tci Medicare Compliance & Reimbursement - 2007 Issue 18

SPECIALTY HOSPITALS: New ASC Rule May Cap Doctors' Payments At Office Rates

CMS lets physician-ownership cat out of the bag.If your physicians own or operate a specialty hospital, they could find themselves specializing in trouble.In the wake of the scandal in which a Texas hospital called 911 for a patient who was having an emergency, the Centers for Medicare & Medicaid Services (CMS) has issued guidance saying all hospitals must have emergency care facilities. Even if your doctor's specialty hospital doesn't have an emergency department, it must be able to appraise an emergency patient, provide initial treatment, and refer the patient where appropriate, CMS said in a Survey and...

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