Question

Which statement is true regarding hospital preadmission certification for emergency situations?

a) It is not required in emergency situations
b) It must be obtained after the emergency admission
c) It must be obtained before the emergency admission or within 48 hours
d) It is only necessary for certain medical conditions

Answer 1

In emergency situations, hospital preadmission certification is not required before admission, but the event must be reported to the insurance provider shortly after.

Step-by-step explanation:

The correct answer regarding hospital preadmission certification for emergency situations is: a) It is not required in emergency situations. In the case of a medical emergency, preadmission certification, also known as prior authorization, is not expected prior to hospital admission.

Health insurance providers typically have a policy that exempts emergency services from the prior authorization requirement to ensure patients receive prompt care without delay. However, it is generally required that the emergency admission be reported to the health insurance provider as soon as reasonably possible, often within 24 to 48 hours.