WEBINAR: ED & EMTALA: Proper Billing and Compliance

How should ED documentation be developed?

What are hospitals really required to do under EMTALA? To answer these questions and more, join us in this upcoming educational webinar. 

Webinar Objectives: 

discuss why coding, billing and reimbursement is different for the ED
review 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 of Participation (CoPs)
discuss the special coding and billing requirements for the ED relative to EMTALA
review the provider-based clinic interface to EMTALA
review different approaches to audits and reviews of the ED relative to coding, billing and EMTALA
discuss general compliance and auditing for the ED

Webinar Topics:
Overview of ED Compliance
o EMTALA Compliance 
o Coding, Billing and Reimbursement Compliance
o Special ED Considerations
o ED Documentation
o Observation and Associated Services
o Definitions
? Dedicated Emergency Department (DED)
? Emergent vs. Urgent
? Hospital Property
o On-Going EMTALA Rule Changes
EMTALA Compliance
o EMTALA Survey Process
o EMTALA Compliance Problem Areas
o 2002-2003 – Major Changes
More Changes in EMTALA Rules & Regulations
o Special Services Hospital Transfers
o Community Call Programs
o Qualified Medical Persons
o CY2009 State Operations Manual - Interpretive Guidelines
o The Moses vs. Providence Hospital Case
Coding, Billing and Reimbursement for the ED
o Special Coding and Billing Requirements for the ED
o Coding and Billing Policy and Procedure Development
o Non-Physician Providers in the ED
o EMTALA Interface to Coding/Billing
Special ED Situations
o Provider-Based Clinics – EMTALA Requirements
o Telemedicine and EMTALA
o CAHs, RHCs and FQHCs and EMTALA
o Freestanding EDs vs. Urgent Care Centers
o Ambulance Services
Written Compliance Plan Relative to EMTALA
Audit and Review Approaches
References for Further Information

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

Faculty: Duane C. Abbey
Duane Abbey A management consultant and president of Abbey & Abbey Consultants, based in Ames, Iowa. For over twenty years Abbey & Abbey, Consultants, Inc. has provided superior healthcare consulting services to hospitals, hospital systems, physicians, medical clinics and integrated delivery systems.
Abbey & Abbey, Consultants, Inc. specializes in healthcare consulting primarily in the areas of: 
Payment systems - reimbursement consulting
Delivery systems - organization of healthcare delivery
Compliance - developing compliance programs - emphasis in the coding, billing and reimbursement areas
In addition to his consulting, Dr. Abbey has been an invited presenter for hospital associations, medical societies, and other groups. He has also published both articles and books on health care topics. Dr. Abbey earned his graduate degrees from the University of Notre Dame and Iowa State University.

Contact Hours: 

Nursing participants: This program has been approved for 1.8 contact hours by the Iowa Board of Nursing Approved Provider Number 339.
All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.
9/13/2017 10:00 AM - 9/13/2017 11:30 AM
United States


Wednesday, 13 September 2017

9/13/2017 10:00 AM
10:00 AM - 11:30 AM
9/13/2017 10:00 AM
10:00 AM - 11:30 AM
9/13/2017 10:00 AM
10:00 AM - 11:30 AM
9/13/2017 10:00 AM

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