Finally, that emergency directive should provide for a compensation clause allowing each party to claim reimbursement from the other party in order to cover all liabilities, claims, actions, losses, costs, damages or expenses resulting from any of its acts or omissions in the performance of the agreement. Each CSA that treats Medicare beneficiaries must be certified by the Medicare program and, therefore, meet federal government requirements for CSAs. One of these requirements requires CSOs to have a written transfer agreement with a local Medicare participating hospital or a non-participating hospital that meets Medicare program requirements for emergency payments. If the CSA does not have a transfer agreement, any physician who performs an operation in the CSA must have privileges to be admitted to a designated CMS-compliant hospital. transfer agreements should clearly define the respective responsibilities of the CSA and the hospital in a number of areas, including the provision of patient information; the provision of means of transport; sharing of services, equipment and personnel; the provision of care with regard to the establishment and capacity of the Agency; and confidentiality of medical records. The Ohio regulations are representative of the first group and state that a CSA “must have a written transfer agreement with a hospital for the transfer of patients in the event of medical complications, emergencies, and other needs in the event of an occurrence.” In contrast, according to the Texas Executive Order, a CSA must “have a written transfer agreement with a hospital or all physicians performing a CSA operation must have omission privileges at a local hospital.” 15 states need a hospital transfer agreement:AlabamaAlaskaArkansasConnecticutIllinoisKentuckyMississippiNevadaNew YorkNorth CarolinaOhioSouth DakotaTennesseeWashingtonWyoming Florida addresses the problem from a medical qualification perspective. If a physician does not have staffing privileges to perform their ASC procedures in a hospital at a reasonable distance, a transfer agreement must be made in advance. And Georgia notes that hospitals “must not unduly refuse a transfer agreement to the [CSA].” From profitability to ownership to efficiency, there are many reasons why a surgeon might choose to make cases in the operating room of an outpatient surgical center. But not all CSAs are prepared in terms of personnel and equipment for any emergency situation that may occur. Hospital transfer agreements serve as a safety net for PATIENTS in a CSA to be transported to hospital and treated in a hospital in the event of unexpected medical complications. Here`s an overview of what you need to know about organizing, evaluating, and reviewing a hospital transfer agreement. Some states require that the hospital with which the CSA arranges transfers be within a certain csa travel time limit.
For example, Illinois and Mississippi indicate 15 minutes, while Oklahoma indicates 20 minutes and Florida 30 minutes.