Kubiridzira kwehutano kunoreva huwandu hwehunyengeri kana husina hutsika hwekuita mumamiriro ehutano hwehutano nemishonga. Zvakakosha kuti unzwisise hutsotsi hwezvehutano kuita kuti mapato ari kugumbura ave nemhosva, asiwo kudzivirira masangano ari kupomerwa mhosva.
Chii chaizvo chiri chitsotsi chehutano? Uye masangano anofanira kuzvidzivirira sei panjodzi dzine chekuita nazvo?
Sei Kubiridzira Kwehutano Hwakasiyana
Sekureva kwemumwe gweta kuSBBL Law , "Nyaya dzekubiridzira muhutano dzakasiyana nekuti dzinowanzo sangana pakati pemutemo wezvekurapa nemutemo wemhosva. Vachuchisi havangotarise chete kana chikumbiro chaive chenhema; vanoongorora chinangwa, maitiro emagwaro, uye kana mupi wemhosva akashandisa kutonga kwehunyanzvi nemazvo. Inzira yakadzama inoda dziviriro yakadzama."
Iyo nuance inoita kuti kuferefetwa kwehutsotsi hwehutano kunyanya kuomesera vanachiremba, mabhizinesi ekurapa, uye maneja vanogona kunge vakaita zvikanganiso zvechokwadi mukubhadharisa kana kuchengeta marekodhi asi zvino vanozviwana vatarisana nemhosva dzakakomba.
Pakati payo, hutsotsi hwehutano hunoitika kana mumwe munhu akatumira nemaune - kana kuita kuti mumwe munhu atumire - ruzivo rwenhema kana rwunotsausa kuti agamuchire mari kana mabhenefiti aasina kodzero nawo. Chinhu chakakosha chinangwa. Kukanganisa kwechokwadi mukukodha kana kubhadharisa haisi mhosva, asi kunyengera nemaune kwehurongwa kuti uwane purofiti.
Hutsotsi hwehutano hunogona kuitwa nevarapi vehutano, makambani anobhadharisa, mainishuwarenzi, kana kunyange varwere. Zvimwe zvezvirongwa zvakajairika zvinosanganisira:
- Kubhadharira mabasa asina kumbopihwa.
- "Upcode," kana kubhadharisa maitiro anodhura kupfuura akaitwa chaizvo.
- Kuendesa zvakapetwa kaviri zvebasa rimwe chete.
- Kubhadhara kana kugamuchira makickbacks ekutumira varwere.
- Kunyepera kuongororwa kwevarwere kupembedza bvunzo dzisina kufanira kana kurapwa.
- Kusashandisa zvisizvo nhamba dzekupa chitupa.
- Kubhadharisa mishonga ine mazita emhando apo jenarikisi raipihwa.
Mutemo weFalse Claims Act (FCA), Mutemo weAnti-Kickback Statute (AKS), uye Mutemo weHealth Care Fraud Statute ndeimwe yemitemo mikuru yehurumende inoshandiswa kupomera nyaya idzi. Kutyora mutemo kunogona kutungamira kurangwa kwevanhu, kupomerwa mhosva, kana zvese zviri zviviri, zvichienderana nekuoma uye chinangwa.
Matangiro Anoita Kuongorora
Kuongororwa kwekubiridzira kwehutano kunogona kutanga nenzira dzakawanda. Dzimwe nguva dzinobva mukuongororwa kwemukati kana kuongororwa kwekuteerera kunofumura zvisirizvo. Dzimwe nguva, ivo vanokonzereswa nevanoridza muridzo pasi pemutemo weFalse Claims Act, uyo unobvumidza vanhu kutaura hutsotsi uye vangangowana mugove wekupora kwehurumende.
Makambani einishuwarenzi uye masangano ehurumende akaita seDhipatimendi reHutano neHuman Services Hofisi yeInspector General (HHS-OIG) neFBI zvakare vanoitisa ongororo yedata kuti vaone kusawirirana kwekubhadhara. Semuyenzaniso, kana mupi achigara achibhadharisa huwandu hwepamusoro hwemaitirwo anodhura zvichienzaniswa nevezera, iyo pateni inogona kusimudza mireza mitsvuku.
Kana fungidziro yamuka, vaongorori vanowanzokumbira marekodhi, vashandi vekubvunzurudza, uye vanoongorora nhoroondo dzekuti vaone kana chitsotsi chingave chakaitika. Mawarandi ekutsvagisa kana subpoenas anogona kutevera, kunyanya kana chinangwa chemhosva chinofungidzirwa.
Sei Nyaya dzekubiridzira kwehutano dzakanyanya kuoma
Masystem ekubhadharisa ehutano anozivikanwa zvakanyanya kuoma. Kurapa kwemurwere mumwechete kunogona kusanganisira vazhinji vanopa, zvivakwa, uye macoding layer. Aya maitiro anopindirana anogadzira nzvimbo dzakachena dzinogona kutungamira mukukanganisa kana kududzirwa sekubirira nemaune.
Vachuchisi vanofanira kusiyanisa pakati pekukanganisa kwehutungamiriri nekunyengera nemaune, izvo zvisiri nyore nguva dzose. Kusiyana kwemari yekubhadhara kunogona kuratidzika sekunge kwakashata papepa, asi kunogona kunge kuri kwechokwadi zvachose. Ndosaka nyaya dzekubiridzira kwehutano dzichiwanzoenderana neuchapupu hwenyanzvi , magwaro akanyatsojeka, uye kugona kutsanangura zvisarudzo zvekiriniki kana zvemaitiro zvakajeka.
Kubva pamaonero edziviriro, magweta anofanirwa kuratidza kwete chete kuti mutengi wavo akange asina chinangwa asiwo kuti maitiro ekubhadharisa ane musoro mukati mekurapa nekushanda. Mhedzisiro yacho inogona kutendeudzira kuti iwo nuances anotaurirwa sei kune vaongorori kana juries.
Basa revanoridza muridzo
Vanoridza muridzo vanoita basa guru mukufumura chitsotsi chezveutano. Pasi pemutemo weFalse Claims Act, vanhu (kazhinji vashandi vemazuva ano kana vekare) vanogona kumhan'arira hurumende kana vachitenda kuti chitsotsi chakaitika. Kana hurumende ikadzora mari, munhu anoridza muridzo anogona kuwana chikamu chemari yaakagadziriswa.
Kunyange zvazvo nyaya dzevanoitira muridzo dzakakosha mukufumura kusazvibata kwechokwadi, dzinogona kubva mukusanzwisisana, kukakavadzana kwebasa, kana ruzivo rusina kukwana. Izvi zvinoita kuti zvive zvakakosha kune vanopomerwa vanopa kana masangano kuti vapindure zvine hungwaru kwete kuita reactive kana chikumbiro chaiswa.
Kudzivirira Pomero
Kune vanhu kana masangano anopomerwa hutsotsi hwezvehutano, danho rekutanga kutsvaga zano repamutemo kubva kugweta rine ruzivo rwezvehutano uye chena-collar kudzivirira. Kupinda kwekutanga kunobvumira timu yekudzivirira kubata kutaurirana nevaongorori, kuchengetedza humbowo, uye kutanga kuvaka rekodhi rechokwadi rinojekesa zvakaitika. Kudzivirirwa kwakasimba kunogona kusanganisira kuratidza kushaikwa kwechinangwa, kuratidza kuti zvikanganiso zvekubhadhara zvaive zvekutonga pane kunyengera, kana kupa ongororo yehunyanzvi inotsanangura kuti nei mamwe maitiro aive akakosha mune zvekurapa.
Nyaya Dzepamusoro Dzekubiridzira Kwehutano
Mhosva dzehutsotsi hwezvehutano dzinoteverwa zvine hukasha nekuti dzinobata zvirongwa zvinotsigirwa nemutero seMedicare neMedicaid. Nekudaro, kuomarara kwehutano hwehutano hunoreva kuti kwete mutsauko wese humbowo hwekutadza. Vazhinji vanopa vanotarisana nekuongororwa kwete nekuda kwekubiridzira, asi nekuda kwekuti masisitimu ekubhadharisa anogona nyore kusanzwisiswa kana kududzirwa zvisizvo.
Negwara remutemo rine ruzivo, zvinokwanisika kufamba muongororo idzi, kuchengetedza mukurumbira wako, uye kuona kuti divi rako renyaya rinonzwikwa.
