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Current AHCA survey enforcement states that the Medical or Clinic Director must review a billing sample at least once every 30 days, maintain a record of the review, and document corrective action for any fraudulent or unlawful billing found. This is a billing-review requirement — not a universal “monthly chart audit” rule.
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What does the billing review involve?
A periodic sample of clinic billing, a record that the review happened, and documented corrective action where billing problems are identified.
Is the 30-day billing review the same as a monthly chart audit?
This 30-day billing review is sometimes mis-stated as a blanket monthly chart-audit obligation for every clinic. Chart and quality review are valuable governance tools, but the specific 30-day cadence here is about billing under the AHCA framework.