CEOs, CFOs, CNOs, utilization review directors, patient financial service managers, risk managers, emergency room directors, physicians and managers, emergency service personnel, nurse executives, reimbursement coordinators, in-house legal counsel, managed care professionals, and anyone involved in processing patients through emergency services. Violations can mean fines and the threatened loss of Medicare certification. Even when an investigation shows a complaint to be unfounded, the investigation process is disruptive and time consuming for hospital personnel.
Complaints also can create public relations problems for hospitals.
Compounding the issue are problems with care rendered to some managed care enrollees. This program, similar to the one offered in the spring of 1999, is designed to explore these issues and provide a forum for practical solutions. Describe the issue in Florida and across the country. Explain the requirements of the federal and state laws. Describe a typical complaint and inspection process.