EMTALA's role in administering ABNs
Patient Access Weekly Advisor, June 13, 2007
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A hospital must meet all requirements under the Emergency Medical Treatment and Labor Act (EMTALA) before administering ABNs to patients who present with medical emergencies.
EMTALA requirements include performing a medical screening examination to determine whether the patient has an emergency medical condition and performing stabilizing services if you find one.
Wait to explain the Medicare coverage rules for any tests or services they may receive until after qualified staff screen and stabilize the patient.
Even after a patient has received a medical screening examination and is stabilized, do not give the patient an ABN unless you have a genuine reason to expect Medicare to deny payment for the service.
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