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Did you know that EMTALA deficiencies were the number one problematic standard for hospitals from CMS? CMS has started issuing quarterly deficiency memos and many hospitals were surprised to see that EMTALA deficiencies were a top deficiency and many involved the on-call physician issue. The current CMS deficiency report found over 4,050 EMTALA deficiencies. There were 185 related to on call physician issues. This program will discuss the final OIG changes which affect on call physicians. It will also discuss changes regarding the BFCC QIO handling of complaints. This program will discuss proposed changes to the on-call system from the OIG.
Every hospital that has an emergency department and accepts Medicare or Medicaid reimbursement must follow the federal law and CMS interpretive guidelines on EMTALA. This includes critical access hospitals. Stiff penalties attach for both hospitals and the physicians for violating this law. Did you know that the penalty has more than doubled? This includes up to $104,826 fine for hospitals with 100 or more beds and exclusion from the Medicare program. 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.
This presentation will cover the EMTALA regulations concerning On-Call Physicians. It is essential 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.
Anyone involved with or interested in EMTALA, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, Emergency Department managers, Emergency Medicine Physicians, Emergency Department Nurses, OB Managers, OB Nurses, Quality Improvement Staff, Physicians, Nurses (all levels), Patient Advocates, CCU Nurse Directors, Ethicists, Outpatient Directors, Compliance Officers, CMS Liaisons, TJC Liaisons, Safety Officers and Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Hospice Staff, Regulatory Affairs Staff, and anyone involved in ensuring compliance with the EMTALA law.
|- OIG changes to on-call||- CMS deficiency memo|
|- OIG changes affecting on-call physicians||- Payment for on-call coverage|
|- OIG bulletins on on-call doctors||- EMTALA guidance memos|
|- Relevant factors test||- Policy and procedures|
|- Certification of false labor requirement||And so much more!|