EMTALA Update 2017 The Most Cited Deficiencies by CMS for Hospitals

Recorded Webinar | Sue Dill Calloway | From: Nov 01, 2017 - To: Nov 30, 2017
  • What are you going to do if a CMS surveyor just strolled into your hospital to inspect an EMTALA complaint? Try not to be caught unexpectedly. CMS gave out a new insufficiency memo that reveals that more than 2,939 hospitals got inadequacies for inability to conform to the federal EMTALA law. A lot of hospitals were not prepared. This renders it the most common aspect of compliance. Regular inadequacies will be talked about. You need to learn what you have to know to be compliant and abstain from having a deficiency.
  • This program will likewise talk about the intended changes by the Office of Inspector General (OIG) which will likewise influence the on-call doctors. It will likewise examine the Quality Improvement Organization process which is currently being carried out by the two BFCC QIOs. This program will talk about CMS EMTALA updates including the memo on telemedicine and charging problems.
  • Any hospital with an emergency department and receives Medicare and Medicaid patients must adhere to the federal law and the Center for Medicare and Medicaid Services (CMS) Conditions of Participation Interpretive Guidelines on the Emergency Medical Treatment and Labor Act (EMTALA). Hospitals that do not have an emergency department must agree to EMTALA on the off chance that they have expert abilities. EMTALA can likewise affect obstetrical patients and behavioral health patients.
  • This two-section online class will involve the controls and interpretive rules and will cover the whole manual. It will involve every one of the 12 areas and an extended segment for on-call doctors and layout the common and community care plan procedure. Hospitals must ensure their policies, techniques, and training is sufficient to guarantee compliance with EMTALA. The hospitals must know how to carry out a medical examination, ways to soothe a patient and what constitutes an emergency medical condition.
  • This two section, two hours each online course, will incorporate discussion of a case that will make a huge extension of hospitals and specialist obligation under federal law. The case, Moses v. Providence Hospital and Medical Centers, Inc., No. 07-2111 (sixth Cir. April 2009), ruled against the CMS direction that EMTALA commitments end when the hospital let in honesty. The states in the Sixth Circuit (Ohio, Kentucky, Tennessee, and Michigan) should now follow this case as a point of reference. Once in a while, the outcome might be unique if the patient files a claim instead of filing a grievance with CMS. This case outlines the significance of understanding the obligation that case law has on the result of EMTALA case. Patients can complain to CMS and demand an assessment or they have the right to directly file a lawsuit.
  • Inability to comply and adhere to the federal EMTALA for every hospital including life-threatening access to hospitals could bring about the loss of Medicare and Medicaid payments. Monetary fines could be appraised against hospitals and doctors who carelessly encroach upon the EMTALA law. There has been expanded action in the section of EMTALA.
  • The federal EMTALA law and the additional rules are intricate. This program is organized to make the prerequisites justifiable with the liberal utilization of instances.


  • Explain that the hospitals must keep up a central log
  • Discuss the hospital’s necessity to keep up a list of the particular names of doctors who are on-call to examine emergency department patients
  • Remember that CMS has pre requisites on what must be in the EMTALA sign
  • Discuss that EMTALA is the most frequently referred to inadequacy for hospitals.


This webinar will comprise the following (Part 1 of 2 Part Series):

  • OIG recommended changes that each hospital must know about
  • CMS EMTALA site
  • How to get a copy of the EMTALA guidelines?
  • OCR notice and EMTALA assessments
  • OIG advisory suggestions on EMTALA
  • CMS Deficiency Memo
  • Dedicated emergency office
  • Central log
  • June 7, 2013, CMS Memo on EMTALA and telemedicine
  • December 13, 2013, CMS notice on payments and accumulations
  • EMTALA description and necessities
  • The Joint Commission benchmarks
  • EMTALA sign pre requisites
  • Who does EMTALA apply?
  • Payment problems
  • Compliance program
  • November 21, 2014, EBOLA and EMTALA memo
  • BFCC QIOs procedure
  • Common inadequacy report by CMS
  • Basic idea of EMTALA
  • Who are the players?
  • Specialized ability
  • Policies and methods required
  • On-call doctors’ problems
  • Hospital suggestions
  • Reasonable enlistment process
  • Financial inquiries from patients
  • Patients who sign out AMA

Objectives for the afternoon session (Part 2 of 2 Part Series):

  • Define the hospital’s necessities about a minor who is conveyed to the ED by the babysitter for a medical screening exam
  • Talk about the time the hospitals must execute a certification of false labor


Part 2 of this program will cover the following:

  • Special obligations
  • Meaning of hospital property
  • EMTALA and outpatients
  • Capacity
  • Dedicated emergency office
  • Inpatients and perception patients
  • Medical screening test
  • Certification of false labor
  • Born alive law and EMTALA
  • Children’s request for treatment
  • Telemetry
  • When would you be able to be on diversion?
  • Parking of patients
  • Helipad
  • Definition of "comes to the ED"
  • State arrangements and EMTALA
  • Who can be a QMP?
  • The Moses case
  • Waiver of approvals
  • Demands for medications
  • Blood liquor tests
  • Emergency therapeutic condition
  • Stabilization
  • OB patients
  • Transfer and exchange forms
  • Behavioral health patients
  • QIO part with EMTALA

Who Should Attend?

  • OB Managers and Nurses
  • Behavioral Health Director and Staff 
  • Chief Nursing Officer
  • Nurse Supervisors
  • Emergency Department Managers
  • Emergency Department Physicians
  • Legal Counsel
  • Risk Managers
  • Directors of Hospital-Based Ambulance Services
  • Director of an enlistment
  • Registration staff and chief
  • ED instruction staff
  • Emergency Department Nurses
  • ED Medical Director
  • Chief Nursing Officer (CNO)
  • Chief Operating Officer (COO)
  • Chief Financial Officer
  • Patient Safety Officer
  • Join t Commission Coordinator
  • Nurse Educators
  • Staff Nurses
  • Outpatient Directors
  • Compliance Officers
  • On call doctors
  • Chief Medical Officer (CMO)

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