Return-Path: Received: from vps.transocean.com by vps.transocean.com with LMTP id YM/zNmBIfFqJegAAInt2oQ ; Thu, 08 Feb 2018 04:53:52 -0800 Return-path: Envelope-to: john@transocean.com Delivery-date: Thu, 08 Feb 2018 04:53:52 -0800 Received: from app19.hraudiotrainings.com ([209.220.97.211]:38664) by vps.transocean.com with esmtp (Exim 4.89_1) (envelope-from ) id 1ejlhw-0008J6-T2 for john@transocean.com; Thu, 08 Feb 2018 04:53:52 -0800 Received: by app19.hraudiotrainings.com with SMTP id CC5B75E8D.30 for ; Thu, 08 Feb 2018 07:53:04 -0500 To: john From: "CMS Guidelines" Reply-To: Subject: CMS proposed changes for EMTALA and the On-Call Physician Date: Thu, 08 Feb 2018 07:53:04 -0500 Message-ID: <9227F5..@hraudiotrainings.com> MIME-Version: 1.0 Content-type: text/html X-Spam-Status: No, score=1.5 X-Spam-Score: 15 X-Spam-Bar: + X-Ham-Report: Spam detection software, running on the system "vps.transocean.com", has NOT identified this incoming email as spam. The original message has been attached to this so you can view it or label similar future email. If you have any questions, see root\@localhost for details. Content preview: EMTALA and the On-Call Physician, and Proposed Changes Presented By: Sue Dill Calloway Live Webinar | Date: Tuesday, March 20, 2018 | Time: 1 pm ET | Length: 120 minutes Register Now Prepare On-Call Physicians for CMS Proposed Changes and Compliance with EMTALA Every hospital that has an emergency department and accepts Medìcare or Medìcaid reimbursement must follow the federal law and the Centers for Medìcare and Medìcaid Services (CMS) interpretive guidelines on the Emergency Medical Treatment and Labòr Act (EMTALA). This includes critical accèss hospitals. 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. [...] Content analysis details: (1.5 points, 3.0 required) pts rule name description ---- ---------------------- -------------------------------------------------- 0.0 URIBL_BLOCKED ADMINISTRATOR NOTICE: The query to URIBL was blocked. See http://wiki.apache.org/spamassassin/DnsBlocklists#dnsbl-block for more information. [URIs: audioeducator.com] 0.0 T_SPF_TEMPERROR SPF: test of record failed (temperror) 0.8 BAYES_50 BODY: Bayes spam probability is 40 to 60% [score: 0.4911] 0.7 MIME_HTML_ONLY BODY: Message only has text/html MIME parts 0.0 HTML_MESSAGE BODY: HTML included in message 0.0 T_HTML_TAG_BALANCE_CENTER Malformatted HTML 0.0 LOTS_OF_MONEY Huge... sums of money X-Spam-Flag: NO

EMTALA and the On-Call Physician, and Proposed Changes

Presented By: Sue Dill Calloway

Live Webinar | Date: Tuesday, March 20, 2018 | Time: 1 pm ET | Length: 120 minutes

Register Now

Prepare On-Call Physicians for CMS Proposed Changes and Compliance with EMTALA

Every hospital that has an emergency department and accepts Medìcare or Medìcaid reimbursement must follow the federal law and the Centers for Medìcare and Medìcaid Services (CMS) interpretive guidelines on the Emergency Medical Treatment and Labòr Act (EMTALA). This includes critical accèss hospitals. 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.

However, 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 3,687 EMTALA deficiencies. There were 173 related to on-call physician issues.

Stiff penalties attach for both hospitals and the physicians for violating this law. However, did you know that the penalty has more than doubled? This includes up to a $104,826 fine for hospitals with 100 or more beds and exclusion from the Medìcare program. Physicians can be fined and excluded from participating in any federal program and their license revoked by the state medical board.

It is essential that every hospital and critical accèss hospital is in compliance with the federal regulations and interpretive guidelines on EMTALA and the on-call physician requirements. What has your hospital done 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. The CMS and the Office of Inspector General (OIG) suggest that hospitals provide EMTALA on-call training for their physicians who are on call.

Join this session, where regulatory compliance expert Sue Dill Calloway, will cover the EMTALA regulations concerning on-call physicians. Sue will discuss the proposed OIG changes that affect on-call physicians. This session will discuss changes regarding the Benefìciary and Family Centered Care (BFCC) Quality Improvement Organization (QIO) handling of complaints as two organizations will now be handling these. The session will further discuss the proposed changes to the on-call system from the OIG. Read more

Session Highlights

With this session, you will learn that:

CMS has an EMTALA CoP that lists the responsibilities of on-call physicians
Hospitals must have specific names of physicians on call and not the group practice’s name
The hospital must maintain a list of physicians who are on call to evaluate the emergency department patients
Both CMS and OIG recommend that all hospitals provide on-call physician with educatìon on their on-call responsibilities under EMTALA
EMTALA is a top problematic standard for hospitals from CMS
The EMTALA has now more than doubled

Session Agenda

This session will cover:

Who the players are
CMS website
OIG-proposed changes to on-call physicians
CMS deficiency memo and EMTALA: The number one problematic standard
OIG-proposed changes affecting on-call physicians
QIO to determine medical standard of care
2 QIOs BFCC for investigating complaints
Payment for on-call coverage
Shared and community call plans
In-patient prospective payment system (PPS) EMTALA changes
OIG bulletins on on-call doctors
OIG advisory bulletins on paying on-call physicians
EMTALA guidance memos
Where to find the EMTALA law
Essentials of provider agreements and on-call physicians
CMS interpretive guidelines
OIG CPG for hospitals recommends on-call physician educatìon
On-call list of physicians
Relevant factors test
CMS memo on on-call requirements
CMS memo on simultaneously on-call physicians
Responding within a reasonable time
Policy and procedures
Frequency of on-call physicians
Exemption for senior MS or recognition of years of service
Maintaining on-call list
- Whether a physician can refuse to come to the ED
What to do during no-coverage periods
Response time
Response of non-physicians
Certificate to transfer
Follow-up care
- If physician treats a patient, while on call for the ED, must they treat the patient again?
- If the physician is on call, must he treat the patient if patient was discharged for failure to pay the bill?
Physician educatìon
Certification of false labòr requirement
Practices that have gotten physicians in trouble
And more

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About Our Speaker

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Educatìon company with a focus on medical-legal educatìon especially Joint Commission and the CMS hospital CoPs regulatory compliance. Read more

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