tci Part B Insider - 2004 Issue 3

Physician Notes: Cardiac Rehab Is Compliance Minefield, OIG Warns

Physician documentation, 'incident-to' are common pitfallsThe HHS Office of Inspector General's nationwide review of outpatient cardiac rehab claims will continue to hold you to the letter of the law when it comes to "incident-to" and physician documentation services. In its recent audit report, "Review of the Outpatient Cardiac Rehabilitation Services - HealthSouth Sea Pines Rehabilitation Hospital - Melbourne, FL," (A-04-03-01004) the OIG sounds a familiar complaint that it could not identify the physician professional services to which the cardiac rehabilitation services were provided incident-to. The audit also blames Sea Pines for billing multiple units of service for...

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