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Medical Screening in ED. Thomas S. Granchi, MD, MBA Medical Director, Ben Taub ED. EMTALA 1986. Emergency care Screening exam for all Stabilize before verify payment Law of unintended consequences. Go Away! We have too many customers. Come On In!
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Medical Screening in ED Thomas S. Granchi, MD, MBA Medical Director, Ben Taub ED
EMTALA 1986 • Emergency care • Screening exam for all • Stabilize before verify payment • Law of unintended consequences
Go Away! We have too many customers.
Come On In! Take whatever you want and don’t pay for it.
RightCare EC Process Patient Code? Triage Level 4 &5 Patients sent To Medical Screen Emergent? NO Patient Educated On EC use Gold Card Discount Full Pay Patient YES Normal Process Unless seen in EC Follow normal EC practice Three Options Out of County 3 Two Options 2 Referred to Eligibility 2 1 Referred to home county $15 deposit $150 Clinic appointment scheduled Treated in EC
RightCare Pharmacy Process Gold Card Discount Patients Patient Code? Patient presents Prescription to pharmacy staff Normal Pharmacy Co-pays apply Out of County Patient only Full pay/ Out of county patients 1 5 Price Shop Five Options Referred to home county 2 4 3 Referred to Eligibility Partial Payment Full Price of Prescription Partial Prescription Dispensed Full Prescription Dispensed
RightCare Program Fee Structure Clinic Appointment EC Care Prescriptions $150 $15 deposit/$66 total Full $ + Fee
We care • Right place • Right staff • Right time
Moral issues are the privilege of an existence above mere survivalWillard Gaylin
