Is your FI ready for CMS' final cardiac rehab rule? Now's the time to check
Health Care Auditing Strategies, May 1, 2006
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CMS has expanded cardiac rehab coverage for three new groups of Medicare beneficiaries. But if your facility begins billing for the new diagnostic groups right away, your FI may initially deny them.
That's because many FIs may not have updated their computer systems to meet the new requirements, says Pat Comoss, RN, BS, FAACVPR, consultant and member of the national reimbursement committee for the American Association of Cardiovascular and Pulmonary Rehabilitation.
"Most of the FIs' computer systems are not ready to handle the new diagnoses," Comoss says. "They found out about the rule changes the same time we did, so they had no time to update their computers."
Comoss says some FIs may be waiting for explicit instructions from CMS concerning the rule changes.
This is an excerpt from a member only article. To read the article in its entirety, please login.
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