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Success Strategies to Overcome EMTALA-Related Payer Struggles
Presented by Caral Edelberg, CPC, CCS-P, CHC, 1 AAPC CEU Approved
This conference originally aired on: 04/29/2009
LIVE AUDIO CONFERENCE

ED visits failing your payers' "true emergency" test? Here's how to get paid anyhow.

Tired of being in a tug-of-war between your local payers and federal government mandates? On the one hand, you have to comply with EMTALA and examine all patients who come to your emergency department for treatment. On the other hand, your local payers don't want to pay for those visits that don't pass their "true emergency" test. The good news: You don't have to let your EMTALA compliance hurt your bottom line. Join our expert speaker Caral Edelberg for this information-packed 1-hour audio session to get all the tips and best practices you need to ensure that your payers are reimbursing you every dollar you deserve.

Here's what you will learn:

  • Top EMTALA and medical necessity buzzwords you should have in your documentation.
  • Who do you really need to treat under EMTALA? The answer may surprise you.
  • Find out exactly which areas of the hospital EMTALA extends to.
  • The difference between a "screening examination" under EMTALA and the usual treatment you provide.
  • Proven advice and talking points for when payers deny your claims for EMTALA-mandated services.
  • How to pin down medical necessity in your documentation for screening examinations.

Have additional questions about EMTALA's impact on your hospital's bottom line? You can ask the expert speaker during an interactive Q&A session.

Who should attend? Emergency department practitioners, including coding and billing personnel.

Your registration includes:

  • Flexible enrollment. Scheduling conflict? No problem. This session is also available on CD.
  • Expert answers to your tough questions during the interactive Q&A period.
  • Complimentary attendee package, including the speaker's complete presentation handouts. Keep this quick reference tool close by for future use.
  • One low price for all the staff you can stuff into a conference room.


Order Below or Call 866-458-2965 Today

Caral Edelberg

Caral Edelberg, CPC, CCS-P, CHC, is an emergency medicine and hospitalist coding and compliance consultant in Baton Rouge, Louisiana for Edelberg Compliance Associates. Caral is an active member of many professional organizations and has served on the National Advisory Board for the American Academy of Professional Coders (AAPC) and the Coding and Nomenclature Advisory Committee of the American College of Emergency Physicians (ACEP). Cara; co-authored the Emergency Medicine Study Guide and Emergency Medicine Specialty Examination for the Advanced Board of Medical Coding (ABMC), authored the Emergency Medicine Study Guide and Emergency Medicine Competency Examination published for Ingenix/AAPC, and co-authored the current Emergency Medicine Study Guide and Competency Examination for the AAPC. She is the past consulting editor and currently serves on the editorial advisory committee of ED Coding Alert. She serves on the editorial advisory boards of ED Management, OPPS Insider and APC Advisor.

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Success Strategies to Overcome EMTALA-Related Payer Struggles 
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