Transcription of EMTALA Implementation and Enforcement Issues
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EMTALA Implementation and Enforcement Issues
Report to Congressional CommitteesUnited States General Accounting OfficeGAOJune 2001 EMERGENCY CAREEMTALAI mplementation andEnforcement IssuesGAO-01-747 Page iGAO-01-747 EMTALAL etter1 Results in Brief2 Background4 Hospitals and Physicians Have Concerns About Effects and Extentof EMTALA Responsibilities10 Numbers of EMTALA Violations and Fines Relatively Small, andHospitals Are Rarely Terminated17 Concluding Observations25 Agency Comments25 Appendix IScope and Methodology28 Appendix IIConfirmed EMTALA Violations30 Appendix IIIC omments From the Department of Health and HumanServices32 Appendix IVGAO Contact and Staff Acknowledgments34 TablesTable 1: Provider Uncertainties About EMTALA Requirements16 Table 2: Examples of 1999 Confirmed EMTALA Violations30 FiguresFigure 1: EMTALA Enforcement Process7 Figure 2: Total EMTALA Investigations and Confirmed Violations,Fiscal Years 1995 - 199918 ContentsPage iiGAO-01-747 EMTALAA bbreviationsCMSC enters for Medicare and medicaid ServicesEMTALAE mergency Medical Treatment and Active Labor ActHHSD epartment of Health and Human ServicesOIGO ffice of Inspector GeneralPROpeer review organizationPage 1 GAO-01-747 EMTALAJune 22, 2001 Congressional CommitteesIn 19
Page ii GAO-01-747 EMTALA Abbreviations CMS Centers for Medicare and Medicaid Services EMTALA Emergency Medical Treatment and Active Labor Act HHS Department of Health and Human Services
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