What is EMTALA and when was it enacted? What does it mean that EMTALA is an unfunded mandate? Can a hospital refuse to treat a patient? What is considered an emergency medical condition?
Discussion topic
What is EMTALA and when was it enacted? What does it mean that EMTALA is an unfunded mandate? Can a hospital refuse to treat a patient? What is considered an emergency medical condition? Do you agree with this ACT, why or why not?
Please include references and in-text citations
ASSIGNMENT 1
1. Resource-Based Relative Value Scale (RBRVS): For the previous year and the current year, obtain the necessary data from the Federal Register and from the website of the Centers for Medicare and Medicaid Services (Physician Fee Schedule Look-up, Physician Fee Schedule Search) to calculate Medicare reimbursement payments under the RBRVS method. Calculate the reimbursements under the RBRVS method for the previous year and the current year for the following CPT codes:
31239
68720
68815
2. Go to the Ambulances Services Center on the Medicare website (http://www.cms.gov/Center/Provider-Type/Ambulances-Services-Center.htmlLinks to an external site.). Find the Other Guidance section and download the Ambulance Fee Schedule – Medical Conditions List and Transportation Indicators pdf. After reading the section on the Medical Condition List prepare educational presentation. Include the importance of the Medical Conditions List, how the list should be used, and any precautions that ambulance suppliers should take when using this list to determine the appropriate level of service. Lastly discuss how the transition to ICD-10-CM/PCS will impact the Medical Conditions List.
Are there any unique data, such as the budget neutrality (BN) adjustor in 2007, that must be obtained? What factor had the greatest impact on reimbursement for each procedure? If profit were the physician’s only motive, in which site would procedure 68815 be performed? What factors other than reimbursement do physicians consider when they select the site of a procedure?
Please must contain references and in-text citations in correct format.
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