Quote:
Originally Posted by BigV
Having a POLICY (I have to ask you these questions) that requires these questions to be asked and answered is stupid. It's like any zero-tolerance policy; it has the effect of zero-judgement.
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The CMS (Center for Medicare and Medicaid Services) has a list of questions that must be asked (and answered) every time people present to the ER, regardless of the reason they're there. The big insurers have their own hoops for staff to jump through. If the chart doesn't document all required answers, the hospital doesn't get paid.
It's frustrating for everyone. The only winners are the payers, who avoid reimbursing for legitimate visits a percentage of the time.