Physical Rehabilitation Services
Regulatory Expertise
Regulatory Expertise
“Horizon’s clinical protocols and on-going chart audits help make sure the program is in compliance.”
Horizon’s Clinical Standards and Evaluation Department is comprised of very experienced clinicians who perform regular unannounced clinical audits of Horizon managed programs. The department’s objective is to achieve full and absolute regulatory compliances.
Resources to help assure your program meets or exceeds the requirements for State, Medicare, JCAHO and CARF include:
- Regular contact with CMS and Fiscal Intermediaries to monitor all proposed and approved reimbursement changes and interpretations
- Internal clinical auditors who conduct unannounced, independent audits
- Monitor compliance to the implementation of the 75% Rule to protect your unit’s exempt status
- Match documentation and records with claims submissions to assure proper payments for services rendered
Ready to implement a Horizon Solution? Join our growing list of satisfied client hospitals and respond to the growing physical rehabilitation needs of your community by contacting Horizon for a detailed program viability analysis.
Gain Regulatory Expertise
A full-time Director of CMG and Reimbursement Systems helps assure that your program is kept up-to-date on all proposed regulatory changes and interpretations.