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Gringal

May 20, 2015, 1:13 PM

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FACTURA LAWS

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Is a doctor required by law to give the patient a Factura covering his charges for services rendered upon request?

If so, what if the doctor ignores his requests? Who can the patient report this to?



AlanMexicali


May 20, 2015, 2:11 PM

Post #2 of 14 (3362 views)

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Re: [Gringal] FACTURA LAWS

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Is a doctor required by law to give the patient a Factura covering his charges for services rendered upon request?

If so, what if the doctor ignores his requests? Who can the patient report this to?



SAT


Gringal

May 20, 2015, 5:47 PM

Post #3 of 14 (3338 views)

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Re: [AlanMexicali] FACTURA LAWS

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In Reply To
Is a doctor required by law to give the patient a Factura covering his charges for services rendered upon request?

If so, what if the doctor ignores his requests? Who can the patient report this to?



SAT



chicois8

May 20, 2015, 7:56 PM

Post #4 of 14 (3312 views)

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Re: [Gringal] FACTURA LAWS

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YES,SAT....
http://www.sat.gob.mx/Paginas/Inicio.aspx
Rincon de Guayabitos,Nayarit
San Mateo, California


slainte39

May 20, 2015, 8:49 PM

Post #5 of 14 (3294 views)

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Re: [Gringal] FACTURA LAWS

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gringal......Servicio de Administracion Tributaria
They supervise and regulate the factura end of the financial set up of businesses reporting for IVA obligations.
They have an office somewhere up around Colon circle in Guadalajara but I believe you have to make appointment first to conduct any business. Any accounting office in the Chapala area can give you the exact address and telephone no.


YucaLandia


May 21, 2015, 6:21 AM

Post #6 of 14 (3251 views)

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Re: [Gringal] FACTURA LAWS

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In many places, you go to the Hacienda office.

SAT is the parent organization for Hacienda and Aduana. SAT & Hacienda sometimes have offices in the same building, but not all SAT locations have Hacienda offices.

Sidelight: Unexpectedly requiring a factura after completing the treatment, for even modestly expensive procedures, may upset the apple-cart in your care and in your relationship with the physician.

Here in Yucatan, Physicians often have 2 levels of charges - and 2 levels of services, based on what you pay.

Our health insurance is supposed to cover pretty much all treatments, but I was surprised to find that the Physicians asked to make additional cash payments with the receptionist at their front desk. On a $30,000 treatment, a highly-respected physician might ask for an additional $7,000 payment.

It seems physicians have choices on what materials they use - like which lens in cataract surgeries (the $7,000 charge) - and other choices that are not obvious to me/us. My wife is convinced that if you want the best treatments, best drugs, and best materials, you pay these extra charges - that "coincidentally" are not shown on the factura.

Is this a Yucatecan thing?
My wife assures me that this can be common practice in some conditions, in pretty much all Mexican big cities.

Just like the previous 4 decades of German health care - if you want the latest medications, latest materials and best treatments, you pay substantially extra. Not-paying can get you only basic care.

She suggests that if you do not notify the physician ahead-of-time that you want a factura that includes all charges, (and ask in advance about all expected charges), then it puts the physician in a jam if they gave you the gold-standard care, but you had paid for only tin - including the taxes that are paid only when a factura is required.

Other people's experiences (and locations)???

Happy Trails,
steve
-
Read-on MacDuff
E-visit at http://yucalandia.com

(This post was edited by YucaLandia on May 21, 2015, 6:31 AM)


slainte39

May 21, 2015, 7:39 AM

Post #7 of 14 (3222 views)

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Re: [YucaLandia] FACTURA LAWS

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Also, many medical services/honorarios are not subject to, or are exempt from, IVA. Physicians, I suppose should issue facturas in either case for other tax reporting purposes, such as ISR. Most insurance coverage or reimbursements will require facturas, but the problem here is the recipient of said services are the ones who pay the 16% IVA at the billing phase and in this case the clinic may want to add another 16% to an already high fee for the service, in order to receive a facture. If IVA is N/A, then I can't see why a facture couldn't be obtained, as I'm sure they have a pad of officially issued facturas by SAT, or as more commonly done y/o required now, sent electronically.


(This post was edited by slainte39 on May 21, 2015, 7:42 AM)


Gringal

May 21, 2015, 8:57 AM

Post #8 of 14 (3205 views)

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Re: [YucaLandia] FACTURA LAWS

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My husband went to the local medical clinic for a dislocated shoulder. The doctor on duty (slim and older) didn't have the strength or possibly the skill to repair it. The doctor, who is also the clinic owner, called in a specialist who arrived about 5 hours later, spent about a half hour there, relocated the shoulder and left. When I was presented with the bill, it was 10 to 12 times what the posted specialist charges are at the clinic. I have learned that they can't keep a patient prisoner until the charges are paid in full. Didn't know that at the time.

The clinic gave us a Factura for their own charges when requested, but I have had no response from this specialist after multiple requests, in Spanish and English. I discussed this with the clinic owner, and he wrote a further request in my presence. No response.
I am simply asking what the next step would be.

No, I'm not inclined to file a lawsuit and incur further frustration and expense. It did serve as a learning expense, but one I could have done without.


(This post was edited by Gringal on May 21, 2015, 9:06 AM)


slainte39

May 21, 2015, 11:25 AM

Post #9 of 14 (3174 views)

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Re: [Gringal] FACTURA LAWS

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In almost 40 years of doing business in Mexico (including giving and receiving facturas), I have never heard of, first hand or anecdotally, of any business not giving a factura when requested, if they are set up do such.
So, I can't answer the question of what to do next, other than contacting the governing body of such activity.


mcm

May 21, 2015, 11:45 AM

Post #10 of 14 (3167 views)

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Re: [YucaLandia] FACTURA LAWS

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In Reply To
In many places, you go to the Hacienda office.

SAT is the parent organization for Hacienda and Aduana. SAT & Hacienda sometimes have offices in the same building, but not all SAT locations have Hacienda offices.



_________________________________

To clarify, SAT (Servicio de Administración Tributaria) is a noncentralized department of the Secretaría de Hacienda y Crédito Público -- SAT carries out fiscal and customs laws/regulations, but is not the ''parent organization". It collects taxes and customs charges.


Gringal

May 21, 2015, 12:42 PM

Post #11 of 14 (3154 views)

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Re: [slainte39] FACTURA LAWS

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Well, Slainte, you are no longer an innocent and HAVE now heard of such a situation. Lol.


slainte39

May 21, 2015, 12:43 PM

Post #12 of 14 (3153 views)

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Re: [mcm] FACTURA LAWS

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That's what I thought too, but was too lazy to go look up the exact nomenclature of the command structure.
I believe it also issues the official factura system for each bona fide business, which is what the OP is trying to determine.
How they handle infractions or non compliance, I haven't any idea of the process.


....except you better have your ducks (facturas) in a row if you get called in for an audit.


(This post was edited by slainte39 on May 21, 2015, 12:46 PM)


Gringal

May 21, 2015, 1:43 PM

Post #13 of 14 (3138 views)

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Re: [slainte39] FACTURA LAWS

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Looks to me like those ducks are not exactly in a row.

I sent another request today and pointed out that it was the law and that there consequences for failure to comply.
Let us hope this gets some response. We shall see.


YucaLandia


May 21, 2015, 5:09 PM

Post #14 of 14 (3100 views)

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Re: [Gringal] FACTURA LAWS

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Much appreciate all of the updates and additions by Gringal, mcm, and slainte.

Useful stuff,
steve
-
Read-on MacDuff
E-visit at http://yucalandia.com

(This post was edited by YucaLandia on May 21, 2015, 5:12 PM)
 
 
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