Transcription of State Operations Manual - CMS
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State Operations Manual - CMS
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 Stabilizing Treatment for Emergency Medical Conditions
Investigate for compliance with the regulations in 42 CFR §489.24 and the related requirements in 42 CFR §489.20(l), (m), (q), and (r). All investigations are to be unannounced. The investigation is based on an allegation of noncompliance. The purpose of the investigation is to ascertain whether a violation took place, to determine
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