decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Special Advisory Bulletins / OIG-CMS Special Advisory Bulletin 99-3_Nov 10, 1999 / Voluntary Withdrawal
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Article Overview
This article summarizes an OIG-CMS special advisory bulletin addressing what hospitals should consider when patients seeking emergency care leave before being screened. It is relevant to hospital compliance, emergency department operations, and medical staff responsible for EMTALA-related processes, documentation, and response practices.
Why This Topic Matters
It helps hospitals and compliance teams understand federal expectations around patient departures from emergency services and the risk of patient dumping-law violations. The bulletin is important for organizations that need to align documentation and operational procedures with OIG and CMS guidance.
What You Will Learn
- How the bulletin addresses voluntary withdrawal in emergency care settings.
- Why patient departures before screening are a compliance concern.
- What general documentation and operational issues the guidance discusses.
- How OIG and CMS frame hospital responsibilities under the patient dumping law.
Who Should Read This
- Hospital compliance staff
- Emergency department administrators
- Physicians and clinical leadership
- Health information management professionals
- Medical coders and auditors working with hospital compliance guidance
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