Nzira yekuti Mutemo Wakadzika Unobata Sei Varwere?
Kana zvasvika pamitemo yehutano hwehutano, rimwe remitemo inokosha uye inowanzova yakaoma zvikuru kunzwisisa ndiyo Stark Mutemo. Anonzi mushure mekutsigira mutemo, Mumiriri weUnited States Pete Stark weCalifornia, mutemo uyu unozivikanwawo somutemo-chiremba-kutumira.
Pakutanga, Mutemo weStark wakagadzirirwa kuchengetedza vanachiremba kuti varege kutaurira Medicare neMedicaid varwere kuti vawedzere kuongororwa kana mazano emabara kana chiremba (kana hama yechiremba) ane ruzivo rwezvemari mune kambani inoita miedzo.
Kuzvidya mwoyo kwaiva kuti vanachiremba vainyanya kugovera miedzo, kana mabasa ehutano akasarudzwa (DHS), kana vakamira kuti vawane mari kubva kuongororo dzakawedzerwa.
Zvimwe zvehutano hwehutano hwakarongwa hunoti Stark Law inosanganisira ndezvi: mapirinicro laboratory services, chirwere chepanyama, maitiro ehutano, maharaire uye mazvigadzirwa, hutachiona hwehutano hwakasimba uye zvigadzirwa, prosthetics, maitiro ehutano, mabasa ehutano hwemusha, kutaura kwehutano hwehutano, zvipatara zvepachipatara , uye kunze kwezvipatara zvipatara. Kana varwere vachida rubatsiro urwu, vanachiremba havagoni kuvarondedzera kune zvivako apo vane mari yemari.
Dambudziko Rinoita Mutemo Wakasimba Unosvika
Kubvira pakuvambwa kwadzo muna 1989, Mutemo weStark wakadzokororwa uye wakawedzerwa. Iko kushandurwa, kwakaitika pakati pa1992 na2007, inowanzonzi Stark I, Stark II, uye Stark III. Nemhaka yeizvi, mutemo wave wakareba kwenguva refu uye kutevedza nemutemo kwakave chinhu chinetso chechiremba.
Uyezve, mutemo weStark ndiwo mutemo wakasimba wemhosva. Izvi zvinorevei kuti chinangwa chechiremba hachina kuongororwa kana kuongororwa kutumira. Somugumisiro, chiremba anogona kuwanika ane mhosva yekuputsa mutemo pasina chinangwa chokudaro.
Pasi pemutemo weStark, Kana chiremba achiita kutumira uye hapana rimwe remutemo rakasarudzwa, zvino mutemo weStark waputsika.
Uye izvi zvinogona kuva zvakakosha zvikuru. Ichokwadi, vanachiremba vanokwanisa kutengesa kusvika ku $ 25,000 kuburikidza nekuputsa pamwe kusvika kusvika katatu mari inotorwa kubva kuMedare.
Zvimwe zvinogadziriswa zvinogona kusanganisira kudiwa kubhadhara mari yose yakagamuchirwa nekuda kwebasa, $ 100,000 chirango chemubhadharo chekuedza kukanganisa mutemo nekuregererwa kubva kumapurogiramu ehutano hwehutano hwehurumende. Vanachiremba vanogona kutarisana nemhosva yakawanda pasi pe Federal Federal Claims Act. Sangano reZvenhema Rezvokutaura, iro rinowanzonzi Lincoln Mutemo, mutemo wezvematongerwo enyika wakaisa mhosva kune vanhu kana makambani anonyengera zvirongwa zvehurumende seMedare. Ichi chiito ndiyo hurumende inonyanya kushandisa chirongwa chekurwisana nehurumende.
Vatsoropodzi veMutemo weStark vanotaura kuti chiremba anoendesa kune masangano ane chiremba haana kufararira. Uyezve, vanotaura kuti vanachiremba vanova ivo kana kuti vanozviisa muzvipatara zvinopindura vari kudiwa mukati mharaunda iyo ingadai isingasviki. Vanowedzerawo kuti masangano ane chiremba anoita kakawanda mari yakaderera.
Chinangwa cheStart Law
Mutemo wepakutanga wakanga uri nyore uye wakananga. Chinangwa chayo chaiva kubvisa chiremba-kutumira kwaDHS apo murwere akavharwa neMedare kana mumwe mutero wehurumende.
Kufunga ndechokuti chiremba kuzvidzora kunomiririra kupesana kwekufarira nokuti chiremba anobatsirwa kubva kune ivo pachavo kutumira.
Nokudaro, vazhinji vanotsigira Mutemo weStark vanotenda kuti pasina iyo, vanachiremba vanogona kushandiswa mukushandiswa kwepamusoro kwebasa. Iyi tsika yaizoita kuti vanhu vawane hutano hwehutano. Zvimwe, vanofunga kuti zvingagadzira nhapwa yekutsvaga nzira iyo inogona kukuvadza mukukwikwidzana nevamwe vanopa.
Panewo kunetseka kuti pasina Mutemo weStark, kugadzirisa kurapwa kwechiremba kwaizonyanya kuenderera mberi kutungamirira varwere kune zvimwe zviedzo uye zvivako panzvimbo pokuisa murwere uye zvaanoda kutanga.
Izvi zvingazokonzerawo zvisarudzo zvehutano zvakagadzirwa nekuisa varwere vari pangozi.
Nzira yekuti Mutemo Wakadzika Unobata Sei Varwere?
NeChirevo cheStark chiripo, vakawanda vanotsigira vanodavira kuti inochengetedza vanachiremba kuronga kuedza kusingakoshi . Uyezve, vanoti inoti inobatsira kuchengetedza mari yehutano kubva pakusimuka zvisingaverengeki nekusimudzira kukwikwidzana nekuderedza hurumende pamabasa. Inogadzirisawo kuti zvisarudzo zvehutano hazvikurudzirwe nehutano hwekuti chiremba anogona kubatsirwa kubva kuwedzerwa kuwedzerwa.
Kune rumwe rutivi, kunyange zvakadaro, vatsoropodzi vanonetseka kuti kana murwere achigara munharaunda duku uye achida kuongororwa kwakajeka izvi zvingavaisa mumatambudziko zvikuru kunyanya kana chisarudzo choga chiri chivako chechiremba. Mumamiriro ezvinhu akadai, murwere angave achida kutyaira makiromita akawanda kuti aongororwe nokuti chiremba wake haagoni kumutumira kuchikwata chemunharaunda nokuti chiremba ane ruzivo rwemari mune iyo nzvimbo. Uyezve, kana murwere asingakwanisi kutakura kana mari yekufambisa kune imwe nzvimbo, angasazowana hutano hwaanoda. Somugumisiro, Mutemo weStark unogona kuisa vamwe varwere pangozi yekusawana hutano hwakakwana hwehutano.
Uyezve, vatsoropodzi vane hanyawo kuti Mutemo weStark unodzivisa kushanda kwemazuva ano. Mune mumwe muenzaniso wakaiswa pamberi peCongress, boka rezvokurapa raida kupa hupenyu hune hupenyu huripo mahofisi evanhu vanozvidzivirira. Vadzidzisi ava vaizoongororwa apo chiremba anoona kuti fetus ichafa panguva yekuzvarwa kana nguva pfupi. Kunyange zvazvo basa racho raizobatsira varwere nekupa mhinduro dzakawedzerwa uye kuedza, pasi peStart Law avo vanopa mazano vaizoonekwa sechibatsiro kune chiremba wezvematongerwo enyika.
Shoko Rinobva
Pasi pose pfungwa yepakutanga yeStart Law yaiva yekudzivirira varwere veMedaresa kuti vashandiswe navanachiremba vanogona kumira kuti vabatsirwe kubva kune vanotumira kuongororwa. Asi nekuchinja kwose uye kugadziriswa kweStart Law, zvakanyanya kuoma kuti vanachiremba vazive kana kwete ivo vari kukanganisa mutemo. Kutaura zvazviri, kune zvikwata zvemitemo zvakasiyana-siyana zvinoshandiswa mukurovedza vanachiremba nezveStart Law. Uye kune chisarudzo chechiremba avo vasingazivi vanoputsa Mutemo weStark.
Kune rumwe rutivi, kune vanachiremba vanoziva Mutemo weStark uye vanosarudza kusazvidza. Kana iwe uchinzwa chiremba wako achida kurongedza miedzo nokuti achabatsirwe navo mune zvemari, unogona kutaura neHofisi yeApeki Mukuru Guta reUnited Health yeHurumende neHuman Services pa (800) HHS-TIPS kana (800) 447-8477.
> Sources:
> "Nzira Yomugumo yeNew Physicians: Kubiridzira & Mitsara Dzechisimba." Dhipatimendi reUnited Health Health and Human Services. https://oig.hhs.gov/compliance/physician-education/01laws.asp
> Bhebheze, Firipi. "Kurumidza, nguva yekugadzirisa Mutemo weStark," Health Leaders Media, November 10, 2016. http://www.healthleadersmedia.com/leadership/quick-time-fix-stark-law
> Ellison, Ayla. "Zviitiko Zvokuziva Nezve Mutemo Wakaderera," Becker's Hospital Review, February 18, 2017. https://www.beckershospitalreview.com/legal-regulatory-issues/15-things-to-know-about-stark-law- 021717.html
> Gosfield JD, Alice. Ichokwadi Chechokwadi Pamusoro peDare Rakatadza, "American Academy of Family Physicians, December 2003. http://www.aafp.org/fpm/2003/1100/p27.html
> Higashi DC, Stephanie. "Kuziva Haisi Icho Chikonzero: Usashungurudza Dzemitemo," Chiropractic Economics, February 15, 2017. https://www.chiroeco.com/violate-stark-laws/
> "Chiremba Kuzvidzivirira." Nzvimbo dzeMedare uye Medicaid Services. https://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/index.html