decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Special Advisory Bulletins / OIG-CMS Special Advisory Bulletin 99-3_Nov 10, 1999 / Use of Advance Beneficiary Notices or Other Financial Responsibility Forms
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Article Overview
This article explains CMS and OIG guidance on how hospitals may handle advance beneficiary notices and other financial responsibility forms when patients present for emergency care. It focuses on the relationship between registration practices, screening, stabilization, and patient access to care, and is relevant to hospital compliance staff, emergency department leadership, billing teams, and coding/reimbursement professionals working with Medicare and managed care patients.
Why This Topic Matters
Hospitals need to know which registration and notice practices are compatible with emergency care obligations and which may create compliance risk. The bulletin clarifies the boundaries of permissible intake procedures without disclosing the underlying operational details.
Article Sections
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Comments and CMS/OIG response
Summarizes the issues raised by commenters and the agencies’ response to those concerns. It addresses hospital use of financial responsibility forms and related intake practices.
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Emergency care, screening, and stabilization
Discusses how registration practices relate to emergency screening and stabilizing treatment. The section frames the compliance concerns around access to care and timing of intake procedures.
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Clarification of permitted registration processes
Explains the agencies’ clarification of what may occur during hospital registration in emergency settings. It references the broader categories of information that may be collected without describing specific coding or billing instructions.
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Non-acute situations and process limitations
Addresses how reasonable registration processes may proceed when a patient is not in an acute emergency situation. It also reiterates limits on linking intake steps to later care.
What You Will Learn
- The scope of CMS and OIG guidance on hospital financial responsibility forms
- How emergency department registration practices are discussed in relation to screening and stabilization
- Which general types of intake processes are considered in the bulletin
- Why compliance teams review beneficiary-notice practices in emergency settings
Who Should Read This
- Hospital compliance staff
- Emergency department administrators
- Revenue cycle teams
- Billing and reimbursement professionals
- Coding professionals
- Medicare managed care stakeholders
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