ED Manag. 2000 Jan;12(1):1-3.
The Office of the Inspector General and the Health Care Financing Administration have published a special advisory bulletin warning that you must not delay medical screening exams or stabilization, even when managed care plans require prior authorization. Medicare and Medicaid managed care organizations were put on notice that the practice of requesting prior authorization is illegal under the Emergency Medical Treatment and Labor Act (EMTALA) and the Balanced Budget Act. You can ask about payment after stabilization has commenced. Only staff knowledgeable about EMTALA should answer financial questions from patients. Consistently long waits could be interpreted as a pattern of encouraging patients to leave without treatment.
监察长办公室和医疗保健财务管理局发布了一份特别咨询公告，警告称即使管理式医疗计划要求事先授权，也不得延误医疗筛查检查或病情稳定治疗。医疗保险和医疗补助管理式医疗组织已收到通知，根据《紧急医疗救治和劳动法案》（EMTALA）及《平衡预算法案》，要求事先授权的做法是非法的。在病情稳定治疗开始后，你可以询问费用支付问题。只有熟悉EMTALA的工作人员才能回答患者的财务问题。持续长时间的等待可能会被视为鼓励患者未经治疗就离开的一种模式。
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