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Date: Tue, 13 Mar 2018 09:45:52 -0400
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Subject: EMTALA and on-call physician regulations
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 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. [...] 
 
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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 EMT=
ALA
Every hospital that has an emergency department and accepts Med=C3=ACcare o=
r Med=C3=ACcaid reimbursement must follow the federal law and the Centers f=
or Med=C3=ACcare and Med=C3=ACcaid Services (CMS) interpretive guidelines o=
n the Emergency Medical Treatment and Lab=C3=B2r Act (EMTALA). This include=
s critical acc=C3=A8ss hospitals. The Patient Protection and Affordable Car=
e Act have specific provisions related to insurers and EMTALA-covered patie=
nts. Insurers cannot require a prior authorization for screening and stabil=
ization services as defined under EMTALA.

However, did you know that EMTALA deficiencies were the number one problema=
tic standard for hospitals from CMS? CMS has started issuing quarterly defi=
ciency memos and many hospitals were surprised to see that EMTALA deficienc=
ies were a top deficiency and many involved the on-call physician issue. Th=
e 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? Thi=
s includes up to a $104,826 fine for hospitals with 100 or more beds and ex=
clusion from the Med=C3=ACcare program. Physicians can be fined and exclude=
d from participating in any federal program and their license revoked by th=
e state medical board.

It is essential that every hospital and critical acc=C3=A8ss hospital is in=
 compliance with the federal regulations and interpretive guidelines on EMT=
ALA 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=E2=80=99 failure to show up when reque=
sted. The CMS and the Office of Inspector General (OIG) suggest that hospit=
als provide EMTALA on-call training for their physicians who are on call.

Join this session, where regulatory compliance expert Sue Dill Calloway, wi=
ll cover the EMTALA regulations concerning on-call physicians. Sue will dis=
cuss the proposed OIG changes that affect on-call physicians. This session =
will discuss changes regarding the Benef=C3=ACciary and Family Centered Car=
e (BFCC) Quality Improvement Organization (QIO) handling of complaints as t=
wo organizations will now be handling these. The session will further discu=
ss 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=E2=80=99s 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 wit=
h educat=C3=ACon 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 educat=C3=ACon
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 th=
e patient again?
If the physician is on call, must he treat the patient if patient was disch=
arged for failure to pay the bill?
Physician educat=C3=ACon
Certification of false lab=C3=B2r requirement
Practices that have gotten physicians in trouble
And more
CLICK HERE TO REGISTER
For Spec=C3=ACal Offers, Deals & Discounts:
=E2=9C=86 Call Now at 1-866-458-2965 or email at customerservice@audioeduca=
tor.com (Reference cod=C3=A8: EHOSNA08_MS)
About Our Speaker
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Heal=
thcare Consulting and Educat=C3=ACon company with a focus on medical-legal =
educat=C3=ACon especially Joint Commission and the CMS hospital CoPs regula=
tory compliance. Read more


We hope you found this message to be useful.
If you don=E2=80=99t wish to receive any further communication, please clic=
k the unsubscribe link below. Your request will be processed within 10 days=
.=20
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--=_5aa7d6107C53EA57ff0881531f07FF09C044C102fc2cd23064
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<div p>&nbsp;</div p>
<table border=3D"0" width=3D"100%%" cellspacing=3D"0" cellpadding=3D"0">
<tbody>
<tr>
<td style=3D"padding: 10px;" align=3D"center"><font face=3D"Verdana" size=
=3D"5" color=3D"#00599c">EMTALA and the On-Call Physician, and Proposed Cha=
nges</font></td>
</tr>
<tr>
<td style=3D"padding: 10px;" align=3D"center"><font face=3D"Verdana" size=
=3D"3" color=3D"#000000"><strong>Presented By: Sue Dill Calloway</strong></=
font></td>
</tr>
<tr>
<td style=3D"padding: 0px 10px;" align=3D"center"><font face=3D"Verdana" si=
ze=3D"3" color=3D"#000000"> <strong> Live Webinar </strong> | <strong>Date:=
</strong> Tuesday, March 20, 2018 | <strong>Time:</strong> 1 pm ET | <stron=
g>Length:</strong> 120 minutes </font></td>
</tr>
<tr>
<td style=3D"padding: 10px 0px;" align=3D"center"><strong><font face=3D"Ver=
dana" size=3D"3" color=3D"#00599c"><a href=3D"http://report.newsletters.ema=
il/t.js?s=3D5aa7c739d2599c43c20d011a&amp;u=3D39773116&amp;v=3D3&amp;key=3D4=
ba8&amp;skey=3D849142cfb4&amp;url=3Dhttps%3A%2F%2Fwww.audioeducator.com%2Fh=
ospitals-and-health-systems%2Femtala-guidelines-for-on-call-physicians.html=
%3Futm_medium%3Demail%26utm_source%3DCalloway_031318_MS%26utm_campaign%3DEH=
OSNA08_MS"style=3D"color: #00599c;" >Register Now</a></font></strong></td>
</tr>
<tr>
<td style=3D"padding: 10px; padding-top: 5px;" align=3D"center"><font face=
=3D"Verdana" size=3D"3" color=3D"#000000"><strong>Prepare On-Call Physician=
s for CMS Proposed Changes and Compliance with EMTALA </strong></font></td>
</tr>
<tr>
<td style=3D"padding: 10px; padding-top: 5px;"><font face=3D"Verdana" size=
=3D"3" color=3D"#000000">Every hospital that has an emergency department an=
d accepts Med&igrave;care or Med&igrave;caid reimbursement must follow the =
federal law and the Centers for Med&igrave;care and Med&igrave;caid Service=
s (CMS) interpretive guidelines on the Emergency Medical Treatment and Lab&=
ograve;r Act (EMTALA). This includes critical acc&egrave;ss hospitals. The =
Patient Protection and Affordable Care Act have specific provisions related=
 to insurers and EMTALA-covered patients. Insurers cannot require a prior a=
uthorization for screening and stabilization services as defined under EMTA=
LA.<br /><br /> However, did you know that EMTALA deficiencies were the num=
ber one problematic standard for hospitals from CMS? CMS has started issuin=
g quarterly deficiency memos and many hospitals were surprised to see that =
EMTALA deficiencies were a top deficiency and many involved the on-call phy=
sician issue. The current CMS deficiency report found over 3,687 EMTALA def=
iciencies. There were 173 related to on-call physician issues.<br /><br /> =
Stiff penalties attach for both hospitals and the physicians for violating =
this law. However, did you know that the penalty has more than doubled? Thi=
s includes up to a $104,826 fine for hospitals with 100 or more beds and ex=
clusion from the Med&igrave;care program. Physicians can be fined and exclu=
ded from participating in any federal program and their license revoked by =
the state medical board.<br /><br /> It is essential that every hospital an=
d critical acc&egrave;ss hospital is in compliance with the federal regulat=
ions and interpretive guidelines on EMTALA and the on-call physician requir=
ements. What has your hospital done to educate your physicians on their on-=
call responsibilities? The hospital can be fined for the on-call physicians=
&rsquo; failure to show up when requested. The CMS and the Office of Inspec=
tor General (OIG) suggest that hospitals provide EMTALA on-call training fo=
r their physicians who are on call.<br /><br /> Join this session, where re=
gulatory compliance expert <strong>Sue Dill Calloway</strong>, will cover t=
he EMTALA regulations concerning on-call physicians. Sue will discuss the p=
roposed OIG changes that affect on-call physicians. This session will discu=
ss changes regarding the Benef&igrave;ciary and Family Centered Care (BFCC)=
 Quality Improvement Organization (QIO) handling of complaints as two organ=
izations will now be handling these. The session will further discuss the p=
roposed changes to the on-call system from the OIG. <a href=3D"http://repor=
t.newsletters.email/t.js?s=3D5aa7c739d2599c43c20d011a&amp;u=3D39773118&amp;=
v=3D3&amp;key=3D4ba8&amp;skey=3D849142cfb4&amp;url=3Dhttps%3A%2F%2Fwww.audi=
oeducator.com%2Fhospitals-and-health-systems%2Femtala-guidelines-for-on-cal=
l-physicians.html%3Futm_medium%3Demail%26utm_source%3DCalloway_031318_MS%26=
utm_campaign%3DEHOSNA08_MS"style=3D"color: #00599c; text-decoration: none;"=
 ><font face=3D"Verdana" size=3D"3" color=3D"#00599c"><strong>Read more</st=
rong></font></a></font></td>
</tr>
<tr>
<td style=3D"padding: 10px; padding-top: 0px;"><strong><font face=3D"Verdan=
a" size=3D"3" color=3D"#000000">Session Highlights</font></strong></td>
</tr>
<tr>
<td style=3D"padding: 10px; padding-top: 0px;"><font face=3D"Verdana" size=
=3D"3" color=3D"#000000">With this session, you will learn that:</font>
<ul>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">CMS has an EMTALA C=
oP that lists the responsibilities of on-call physicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Hospitals must have=
 specific names of physicians on call and not the group practice&rsquo;s na=
me</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">The hospital must m=
aintain a list of physicians who are on call to evaluate the emergency depa=
rtment patients</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Both CMS and OIG re=
commend that all hospitals provide on-call physician with educat&igrave;on =
on their on-call responsibilities under EMTALA</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">EMTALA is a top pro=
blematic standard for hospitals from CMS</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">The EMTALA has now =
more than doubled</font></li>
</ul>
</td>
</tr>
<tr>
<td style=3D"padding: 10px; padding-top: 0px;"><strong><font face=3D"Verdan=
a" size=3D"3" color=3D"#000000">Session Agenda</font></strong></td>
</tr>
<tr>
<td style=3D"padding: 10px; padding-top: 0px;"><font face=3D"Verdana" size=
=3D"3" color=3D"#000000">This session will cover:</font>
<ul>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Who the players are=
</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">CMS website</font><=
/li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">OIG-proposed change=
s to on-call physicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">CMS deficiency memo=
 and EMTALA: The number one problematic standard</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">OIG-proposed change=
s affecting on-call physicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">QIO to determine me=
dical standard of care</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">2 QIOs BFCC for inv=
estigating complaints</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Payment for on-call=
 coverage</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Shared and communit=
y call plans</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">In-patient prospect=
ive payment system (PPS) EMTALA changes</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">OIG bulletins on on=
-call doctors</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">OIG advisory bullet=
ins on paying on-call physicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">EMTALA guidance mem=
os</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Where to find the E=
MTALA law</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Essentials of provi=
der agreements and on-call physicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">CMS interpretive gu=
idelines</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">OIG CPG for hospita=
ls recommends on-call physician educat&igrave;on</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">On-call list of phy=
sicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Relevant factors te=
st</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">CMS memo on on-call=
 requirements</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">CMS memo on simulta=
neously on-call physicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Responding within a=
 reasonable time</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Policy and procedur=
es</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Frequency of on-cal=
l physicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Exemption for senio=
r MS or recognition of years of service</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Maintaining on-call=
 list</font>
<ul>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Whether a physician=
 can refuse to come to the ED</font></li>
</ul>
</li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">What to do during n=
o-coverage periods</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Response time</font=
></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Response of non-phy=
sicians</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Certificate to tran=
sfer</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Follow-up care</fon=
t>
<ul>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">If physician treats=
 a patient, while on call for the ED, must they treat the patient again?</f=
ont></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">If the physician is=
 on call, must he treat the patient if patient was discharged for failure t=
o pay the bill?</font></li>
</ul>
</li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Physician educat&ig=
rave;on</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Certification of fa=
lse lab&ograve;r requirement</font></li>
<li><font face=3D"Verdana" size=3D"3" color=3D"#000000">Practices that have=
 gotten physicians in trouble</font></li>
<li><a href=3D"http://report.newsletters.email/t.js?s=3D5aa7c739d2599c43c20=
d011a&amp;u=3D39773120&amp;v=3D3&amp;key=3D4ba8&amp;skey=3D849142cfb4&amp;u=
rl=3Dhttps%3A%2F%2Fwww.audioeducator.com%2Fhospitals-and-health-systems%2Fe=
mtala-guidelines-for-on-call-physicians.html%3Futm_medium%3Demail%26utm_sou=
rce%3DCalloway_031318_MS%26utm_campaign%3DEHOSNA08_MS"style=3D"color: #0059=
9c; text-decoration: none;" ><font face=3D"Verdana" size=3D"3" color=3D"#00=
599c"><strong>And more</strong></font></a></li>
</ul>
</td>
</tr>
<tr>
<td align=3D"center"><strong><font face=3D"Verdana" size=3D"5" color=3D"#00=
599c"><a href=3D"http://report.newsletters.email/t.js?s=3D5aa7c739d2599c43c=
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<td style=3D"padding: 10px;"><font face=3D"Verdana" size=3D"3" color=3D"#00=
0000"><strong>Sue Dill Calloway, RN, MSN, JD</strong>, is the president of =
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