tci Part B Insider - 2013 Issue 42

Emergency Medicine: Yes You Can Bill Emergency Services for Patients in Custody

Know your rights when submitting claims to Medicare patients brought in by law enforcement personnel CMS recently released clarifying language on Medicare claims for patients in the custody of law enforcement. While this is presumably intended to just be a clarification of existing CMS policy, the description of “prisoner” seems quite broad. With the exclusions of those actually “imprisoned” in a long term corrections facility; the remainders of these patients typically get their more serious care in the ED. The resulting paradox for ED providers remains the combination of an EMTALA mandate to screen for emergency medical...

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