Rehab Agency Compliance

Becoming a Rehab Agency can offer great benefits to certain outpatient therapy providers but it also comes with more regulations and requirements. Therefore, BCMS created a Compliance Program specific to the needs of a Rehab Agency. We also provide consultation to assist in the start-up of a Rehab Agency and/or the transition from a private practice to a Rehab agency including a mock Medicare Survey. Our policies and procedures are one of a kind in that we provide the regulatory text, in user-friendly terminology, while simultaneously allowing for personalization and customization to fit the uniqueness of each practice and/or business. Clients are not left to interpret policies or regulations as we build orientation and consultation time into the price of our programs.

Our Compliance Policies & Procedures have been written to provide:

Sound content based on regulatory and risk management validated resources including but not limited to:

  • The OIG’s Guidances for Physicians and Small Group Practices
  • Medicare’s Benefit Policy, Claims Processing, Program Integrity Manuals
  • CMS’ Conditions of Participation for Rehabilitation Agencies or Conditions of Coverage for Private Practice Therapy Services
  • HIPAA/HITECH including requirements for Business Associates
  • Personnel & workforce requirements set by the Department of Labor
  • Practice Acts & Rules (state specific)
  • Standards of Professional Practice & Code of Ethics
  • American Medical Association’s CPT Coding Standards
  • OSHA’s Exposure Control Standard, Hazard Communication Standard and the General Duty Standard
  • Department of Justice’s Civil Rights Division: Americans with Disabilities (ADA)
  • Department of Education’s Non-discrimination Provisions
  • ‘Plug and Play’ practice specific customization options for each policy and procedure requiring just a few key strokes
  • A user-friendly educational tool for work force orientation and ongoing guidance