10 steps to audit compliance with the new cardiac rehab regulations
Health Care Auditing Strategies, July 1, 2006
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As part of updating your facility with the changes to cardiac rehabilitation regulations, you should also update your audit plan.
Earlier this year, CMS relaxed physician-supervision requirements for hospital-based programs and expanded coverage to Medicare beneficiaries who have had one of the following procedures:
Stephen Boff, MAHCA, JD, vice president and chief compliance officer for the Crozer-Keystone Health System in Springfield, PA, says that he typically reviews 40 claims annually-10 from each cardiac rehab facility in the Crozer-Keystone system- to verify that his organization bills cardiac rehab correctly. He has updated his audit plan to comply with the new regulations.
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