State Operations Manual

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State Operations Manual Appendix V Interpretive Guidelines Responsibilities of Medicare Participating Hospitals in Emergency Cases ________________________________________ _______________________________ (Rev. 60, 07-16-10) Transmittals for Appendix V Part I- Investigative Procedures I. General Information II. Principal Focus of Investigation III. Task 1 - Entrance Conference IV. Task 2 - Case Selection Methodology V. Task 3- Record Review VI. Task 4- Interviews VII. Task 5-Exit Conference VIII. Task 6- Professional medical Review IX. Task 7- Assessment of Compliance and Completion of the Deficiency Report X. Additional Survey Report Documentation ________________________________________ ______________________________ Part II - Interpretive Guidelines - Responsibilities of Medicare Participating Hospitals in Emergency Cases Basic Section 1866 Commitments Relevant to Section 1867 Responsibilities (l) (m) (q) (r) (j) Availability of On-Call physicians Special Responsibilities of Medicare Hospitals in Emergency Cases (a) Applicability of Provisions of this Section (c) Use of Dedicated Emergency Department for Nonemergency Services (d) Necessary Stab

A physician has signed the certification that the benefits of the transfer of the patient to another facility outweigh the risks or A qualified medical person (as determined by the hospital

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