Taking every precaution to ensure the legal validity of your documents will reduce the potential for dispute in the future. If you need a highly qualified and experienced attorney to guide you through this process, please contact the Law Office of Inna Fershteyn at (718) 333-2395 to have all of your questions answered,

How to Determine a Senior Needs Help at Home

Ensuring that the needs of our loved ones are met is one of the biggest responsibilities we face as they age. Although we would like our elderly parents to remain independent for as long as possible, there may come a time when they can no longer take care of themselves. It is important to start proper legal/financial planning and research long-term care options ahead of time, before any significant changes in their physical and mental abilities occur. It is crucial that you are prepared to provide them with the necessary support when they start to show signs of needed assistance.

senior-assistance

Signs a Senior Needs Help at Home

These are typical signs that an elderly person may require home assistance or a higher level of care: 

  • Difficulty Performing Activities of Daily Living 
      1. Bathing and grooming
      2. Dressing
      3. Toileting
      4. Continence
      5. Walking and transferring (e.g., moving from the bed to a chair)
      6. Eating
  • Changes in Physical Function & Appearance
      1. Significant weight loss due to poor diet, difficulty cooking, eating, shopping for food, etc. 
      2. Difficulties with dressing appropriately (e.g. wearing soiled clothing, dressing for the wrong season)
      3. Poor personal hygiene and unpleasant body odor due to infrequent showering
      4. Noticeable decline in grooming habits and personal care
      5. Marks on the body indicating falls or changes in mobility (e.g. bruises, wounds, etc.)
      6. Burns on the skin which could indicate difficulties with cooking
  • Changes in Behavior & Mental Status
      1. Lack of motivation or drive
      2. Loss of enthusiasm for hobbies and pastimes
      3. Trouble with keeping track of time
      4. Failure to return calls to friends and family members
      5. Mood shifts or strong mood swings
      6. Increased agitation
      7. Abuse of power, whether verbally or physically
      8. Changes in sleeping habits (e.g., insomnia or sleeping all day)
  • Neglecting Household Responsibilities
      1. Inability to independently complete instrumental ADLs (activities of daily life)
      2. Changes in household cleanliness and organization
      3. Extreme clutter or hoarding
      4. Stacks of unopened mail, late payment notices, or bounced checks
      5. Unpaid bills, calls from collectors, or utilities being turned off
      6. Spoiled food that doesn’t get thrown away
      7. Little or no fresh, healthy food or overall low food supply
      8. Stained or wet furniture 
      9. Urine odor in the house, which may indicate incontinence
      10. Cookware or appliances with noticeable burn marks could indicate food has been left unattended while cooking or reheating
      11. Failure to maintain outdoor areas, such as landscaping, snow removal or garbage collection
      12. Signs of unsafe driving (e.g., automobile dents and scratches)
      13. Unfilled prescriptions
  • Changes in Cognition, Memory, or Judgment 
    1. Forgetfulness (e.g., forgetting to take medications or taking incorrect dosages, missing appointments, misplacing items)
    2. Increased confusion
    3. Loss of reasoning skills
    4. Consistent use of poor judgment (e.g., falling for scams or sales pitches, giving away money)
    5. Difficulty performing familiar tasks
    6. Frequently getting lost when walking or driving
    7. Repetitive speech patterns
    8. Inability to complete sentences
    9. Impaired word-finding ability
    10. Changes in personality or behavior
    11. Poor personal hygiene 
    12. Inability to recall names of familiar people or objects

If you suspect your parents are displaying any of the warning symptoms listed above, the next step is to talk to them about their changing skills and care requirements. It may be a sensitive topic and lead to rising tension. However, it is extremely importantIt's ideal to talk about the future with elderly parents as soon as possible so that everyone is on the same page and no surprises arise.

Keep in mind that these warning signs do not always indicate that a relocation to assisted living or a nursing home is necessary. Their presence, on the other hand, indicates that daily supportive care is required. Hiring home care allows many families to keep their elderly loved ones in their homes for as long as they can safely do so.

If you need further legal assistance with elder care planning, please contact the Law Office of Inna Fershteyn at (718) 333-2395 to best prepare your legal documents for the future. 

How HIPAA Impacts Caring for Aging Patients

How HIPAA Impacts Caring for Aging Patients 

It's critical to understand the implications of the Health Insurance Portability and Accountability Act (HIPAA) on caregiving if you have worries about an aging loved one's health and are active in their daily care. 

HIPAA-aging-patients

What is HIPAA? 

The Health Insurance Portability and Accountability Act, or commonly known “HIPAA,” has a significant impact on providing care for loved ones. This federal law was passed in 1996 to preserve the privacy of a patient’s medical information. It mandates that health care providers and insurers maintain medical information private and safe. Unless the patient gives explicit permission, this information cannot be shared. This gives people more control over their health information and the ability to regulate who has access to it.

Why Sign a HIPAA Authorization? 

A senior can provide their caregiver access to essential information about their care by signing a HIPAA authorization form. A caregiver who has complete awareness of their loved one's medical and treatment history is in the best position to make quality care decisions in the future. There are two major factors to consider when allowing access to medical records. Caregivers should be able to communicate directly with a senior’s doctors to coordinate treatment and care between medical entities, and dispay medical bills on the senior’s behalf.

Without these clear approvals, a family caregiver's ability to properly act on behalf of a senior may be limited. Unless a family member has been nominated as a personal representative with a valid healthcare power of attorney (POA), the privacy rule prevents access to complete medical information.

If the person you are caring for has not already created and signed a POA form, it is a good idea to have them sign a HIPAA release and keep copies on hand. This will ensure that medical entities have no doubt that they are permitted to interact with you and any other family members to whom your loved one has provided permission.

Seniors should talk to their health-care providers about how to put it in writing that only certain persons are authorized to see their medical records. If this is a concern for you, you can also put it in writing that you do not want particular people to have access to your medical information.

For more information about providing high-quality care for senior loved ones or to discuss long-term care planning, please contact the Law Office of Inna Fershteyn at (718) 333-2395.

When POA Isn’t Enough: Authorizations Needed to Act on A Loved One’s Behalf

Family caregivers are often given the responsibility to access private documents/information regarding their loved ones due to the large amount of paperwork that might arise pertaining to their personal care. Caregivers often feel bombarded with signing, filing, mailing, or faxing such documents, which is where Power of Attorney documents (POAs) come at hand, saving time and stress. In some cases, a few organizations require their own documentation to approve contributions in one's affairs. An individual should never take on this lengthy process by themself. To minimize the risk of making a mistake that may cause dire consequences down the road, the best approach is to hire an elder care attorney.

POA May Not Be Enough

Hiring a Power of Attorney is Crucial for Seniors and their Caregivers 

Elder law attorneys specialize in legal concerns that affect older individuals, their spouses, and their children—specifically the medical and financial aspects of them. A Power of Attorney document allows certain individuals who are identified as “the agent” to legally make decisions on behalf of another person who is identified as “the principal.” The individual is then granted power upon the principal’s personal matters. It is evident that such preparations cannot be legally processed without such documents being authorized. 

However, POAs are not always apodictic. The actions an agent can or cannot take on behalf of a principal, as well as when their powers commence and stop, might differ depending on how these papers are written. Caregivers may run into issues when attempting to utilize POA forms for healthcare and money to oversee the care of seniors if they are not correctly prepared or interpreted. Long before incapacitation becomes a concern, families should prepare these legal documents. When a loved one is unexpectedly disabled due to an accident or sickness, POA paperwork can allow agents to step in and help handle the situation—provided those documents are prepared appropriately.

Some Entities Do Not Accept Power of Attorney 

As useful as POA’s are, third parties such as banks are reluctant to approve such financial documents due to the possibility of fraud, in which case they may be held responsible for any harm that results. 

Such banks take an extended period of time to verify the legitimacy of a financial Power of Attorney and may even want to speak with the attorney who finalized it. In addition, they might also require that the agent and/or future POA sign a written statement declaring that they are operating legally, therefore absolving the other party of all liability. Nonetheless, there should be no issues arising besides the time-consuming process of being approved as a POA. 

Authorizations Needed to Manage a Senior’s Care

A SSA Authorized Representative

Helping a loved one or assigned senior with Social Security applications is possible with the correct documentations, one can apply to be their authorized representative by completing the SSA-1696 Appointment of Representative Form. 

SSA Representative Payee

You must apply to become a representative payee if you want to actively help a Social Security recipient manage their retirement payments and/or Supplemental Security Income (SSI). All beneficiaries who are unable to manage their own payments must have a representative payee according to the Social Security Administration.

While this may be the authority you're searching for, it's important to note that it comes with a lot of responsibility. This work necessitates a thorough recording of all a beneficiary's benefits and how they are utilized, requiring attentive and responsible individuals. If there is no family member or acquaintance available to hold the “rep payee” title, the SSA will designate another qualified beneficiary to hold such recipient benefits. 

VA Fiduciary Designation

Administering veteran benefits also requires its own process. Obtaining POA authority is not a satisfactory requirement for the U.S Department of Veterans Affairs (VA). The VA will request the appointment of a fiduciary if a physician or a court of law determines that a veteran (or surviving spouse) is incapable of handling his or her money. A close friend or relative is readily available to fulfill such a position as long as the VA successfully and thoroughly conducts a close investigation of such individuals’ competence. If there is no family member or acquaintance available to hold responsibility for the veteran, the VA will designate another qualified beneficiary to hold such recipient benefits. 

Medicare Authorization 

It is important to note that Medicare will not provide disclosed health information to an assigned caregiver regardless of relationship to the agent. There must be a written authorization already submitted and approved by the Centers for Medicare and Medicaid Services; verbal permission is also an accepted option. Medicare enrollees may be able to speak and answer simple questions over the phone, giving their caregivers permission to disclose coverage data. If you and your loved one are unable to speak on the phone together, consider attempting to “include them” using your cellphone or other three-way calling device to keep all parties on the same page.

The "1-800-MEDICARE Authorization" Form can be filled out and mailed in or done over the phone with the help of a customer service professional. Please note that certain private insurance companies frequently have their own processes for these documents, so make sure to ask about their unique permission needs.

Be Proactive About Caregiver Documentation

Keep in mind that many problems may be addressed with a combination of goodwill, clear explanations, and reasonable inquiries asked of the appropriate individuals when advocating for your loved one or assigned “agent.” If you're unsure, ask to talk with a supervisor. If no one is available, or if no amount of logical conversation appears to be working, you have the right to consult with legal counsel. 

If you are in need of highly qualified and experienced help regarding a Power of Attorney issue, please contact the Law Office of Inna Fershteyn at (718) 333-2395 to have all of your authorization questions answered.