According to CMS, the Emergency Medical Treatment and Labor Act (EMTALA) deficiencies are considered as the number one problematic standard for hospitals. CMS has started issuing deficiency memos, and many hospitals were surprised to see EMTALA deficiencies as the top deficiency where many involved the on-call physician issue. The November 2014 deficiency report found 1725 EMTALA deficiencies, out of which 85 were related to on call physician issues. In this program, expert speaker Sue Dill Calloway will discuss the proposed OIG changes which affect on-call physicians. She will also shed light on 2015 changes regarding the QIO handling of complaints – as two organizations will now be handling them.
Every hospital that has an emergency department and accepts Medicare or Medicaid reimbursements must follow the federal law and CMS interpretive guidelines on EMTALA, and this covers critical access hospitals. Penalties are attached for both the hospital and the physician for violating this law including up to $50,000 fines and exclusion from the Medicare program. Additionally, physicians can be fined and excluded from participating in any federal program and their license revoked by the state medical board. The Center for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) suggest that hospitals provide EMTALA on call training for their physicians who are on call.
The Patient Protection and Affordable Care Act have specific provisions related to insurers and EMTALA-covered patients. Insurers cannot require a prior authorization for screening and stabilization services as defined under EMTALA.
Sue will include the EMTALA regulations concerning On-Call Physicians. It is important that every hospital and critical access hospital be in compliance with the federal regulations and interpretive guidelines on EMTALA and the On-Call Physician requirements. What has your hospital to educate your physicians on their on-call responsibilities? The hospital can be fined for the on-call physicians’ failure to show up when requested. This webinar will cover the following issues;
Who should attend
CEOs, emergency department managers, emergency medicine physicians, emergency department nurses, OB managers and nurses, behavioral health director and staff, psychiatrists, nurse supervisors, compliance officers, legal counsel, risk managers, chief nursing officer
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the...
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