EMTALA (Emergency Medical Treatment and Active Labor Act) requires Medicare-participating hospitals with EDs to provide a medical screening examination to ANYONE who comes to the ED, regardless of ability to pay or insurance status, and to stabilize any emergency medical condition before any transfer. Choices 1, 3, 4 are explicitly EMTALA violations carrying federal penalties.
In-depth explanation
The two EMTALA pillars are MSE for everyone and stabilization before transfer. Demanding payment first or denying screening based on insurance is the most-tested EMTALA violation. Hospitals can collect insurance information AFTER stabilization, never before MSE.
For study reference only. Always follow current clinical guidelines and your institution’s protocols.