tci Medicare Compliance & Reimbursement - 2003 Issue 41

EMTALA: IMPROPER PSYCH TRANSFERS PROMPT INVESTIGATION

ED docs fired as health department probes EMTALA problems.  The Emergency Medical Treatment and Active Labor Act's provisions apply to psychiatric patients, and California officials say Simi Valley Hospital hasn't been complying with that law. After conducting an investigation on behalf of the Centers for Medicare & Medicaid Services, the state's Department of Health Services contends the hospital's emergency department did not perform screening exams on psychiatric patients before transferring them, transferred patients even though there was space available in the hospital's psych unit, transferred several patients because they didn't have insurance and failed to stabilize suicidal patients...

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