Catalog Number : cra1070
Title : ED & EMTALA: Proper Billing and Compliance
Speaker : Duane Abbey

Webplay Recording Date : 9-13-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

Are there special coding and billing requirements for the ED? What constitutes an ED? What are hospitals really required to do under EMTALA? To answer these questions and more, come join us in the informational Webinar.

Webinar Objectives:

• Understand Why Coding, Billing and Reimbursement Is Different for the ED
• Appreciate Special Documentation Requirements for the ED
• Review the need for developing a special ED compliance plan
• Discuss the current and evolving requirements for EMTALA compliance
• Review 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)
• Understand the special coding and billing requirements for the ED relative to EMTALA
• Appreciate the provider-based clinic interface to EMTALA
• Review different approaches to audits and reviews of the ED relative to coding, billing and EMTALA

Target Audience:

ED Personnel, ER Physicians, ER Nurses, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, and Other Interested Personnel

Webinar Topics

• Overview of ED Compliance
  • EMTALA Compliance
  • Coding, Billing and Reimbursement Compliance
  • Special ED Considerations
  • ED Documentation
  • Observation and Associated Services
• EMTALA Basics
  • Definitions
  • On-Going EMTALA Rule Changes
• EMTALA Compliance
  • EMTALA Survey Process
  • EMTALA Compliance Problem Areas
• Recent Changes in EMTALA Rules & Regulations
  • Special Services Hospital Transfers
  • Community Call Programs
  • Qualified Medical Persons
  • CY2009 State Operations Manual - Interpretive Guidelines
  • The Moses vs. Providence Hospital Case
• 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 in the ED
  • EMTALA Interface to Coding/Billing
• Special ED Situations
  • Provider-Based Clinics – EMTALA Requirements
  • Written Compliance Plan Relative to EMTALA
• Audit and Review Approaches
• References for Further Information

Attendance Certificate:

All participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.