Hospital Transfer Agreement Cms
Category : Uncategorized
All CSAs that treat Medicare receptors must be certified by the Medicare program and, therefore, meet the federal CSA requirements. One of these requirements requires the CSA to have a written transfer agreement with a local hospital participating in Medicare or a non-participating hospital that meets the Emergency Services Requirements of the Medicare program. If the CSA does not have a transfer contract, any physician operating in the CSA must have admission privileges to a particular CMS-compliant hospital. The HHS rules currently provide that, under The Conditions of Medicare Coverage, CSA maintains either a written transfer agreement with a “participating Hospital in Medicare, or a non-participating local hospital meeting the conditions for payment of emergency services”, or ensure that any physician who provides services to the CSA has initiation privileges in such a hospital. Under the final rule, CSAs are no longer specifically required to maintain a formal hospital transfer contract or to ensure that their physicians retain the privileges of admission to a particular hospital. Instead of the written transmission agreement, the final rule generally requires CSAs to maintain an effective procedure for transferring patients who require emergency treatment to the hospital. Sketch returns may result in citations for violating the terms of participation in the CMS, but EMTALA is unlikely to apply to a back-transfer situation in most cases. “Our CSA was contacted by a representative of the local hospital, who explained that our transfer contract could be compromised if we offer a new procedure to our CSA,” Ty Tippets, administrator of the St. George(Utah) Center for Electricity, said in a commentary.
An effective emergency transfer depends on the existence of an established procedure, which is why it is highly recommended to create a written agreement between the CSA and its designated local hospital, even if it is not required by state accreditation rules or bodies. In the case of billing, collection and insurance obligations, the peculiarities are usually to protect oneself and each for oneself. A strong hospital transfer contract should require each party to maintain professional liability insurance or equivalent liability insurance to cover its facilities and staff against claims made during and after the termination of the contract.