Our hospital administrators are telling us that to comply with EMTALA every
patient that presents to the emergency department needs MSE( medical
screening exam) to determine if a medical emergency exists. That will add
another 1000 patient per month to our already over loaded system.
A couple of questions,
I have read the regulation and admit that the hospital seems to be correct
1. Who has to provide the MSE, MD?,NP?RN?
( we have used a triage system for the past 15 years or more, staffed by
RN's who undergo 80 hours of training, and must have at least 6 months ED
experience, would they be qualified to do the MSE?)
2. What will billed for the MSE?
When is it appropriate to bill the E&M codes and when will the billing be
limited to just the MSE ( and does a code exist for an MSE?)
( recognize that an MSE can require any or all of the services available at
the hospital to establish that a) a medical emergency exists and b) that the
patient is stable for transfer or disposition )
Thanks for your input..
Martin Herman,M.D., FACEP,FAAP
Pediatric Emergency Specialists, P.C.
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: