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Question: Ive heard the Centers for Medicare & Medicaid Services (CMS) recently issued instructions that require us to provide emergency physicians more detail on what procedures are billed under their names. How is this going to affect billing for my ED?
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The final version of the Emergency Medical Treatment and Labor Act says an ED is any department or facility of the hospital, whether situated on or off the main hospital campus, that:
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Following are sample responses recommended by Shelley Cohen, RN, CEN, a member of the Emergency Nurses Associations task force on the Emergency Medical Treatment and Labor Act.
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Do you worry about unsafe staffing levels, a shortage of experienced nurses, a lack of trust between administration and staff, long work hours, and systems that dont promote safety and efficiency? If so, you have new ammunition to call for dramatic changes in your ED.
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Would you like to cut door-to-treatment times for patients with acute coronary syndrome and acute myocardial infarction by up to 15 minutes? Put together a Chest Pain Tackle Box, recommends Marilyn Swinford, RN, director of emergency and outpatient services at Saint Joseph Hospital in Lexington, KY.
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With an ever increasing nursing shortage coupled with increased patient volumes, you may believe its impossible to cut labor costs in your ED. Not so, says Laura Guerrieri, RN, MBA, director of emergency services at Gottlieb Memorial Hospital in Melrose Park, IL.
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Clinicians should be alert for possible cases of ricin poisoning because the easily available toxin was used recently to make
a terrorist threat at mail processing center in Greenville, SC, public health investigators warn.
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For unvaccinated or high-risk vaccinated patients during the influenza season, empirical oseltamivir treatment is cost-effective. For other patients, rapid diagnostic testing followed by treatment with oseltamivir is cost-effective. Empirical amantadine treatment offers a low-cost alternative if patients cannot afford oseltamivir.
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As determined by process-of-care measurement, adverse event occurrence, and patient satisfaction, quality of care is compromised by infection control procedures.
