Certified Revenue Cycle Representative (CRCR) Practice Exam

What does EMTALA prohibit regarding inquiries about health plan or liability payer information?

1. Delaying examination or treatment

2. Gathering patient historical data

3. Collecting copayments in the emergency room

4. Providing non-emergency services

The correct answer is: Delaying examination or treatment

EMTALA, which stands for the Emergency Medical Treatment and Labor Act, was established to ensure that anyone entering a hospital emergency department is treated regardless of their insurance or ability to pay. The law prohibits hospitals from delaying an examination or treatment based on a patient's health plan or liability payer information. This means that hospitals cannot inquire about a patient's insurance status or payment source before providing necessary medical care to determine if the patient has an emergency medical condition. This emphasis on immediate treatment is vital for protecting patient safety, as delays could result in worsening medical conditions. By prioritizing medical needs over financial considerations, EMTALA helps to ensure that patients receive timely and appropriate emergency care. The other options, while related to the operations in a healthcare setting, do not align with the primary prohibitions set forth by EMTALA regarding the treatment of patients in an emergency context.