2024-05-04 12:20:00
Iapos established the service for receiving and processing claims for abuse so that the recipients of the social work can complain regarding situations where the providers do not respect the obligations given, for example the requirement to collect a bonus.
In this way, members can make the claim in person at the institute’s offices, through IAPOS customer center – 0800 444 4276 -, or online by going to the website www.iapossantafe.gob.ar/reclamos (it is subject to the identity of the affiliate).
The data collected by the Claims Management Center will allow social work assess the behavior of the providers and adopt applicable corrective measures in accordance with the “Sanctions Procedure and Regime” set out in the agreements with the entities.
In this regard, the director of Iapos, Oscar Broggimaintained that “Surcharging is not allowed in Santa Fe Province because there is a law once morest it. Given this, our affiliates can report anonymously through the Iapos website. We inform these doctors, we initiate a summary and they are sanctioned by removing them from the register from one month to permanently depending on the seriousness of the situation. “Last year there were 400 complaints, of which 200 were upheld.”
In addition, Broggi pointed out that “during this year three large collective agreements were made. at the beginning of the year, in March, and in August. The update corresponding to the last semester – from August to December – represents an increase as in the fee today in in September it is $2500, in October it is $3000 and in December it will be $3800.
Quality coverage without additional requirements
Iapos members access the benefits offered by the social work with the confidence of having quality coverage that includes timely care, adequate treatment and the absence of additional requirements on the part of providers, which means discrimination in unnecessary attention or fees, without respecting the agreements that links them to social work.
In the province of Santa Fe, Act No. 13731 of 2017 prohibits healthcare personnel from charging more than the agreed fees with the various social services and pre-paid services, and empowers the ombudsman to carry out the control and subsequent actions.
In relation to the updating of tariffs and professional fees, the provincial social work agrees on the tariff values for the benefits of medical unions and the associations of clinics and sanatoriums in each department of the province.
In August, the new benefit and rate tables were agreed with each of them until December this year. The update clauses are also maintained, as are the parity clauses for provincial workers. Within this framework, dialogue is maintained with the various trade unions to analyze the development of values and their adaptation.
On this point, the director of Iapos assured that “we transferred the transfer of the resources that come into the social work at an equal increase to the providers. We gave the professional fee an increase beyond what we give to clinics and sanatoriums, because we saw that last year we had fallen in arrears We understand that it is a national situation, that there are some lenders or financiers who do not pay them on time, but at Iapos we pay immediately.
“At the beginning of the year the consultation was $1,460 and we reach $3,800 at the end of the year, the increase was higher than the provincial parity. We are making efforts and we are not losing the dialogue,” Broggi noted.
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