EMTALA Compliance and How it Applies to the Emergency Department
If you are coding and billing for the emergency department (ED), you might have faced these questions:
- Are there special coding and billing requirements for the ED?
- How should ED documentation be developed?
- Why is EMTALA such a difficult area? What are hospitals really required to do under EMTALA?
- What really constitutes hospital property?
- What is a prudent layperson?
- What about non-emergency presentations to the ED?
- How do ER services interface to observation services?
- What constitutes an ED? Are there freestanding EDs?
- Why are transfers from one hospital ED to another hospital such a sensitive issue?
- Do ambulance services have anything to do with EMTALA?
Join expert speaker Duane C. Abbey, Ph.D., in this 90-minute session to find the answers, and also get advice on EMTALA and issues associated with coding, billing and reimbursement for the ED particularly under the Medicare program.
Session Objectives:
- Find out why coding, billing and reimbursement are different for the ED?
- Insights on special documentation requirements for the ED
- Why it’s imperative to develop a special ED compliance plan
- Learn about the current and evolving requirements for EMTALA compliance
- Understand the definitions and conditions for EMTALA and how these concepts apply to coding and billing
- Compare and contrast EMTALA with the Conditions for Participation (CoPs)
- Comprehend the special coding and billing requirements for the ED relative to EMTALA
- Understand the provider-based clinic interface to EMTALA
- Insights on special issues such as freestanding EDs
- Review different approaches to audits and reviews of the ED relative to coding, billing and EMTALA
Session Agenda:
- Overview of ED Compliance
- EMTALA Compliance
- Coding, Billing and Reimbursement Compliance
- Special ED Considerations
- ED Documentation
- Observation and Associated Services
- Special Payment Processes
- EMTALA Basics
- Definitions
- On-Going EMTALA Rule Changes
- EMTALA Compliance
- EMTALA Survey Process
- EMTALA Compliance Problem Areas
- Evolution in EMTALA Rules & Regulations
- Special Services Hospital Transfers
- Community Call Programs
- Qualified Medical Persons
- State Operations Manual - Interpretive Guidelines
- Coding, Billing and Reimbursement for the ED
- Special Coding and Billing Requirements for the ED
- Coding and Billing Policy and Procedure Development
- Non-Physician Providers (NPPs) in the ED
- Joint Services Between Physicians and NPPs
- EMTALA Interface to Coding/Billing
- Special ED Situations
- Provider-Based Clinics – EMTALA Requirements
- Hospital Clinics Deemed as Dedicated EDs
- Written Compliance Plan Relative to EMTALA
- Freestanding EDs
- Audit and Review Approaches
- References for Further Information
Who should attend:
ED Directors and Managers, ED Personnel, ER Physicians, ER Nurses, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, and Other Interested Personnel
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Order Below or Call 1-844-384-4744 Today
