tci ED Coding & Reimbursement Alert - 1998 Issue 1

Coding's Role in Assuring Reimbursement for EMTALA's Mandated Services

No legal requirement has more impact on the functioning of an emergency department (ED) than the federal anti-patient-dumping legislation known as COBRA/EMTALA (the acronym stands for Emergency Medical Treatment and Active Labor Act, passed as part of the Consolidated Omnibus Budget Reconciliation Act of 1986). This legislation requires EDs to provide a medical screening exam that is sufficient to rule out an emergency medical condition to each patient who presents in the department, regardless of the patients ability to pay. If a department fails to provide this screening, or provides medical screenings in a manner determined by regulators to be...

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