Odwala onse ali ndi ufulu wosankha amene amapereka chithandizo chamankhwala kwa iwo. Izi ndizokulankhulidwa kwa odwala owatumiza kuchokera kwa madokotala ndi zipatala. Madokotala ndi zipatala nthawi zambiri amauza odwala kwa akatswiri, chithandizo chamankhwala kunyumba, malo osungirako nthawi yaitali kapena akatswiri ena a zachipatala kuti asamalimbikitse kunja kwa luso lawo kapena luso loperekera chisamaliro.
Nthawi zambiri dokotala kapena chipatala amaletsa ufulu wa wodwalayo kuti asankhe wopereka. Madokotala nthawi zambiri amachokera kwa dokotala wina wokhudzana ndi mgwirizano kapena ubale wina. Mzipatala nthawi zambiri zimatumizidwa kwa opereka omwe ali nawo kapena ogwirizana nawo. Onse opereka ayenera kusamala kuti asatanthawuze kapena kutchula kuti wodwala alibe chisankho.
Pofuna kumvetsetsa bwino odwala oyenera ayenera kusankha osamalira, onetsetsani kuzinthu zitatu izi:
- Ndalama Zophatikiza Ndalama Zakale za 1997: Monga chikhalidwe chokhala nawo pulogalamu ya chithandizo chamankhwala, zipatala zikuyenera kupereka mndandanda wa mabungwe a zaumoyo kunyumba kwa odwala omwe ali m'deralo, a Medicare-otsimikiziridwa, akusonyeza kuti akufunsidwa kukhala mndandanda ndikuwonetsa ngati chipatalacho chili ndi ndalama mu bungwe la zaumoyo.
- Ma khoti: Zosankha za khoti zakhala zikuyambirira kuti odwala azitsatira chithandizo chawo, kuphatikizapo ufulu wosankha kapena kudziwa omwe akuwasamalira, mosasamala yemwe akulipira chithandizo.
- Malamulo a Federal: Makampani a Medicare ndi Medicaid amapanga malamulo a boma omwe odwala ali nawo ufulu wosankha wosamalira mosasamala kanthu ka mankhwala.
Kulakwira kwa wodwalayo ufulu wosankha amene amamusamalira kungapangitse kuti asathenso kutenga nawo mbali pa mapulogalamu a Medicare ndi Medicaid .
Malamulo a chinyengo ndi nkhanza amaletsa madokotala, zipatala, ndi ena operekera ufulu wotsutsana ndi ufulu wa wodwalayo wosankha kuti apereke malamulo kuti apereke chisonkhezero cha kutumiza ndi kuwalimbikitsa wodwalayo kuti atenge chithandizo kuchokera kwa wothandizira. Othandizira omwe samalephera kuzindikira ndi kulemekeza wodwalayo ufulu wosankha malamulo a boma ndi boma ndipo ayenera kuthana ndi zotsatira zake motsatira Lamulo Lotsutsa.
Lamulo loletsa anti-Kickback limapereka chidziwitso chozindikiritsa ndi kulanga munthu wina aliyense kuti apewe zosankha zina zaumoyo pogwiritsa ntchito ndalama.
Zakudyazo ndizitali koma zimagwera m'magulu awiri:
- Ndalama iliyonse yamalonda yomwe imakhudza kutumiza munthu pa ntchito iliyonse yomwe imaperekedwa pansi pa pulogalamu ya Medicare kapena Medicaid
- Ndalama iliyonse ya ndalama yomwe imatsogolera kugulidwa kwa chinthu chilichonse chomwe chimalipira pulogalamu ya Medicare kapena Medicaid
Zigawo zitatu za lamulo la Anti-Kickback limene limafotokoza madokotala ndi zipatala:
- Mikangano Yothandizana Nawo: Kuphatikizana kulikonse komwe kwakhazikitsidwa kuti pakhale mtsinje wa kutumizidwa kuchokera kwa amalonda a madokotala omwe amalipiritsa mwachindunji kungakhale kokayikitsa. Dokotala aliyense yemwe amapindula ndi ndalama kuchokera ku kutumiza angayambe kapena kuchita ntchito zosafunikira zimene zimapindulitsa ku mapulogalamu a Medicare ndi Medicaid.
- Madandaulo a Chipatala kwa Madokotala: Mu mafakitale omwe akukula mofulumira, madokotala akhoza kukhala ovuta kulandira ndi kusunga. Mazipatala omwe amakopeka madokotala ndi zolimbikitsa zapadera zimatanthauza kuti dokotala amatumiza odwala ake onse kwa iwo. Chisankho ichi chikanakhazikitsidwa ndi mphamvu zachuma kusiyana ndi khalidwe la chisamaliro.
- Mapulogalamu a Zipatala: Nthawi zina, ma laboratory angapereke madokotala, zipatala kapena ntchito zina zapadera kunja kwa momwe akuyembekezera nthawi zonse kapena zoyembekezera. Ikhoza kuwonedwa ngati yopindulitsa popititsa kukalembera ku labotore.