កំហុសវិក្កយបត្រពេទ្យ និងសិទ្ធិរបស់អ្នកនៅ Colorado

ច្បាប់រដ្ឋ Colorado

Colorado hospital and provider patient-bill itemization

Colorado directs hospitals and providers, beginning July 1, 2024, to follow industry-standard billing practices on every patient bill. Each bill must state, at a minimum, the date of service, the patient's name, the provider's name, a description of the services provided, and the charge for each service.

អ្វីដែលអ្នកអាចធ្វើបាន៖ If a patient bill lacks a description and charge for each service, ask the hospital or provider to reissue a bill that meets the itemization requirements; billing-transparency complaints can go to the Colorado Division of Insurance.

ឯកសារយោង៖ Colo. Rev. Stat. § 25.5-4-429 · មានប្រសិទ្ធភាពចាប់ពី 2024-07-01

ច្បាប់សហព័ន្ធ

No Surprises Act good-faith estimate & patient-provider dispute

Uninsured and self-pay patients are entitled to a good-faith estimate of expected charges before scheduled care. If the final bill from a provider exceeds the good-faith estimate by at least $400, the patient may initiate the patient-provider dispute resolution (PPDR) process.

អ្វីដែលអ្នកអាចធ្វើបាន៖ Compare the good-faith estimate to the final charges; where the bill exceeds the estimate by $400 or more, dispute the coding and charges and, if applicable, initiate the federal patient-provider dispute resolution process within 120 days of the bill.

ឯកសារយោង៖ No Surprises Act, PHS Act § 2799B-6; 45 C.F.R. § 149.610–.620 · មានប្រសិទ្ធភាពចាប់ពី 2022-01-01

ច្បាប់សហព័ន្ធ

Section 501(r) financial-assistance & charity-care policy

Tax-exempt nonprofit hospitals must maintain a written financial-assistance policy (FAP), limit amounts charged to FAP-eligible patients to no more than amounts generally billed (AGB) to insured patients, and refrain from extraordinary collection actions before making reasonable efforts to determine FAP eligibility.

អ្វីដែលអ្នកអាចធ្វើបាន៖ Apply for financial assistance under the hospital's FAP within the application period (at least 240 days from the first post-discharge billing statement) and require charges be limited to amounts generally billed.

ឯកសារយោង៖ 26 U.S.C. § 501(r); Treas. Reg. § 1.501(r)-4, -5, -6 · មានប្រសិទ្ធភាពចាប់ពី 2016-01-01

ច្បាប់សហព័ន្ធ

Fair Debt Collection Practices Act — debt validation

When a debt is with a third-party collector, the consumer may dispute the debt and request validation. On a timely written dispute, the collector must cease collection until it mails verification of the debt.

អ្វីដែលអ្នកអាចធ្វើបាន៖ Send a written debt-validation request disputing the debt; the collector must cease collection activity until it mails verification of the debt.

ឯកសារយោង៖ Fair Debt Collection Practices Act § 809, 15 U.S.C. § 1692g · មានប្រសិទ្ធភាពចាប់ពី 1977-09-20

កន្លែងណាដែលអ្នកអាចរាយការណ៍បញ្ហាវិក្កយបត្រនៅ Colorado

ប្រសិនបើមន្ទីរពេទ្យ ឬក្រុមហ៊ុនធានារ៉ាប់រងមិនព្រមកែតម្រូវវិក្កយបត្រដែលបំពានច្បាប់ខាងលើ អ្នកអាចរាយការណ៍វាទៅភ្នាក់ងាររដ្ឋាភិបាលដែលអនុវត្តច្បាប់ទាំងនោះ។ ការដាក់ពាក្យបណ្តឹងគឺឥតគិតថ្លៃ ហើយភ្នាក់ងារទាំងនេះអាចរកឃើញលំនាំបញ្ហា ទោះបីជាពួកគេមិនអាចដោះស្រាយវិក្កយបត្រតែមួយក៏ដោយ។ ការរាយការណ៍មិនមែនជាការធានានូវលទ្ធផលណាមួយទេ ហើយនេះគឺជាព័ត៌មានទូទៅ មិនមែនជាដំបូន្មានផ្នែកច្បាប់ទេ។

ភ្នាក់ងាររដ្ឋ Colorado

• Colorado Attorney General — File a Complaint
• Colorado Division of Insurance — File a Complaint

ជំនួយសហព័ន្ធ

• Consumer Financial Protection Bureau (CFPB) — submit a complaint about medical bills or debt collection
• No Surprises Act help (federal CMS) — surprise bills and good-faith estimates

គិតថាច្បាប់ខ្លួនឯងគួរតែតឹងរ៉ឹងជាងនេះឬ? អ្នកអាច ស្វែងរក និងទាក់ទងសមាជិកសភារដ្ឋ Colorado របស់អ្នក ដើម្បីចែករំលែកបទពិសោធន៍របស់អ្នក។