Did you know that EMTALA deficiencies were the number one problematic standard for hospitals from CMS and that 30% of all hospitals and 34% of Critical Access Hospitals have been cited for an EMTALA violation? 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 5,052 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 to both hospitals and 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. This program will cover the following issues;
Who Will Benefit?
CEOs, COOs, 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 (CNO), chief medical officer (CMO), consumer advocates, patient safety officer, compliance officer, regulatory affairs director, director of hospital-based ambulances, ED nurse educator, nurse educators, Medical Staff Director, hospital attorney, nurse educators, nurse managers and anyone involved in ensuring compliance with the EMTALA law.