A. The freestanding ambulatory surgical facility shall have an effective procedure for the transfer of patients to a hospital when care beyond the capabilities of the facility is required.
B. Procedures for emergency transfer to a hospital shall include, at a minimum:
(1) Having a written transfer agreement with a local Medicare participating hospital or requiring all physicians, dentists, or podiatrists performing surgery in the freestanding ambulatory surgical facility to have admitting privileges at such a hospital;
(2) Having a mechanism for notifying the hospital of a pending emergency case;
(3) Having a mechanism for arranging appropriate transportation to the hospital; and
(4) The manner in which a facility sends a copy of the patient's medical record to the hospital.