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Question: At a smaller critical access hospital, members of the community have been allowed to come to the emergency department (ED) to have their blood pressure checked. There is no documentation of the visit or of the vital signs.
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A number of hospitals have been cited in the past few months for lack of signs notifying patients of their rights under the Emergency Medical Treatment and Labor Act (EMTALA), according to Stephen Frew, JD, a longtime specialist in EMTALA compliance.
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The 1,000-page final outpatient prospective payment system (OPPS) rule, which takes effect this month, provides the congressionally mandated inflationary update and increases overall spending, but still pays hospitals only 83 cents for every dollar spent on outpatient care, the Chicago-based American Hospital Association (AHA) points out.
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Twenty million ambulatory care patient records will be connected as part of an early warning system for terrorism-related illness outbreaks.
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A couple of years ago, Lisa Zerull, RN, MS, the force behind the dramatically successful community nurse case management (CNCM) program at Valley Health System in Winchester, VA, faced a new challenge: She was informed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) that it would begin surveying the program based on the agencys home care standards, in conjunction with the health systems home health program.
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Making sure patients without an insurance plan for prescription drugs get the medications they need is an increasing challenge, case managers and discharge planners tell Discharge Planning Advisor.
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As compliance officers assume a higher-profile role in hospitals, their personal liability also is increasing. However, specific techniques and strategies can minimize that liability, not necessarily at the expense of their employer.
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The Centers for Medicare & Medicaid Services (CMS) is warning providers that they must use new Advance Beneficiary Notice (ABN) forms in connection with claims submitted for reimbursement under Medicare Part B.
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The Supreme Court is set to hear arguments next month on the issue of whether municipal entities are immune from False Claims Act (FCA) suits brought by qui tam relators. The outcome could have a significant impact on state and local hospitals.
