Momwe Makhalidwe Otsika Amakhudzira Odwala
Pankhani ya malamulo othandizira zaumoyo, lamulo limodzi lofunika kwambiri komanso lovuta kwambiri kumvetsa ndilo lamulo la Stark. Amatchulidwa pambuyo pothandizira malamulo, woimira ku United States Pete Stark wa California, lamuloli limadziwikanso ngati lamulo lachipatala.
Poyamba, Lamulo la Stark linalinganizidwa kuti ateteze madokotala kuti asatchule odwala Medicare ndi Medicaid kuti apeze mayeso ena kapena ma labata ngati dokotala (kapena wachibale wa dokotala) anali ndi ndalama pa kampani yomwe ikuyesera.
Chodetsa nkhaŵa chinali chakuti madokotala amatha kuyesa mayesero, kapena athandizidwe (DHS), ngati atayima pofuna kupeza ndalama kuchokera ku mayesero ena.
Zina mwazinthu zothandizira zaumoyo zomwe Stark Law ikuphatikiza ndi izi: ntchito zachipatala, chithandizo chamankhwala , mankhwala opangira ntchito, ma radiology, ma radiation ndi zopereka, zipangizo zamankhwala zotsalira komanso zopereka, ma prosthetics, orthotics , chithandizo chamankhwala a kunyumba, , ndi chipatala chapakati pazipatala. Ngati odwala akusowa thandizoli, madokotala sangathe kuwalembera malo omwe ali ndi ndalama.
Mavuto Amene Malamulo Ovuta Amakumana nawo
Kuyambira mu 1989, Lamulo la Stark lasinthidwa ndikuwonjezeredwa. Zomwe zinachitikira pakati pa 1992 ndi 2007, zimatchedwa Stark I, Stark II, ndi Stark III. Chifukwa chake, lamulo lakhala lalitali kwambiri ndikutsatira lamuloli lakhala lovuta kwa madokotala.
Komanso, lamulo la Stark ndilamulo lokhazikika. Izi zikutanthawuza kuti cholinga cha dokotala sichitengeredwa poyesa kufufuza. Chotsatira chake, dokotala angapezeke kuti ndi wolakwa pomphwanya lamulo popanda cholinga chochita zimenezo.
Pansi pa lamulo la Stark, Ngati dokotala atumiza ndipo palibe lamulo la malamulo, ndiye kuti malamulo a Stark aphwanyidwa.
Ndipo izi zingakhale zodula kwambiri. Ndipotu, madokotala angathe kulipira ndalama zokwana madola 25,000 pa kuphwanya kuphatikizapo katatu ndalama zomwe amadzitcha kuchokera ku Medicare.
Zina mwazinthu zingaphatikizepo kubwezeredwa kubwezera kulipira kulikonse komwe kunaperekedwa kwa ntchito, chilango cha $ 100,000 cha chigamulo choyesa kutsutsana ndi malamulo ndi kuchotsedwa ku mapulogalamu a zachipatala. Madokotala akhoza kukumana ndi udindo wina pansi pa Federal Federal Claims Act. Bungwe la Federal False Claims Act, lomwe nthawi zina limatchedwa Lincoln Law, ndilamulo la federal limene limapereka udindo kwa anthu kapena makampani omwe amanyenga mapulogalamu a boma monga Medicare. Ntchitoyi ndi chida chachikulu cha boma cholimbana ndi chinyengo ku boma.
Otsutsa a Lamulo la Stark amanena kuti dokotala akutumiza kwa mabungwe omwe ali ndi dokotala sali wamba. Komanso, amadzinenera kuti madokotala omwe ali nawo kapena omwe amagulitsa ntchito zamankhwala akuthandiza kufunikira kwa anthu ammudzi omwe sakanakhala nawo. Amaonetsetsanso kuti zipangizo zachipatala zimagwiritsidwa ntchito nthawi zambiri.
Cholinga cha Malamulo Otsika
Lamulo loyambirira linali lophweka komanso losavuta. Cholinga chake chinali kuletsa chidziwitso kuchipatala kwa DHS pamene wodwalayo anali ataphimbidwa ndi Medicare kapena wina wogulitsa boma.
Lingaliro ndilo kuti kudzipatula kwachipatala kumayimira kusagwirizana kwa chidwi chifukwa dokotala amapindula ndi kutumiza kwawo.
Chifukwa chake, ambiri omwe amachirikiza lamulo la Stark amakhulupirira kuti popanda izo, madokotala akhoza kugwiritsa ntchito ntchito zambiri. Chizoloŵezichi chikanatha kuyendetsa ndalama zothandizira zaumoyo. Zowonjezerapo, amakhulupirira kuti zikanatha kukhazikitsa njira yobweretsera yomwe ingabweretse mpikisano ndi ena opereka.
Komanso palinso nkhaŵa kuti popanda Chilamulo cha Stark, kupanga chisankho chokhudza zachipatala kudzayang'aniridwa ndi odwala kuyang'ana mayesero ndi malo ena m'malo moika odwala ndi zosowa zake poyamba.
Izi zikhoza kuwononga chisankho cha chisamaliro chomwe chimapangidwa ndi kuika odwala pangozi.
Momwe Makhalidwe Otsika Amakhudzira Odwala
Ndi Lamulo Lovuta Kwambiri, omvera ambiri amakhulupirira kuti limapangitsa asing'anga kuti asalamulire mayesero osafunika . Kuwonjezera apo, akuti iwo amathandiza kusamalira ndalama zothandizira zaumoyo pakukwera kosafunikira ndi kulimbikitsa mpikisano mwa kukhumudwitsa kukhulupirika kwa ntchito. Zimathandizanso kuti zosankha zothandizira zaumoyo sizikhudzidwa ndi mwayi woti dokotala angapindule ndi kuyesedwa kwina.
Komabe, otsutsa amadandaula kuti ngati wodwala amakhala m'dera laling'ono ndipo amafunikira mayesero enieni omwe angawaike pangozi makamaka ngati njira yokhayo ndi malo ogwiritsidwa ntchito ndi adotolo. Zikakumana ndi izi, wodwalayo angafunike kuyendetsa mtunda wautali kuti akayezetse chifukwa dokotala sangathe kumutumiza kuchipatala chifukwa adokotala ali ndi ndalama zambiri pa malowa. Kuonjezerapo, ngati wodwalayo alibe kayendetsedwe ka kayendetsedwe ka ndalama kapena ndalama kuti ayendetse ku malo ena, sangathe kupeza chithandizo chamankhwala chomwe amafunikira. Chotsatira chake, Chilamulo cha Stark chikhoza kuika odwala ena pangozi kuti asalandire chithandizo chokwanira chaumoyo.
Kuwonjezera apo, otsutsa akudanso nkhawa kuti lamulo la Stark likulepheretsa kugwiritsa ntchito masiku ano. Mwa chitsanzo chimodzi chomwe chinabweretsa pamaso pa Congress, gulu lachipatala linkafuna kupereka maulendo aufulu kwa maofesi ogwira ntchito zamaganizo. Aphungu ameneŵa adzafunsidwa pamene dokotala akupeza kuti mwana wakhanda adzafa panthawi yobereka kapena posachedwa. Ngakhale kuti ntchitoyi ikanapindulitsa odwala mwa kupereka mayankho ena ndi kuyesa, pansi pa Lamulo la Stark aphungu angapindule kukhala opindulitsa kwa adokotala .
Mawu Ochokera
Powonjezereka chikhalidwe choyambirira cha Stark Law chinali kuteteza odwala a Medicare kuti asagwiritsidwe ntchito ndi madokotala amene angayime kuti apindule ndi kutumizidwa kukayezetsa. Koma ndi kusintha konse ndi kusintha kwa lamulo la Stark, zakhala zovuta kuti madokotala adziwe ngati akuphwanya lamulo kapena ayi. Ndipotu, pali makampani ambiri a malamulo omwe amadziwika kwambiri pa maphunziro a Stark Law. Ndipo pali chisankho kwa madokotala omwe mosadziwa amaphwanya Lamulo la Stark.
Komano, pali madokotala omwe amadziwa Chilamulo cha Stark ndipo amasankha kunyalanyaza izo. Ngati mukumva kuti dokotala wanu akukonza mayesero mwachangu chifukwa adzapindula nawo, mungathe kuonana ndi Ofesi ya Auditor General ku Dipatimenti ya Zaumoyo ndi Zauzimu ku United States (800) HHS -IPS kapena (800) 447-8477.
> Zotsatira:
> "Mapu a Njira Zatsopano kwa Achipatala Achilendo: Zolakwa ndi Malamulo Ozunza." Dipatimenti ya Zaumoyo ya Ukhondo ku United States. https://oig.hhs.gov/compliance/physician-education/01laws.asp
> Betabeze, Philip. "Mwamsanga, nthawi yokonza Lamulo Lolimba," Health Leaders Media, November 10, 2016. http://www.healthleadersmedia.com/leadership/quick-time-fix-stark-law
> Ellison, Ayla. "Zinthu 15 Zomwe Muyenera Kudziwa Ponena za Lamulo Lovuta," Review Review ya Becker's Hospital, February 18, 2017. https://www.beckershospitalreview.com/legal-regulatory-issues/15-things-to-know-about-stark-law- 021717.html
> Gosfield JD, Alice. Chowonadi Chowona Ponena za Chilamulo Chovuta, "American Academy of Family Physicians, December 2003. http://www.aafp.org/fpm/2003/1100/p27.html
> Higashi DC, Stephanie. "Kudziwa Sizolingalira: Musati Mupeputse Malamulo Ovuta," Chiropractic Economics, February 15, 2017. https://www.chiroeco.com/violate-stark-laws/
> "Kudzipatula Kwachipatala." Maofesi a Medicare ndi Medicaid Services. https://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/index.html