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ASA NEWSLETTER
 
 
August 1998
Volume 62
Number 8
 
PRACTICE MANAGEMENT

Free Care: What Does the Law Require?

Karin Bierstein,
Practice Management Coordinator



Recently reported events at a hospital outside Los Angeles have given rise to a lively debate about the duty of anesthesiologists to provide labor epidurals and other services without regard to reimbursement. To a considerable extent, any such duty is governed by hospital bylaws and/or contracts, which are enforceable through state law. This column will review the basic principles of state law and bylaws requirements and then summarize the Emergency Medical Treatment and Active Labor Act (EMTALA), the major federal law imposing responsibilities for uncompensated care on physicians. The discussion below intends or implies no value judgments or opinions on ethical issues.

State Law and Hospital Bylaws Requirements

State law and hospital bylaws policies or contracts are the major sources of a physician's duty to provide care to particular patients.

Statutory regulation centers on emergency care and especially on hospitals' responsibilities for delivering appropriate emergency services. At least 20 states have their own statutes limiting the ability of hospitals to deny emergency care, which vary widely. Some specify that emergency care cannot be denied based on a patient's potential inability to pay, while others merely mandate that emergency services be provided to all who require them. Several state emergency care statutes impose criminal liability on hospitals or medical personnel. Most do not provide for private lawsuits.

Beyond emergency care, are physicians ever required to treat a particular patient without regard to that patient's ability to pay? The traditional, common-law answer is no, unless the physician has already begun to take care of the patient. In that instance, the physician must give the patient the opportunity to find another doctor before withdrawing from the case.

It is not absolutely necessary that the physician examine or see the patient in order to establish a doctor-patient relationship for purposes of the prohibition on "abandonment." Anesthesiologists may be required to provide on-call services as a condition of medical staff privileges or of an exclusive contract. The hospital, in order to participate in Medicare, Medicaid and other reimbursement programs, must ensure that the services that it purports to offer will be available, which is typically done through call coverage systems.

If the hospital bylaws or a contract require an on-call physician to accept all patients referred to that physician, courts may find that an implicit doctor-patient relationship exists. Thus, an anesthesiology group with an exclusive contract or any other commitment, including one spelled out in the bylaws or in a medical staff policy, to provide call coverage may have an obligation to treat any patient for whom anesthesia services are requested. Since that obligation establishes a doctor-patient relationship, the patient may be able to recover against the physician who doesn't complete treatment or arrange for an appropriate transfer. The hospital may have its own remedies against the physician, again depending on the contract or bylaws.

The Right to Receive Emergency Treatment Under Federal Law (EMTALA)

The 1986 federal statute requires hospitals to ensure that any person who presents at an emergency department receive a medical screening examination to determine whether the person has an emergency medical condition or is in labor.

An "emergency medical condition" is one that manifests itself "by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in (i) placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy, (ii) serious impairment to bodily functions or (iii) serious dysfunction of any bodily organ or part."

Having determined that the patient has an emergency medical condition, the hospital must provide all treatment necessary, and within the hospital's capability, to "stabilize" the patient's medical condition. The patient is stabilized when "no material deterioration of the condition is likely to result from or occur during the transfer of the individual from the facility." (Unstabilized patients may be transferred if they so request, or if the physician certifies that the benefits outweigh the risks of the transfer.)

EMTALA specifically states that a pregnant woman who is having contractions is in an emergency condition where there is inadequate time to effect a transfer before delivery, or where a transfer may endanger the health or safety of either the woman or the fetus. "Stabilization" occurs upon delivery.

The screening and treatment provided must be of the same nature and quality of the services that would routinely be offered to other patients, including those with medical insurance. EMTALA has come to be interpreted by many courts as an anti-discrimination statute rather than a federal malpractice law. Misdiagnosis or medical negligence alone will not trigger liability without a showing of an improper motive (bias based on inability to pay, race, age, sex, occupation, inebriation or simple personal dislike) or disparate treatment of patients with the same condition on the part of the hospital or its agents, the physicians.

The penalty for violations can be severe. Hospitals may be fined up to $50,000 for each EMTALA violation and/or may lose their Medicare certification. Their accreditation by the Joint Commission on Accreditation of Healthcare Organizations and/or their licensure by the state may be affected. They may also find themselves defending civil personal injury lawsuits in federal court.

EMTALA does not create liability for failure to treat a patient post-stabilization. Any duty to continue to provide services would be based on common law, i.e., judge-made law protecting a reasonable expectation that there would be a continuing relationship with either the hospital or the physician.

What, then, does EMTALA require of anesthesiologists? If they are on call to provide services in the emergency room and a patient comes to the emergency room with an emergency medical condition or in labor, the anesthesiologists should respond to the call and treat the patient as they would treat anyone else with the same medical needs, without basing any actions on the patient's insurance coverage or other nonclinical status. It is not entirely clear whether EMTALA applies once the patient has been admitted to the hospital or maternity unit from the emergency room. Because of additional state law and hospital bylaws requirements, however, the conservative strategy would be to continue services until the patient is stabilized or has delivered.

The statute allows for fines of up to $50,000 and for exclusion from the Medicare and Medicaid programs. Unlike hospitals, however, physicians are not subject to private malpractice lawsuits based on EMTALA.

Putting all of the above principles together, in order to ensure that they comply with legal requirements, anesthesiologists should:

  • provide the same quality of treatment (not necessarily the same type of treatment) to all patients who have an "emergency medical condition" or who are in labor without considering the patients' financial situation or other characteristics unrelated to their medical status;
  • be familiar with provisions in their hospital's bylaws, policies or contracts that require the anesthesiologists to provide services to hospital patients; and
  • check with their own or the hospitals' counsel, and/or with the state medical society whether any state statutes create a duty to treat and under what circumstances.

Department of Justice Issues Guidelines on Prosecuting Medicare Fraud

A June 3, 1998, memorandum addressed to both criminal and civil attorneys in the Department of Justice (DOJ) directs them to handle False Claims Act cases against health care providers in a "responsible," "fair and even-handed manner." The DOJ now requires its attorneys, before alleging any violation, to evaluate whether the provider submitted false claims with knowledge of their falsity by following these procedures:

  1. Examine the statutes, regulations and any "applicable guidance from the program agency" (e.g., Medicare bulletins) and seek clarification from "knowledgeable personnel within the program agency;"
  2. Verify the accuracy of the data on which they are relying;
  3. Conduct the necessary investigative steps, which may include subpoenaing documents and interviewing witnesses;
  4. Determine whether the provider or physician knew or should have known of the rule or policy at issue;
  5. Evaluate whether "it is reasonable to conclude that the provider understood the rule of policy";
  6. Decide if the false claims more likely result from honest mistakes than from intentional or reckless conduct or deliberate ignorance;
  7. Check whether the provider has adopted and is enforcing a compliance plan, and consider any other steps taken to comply with billing rules;
  8. Determine whether the provider previously, on its own, identified and attempted to remedy the problem, e.g., by returning a Medicare overpayment;
  9. Ask whether the provider/physician has contacted Medicare regarding the billing rule at issue, and what kind of response they received;
  10. Note whether there have been prior audits or other notice to the provider of the same or similar billing problems; and
  11. Consider "any other information that bears on the provider's state of mind in submitting the false claims."

By instructing its field prosecutors to make sure that there is a reasonable basis to suspect fraud, the DOJ is echoing a recent letter sent by Nancy-Ann Min DeParle, Administrator of the Health Care Financing Administration (HCFA), to the American Medical Association stating clearly that HCFA will not seek prosecution of physicians who make nothing more than occasional coding or documentation errors. It is apparent that fraudulent intent (or recklessness) is necessary to commit a violation of the False Claims Act. Assistant United States Attorneys and DOJ Civil Division trial lawyers must now take into account all evidence of physicians' attempting to bill Medicare correctly. One important way of demonstrating the lack of fraudulent intent is to adopt and adhere to a formal compliance program.

In September 1997, ASA prepared a manual titled "Compliance With Medicare and Other Payor Billing Requirements." Single copies are available to ASA members on request.


ASA Continues to Study Epidural Reimbursement by Medicaid

For more than a year, the Committee on Economics has been working to identify what states are at the low end of Medicaid's reimbursement scale for epidural analgesia/anesthesia and to assist component societies in lobbying legislators for policy changes that are appropriate and fair.

ASA has been advising state components on Medicaid reimbursement issues regularly, but the recent incident in Los Angeles (see President's Update, July 10, 1998) prompted ASA to step up its efforts which will involve officers, district directors, alternate directors, component society leaders and other ASA members with input from staff and practice managers, according to ASA President William D. Owens, M.D.

ASA is currently seeking data on prevailing reimbursement rates and practices, including: 1) what Medicaid is currently reimbursing for epidurals for vaginal and unplanned cesarean deliveries; 2) what indemnity (i.e., private) insurance and managed care organizations are reimbursing for the same procedures; and 3) what the average duration is for a labor epidural from the time of insertion until anesthesia services are completed.

The principal purpose of the survey is to collect and analyze data that will be useful when seeking regulatory and/or legislative changes in Medicaid payment policies.

In addition, ASA will work with its state component societies to address these concerns where significant disparities in Medicaid reimbursement rates are affecting the availability of other medical procedures, including but not limited to obstetrical analgesia/anesthesia.

ASA also is continuing to work with media representatives to emphasize reimbursement inequities. We will continue to clearly state ASA's position on ethical patient care and to provide relevant reimbursement information and published studies on epidural anesthesia. ASA has been very effective in persuading the media not to place blame on physicians or hospitals, but to focus on the inequities of the Medicaid rates as the underlying cause of the problem.

Some states are already working for legislative changes in their Medicaid rates. ASA members are urged to become knowledgeable and involved in this issue as it relates to their state's Medicaid program and to network with medical colleagues in other specialties who have successfully made inroads with Medicaid carriers and other third-party payers to gain more equitable and appropriate reimbursement. Member involvement in the state component is crucial for this concerted effort to be effective.

 


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The views expressed herein are those of the authors and do not necessarily represent or reflect the views, policies or actions of the American Society of Anesthesiologists.

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