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US · guidance

CMS SOM App. A, Tag A-1133

§482.56(b)(1) All rehabilitation services orders must be documented in the patient’s

activein force · 2026-07-22 – presentas-observed

medical record in accordance with the requirements at §482.24.

Interpretive Guidelines §482.56(b)(1)

The patient’s medical record must contain documentation of all rehabilitation services

ordered. The medical record entries must comply with regulations at §482.24.

Survey Procedures §482.56(b)(1)

Review a sample of patient medical records who received rehabilitation services.

Determine whether the rehabilitation service orders are legible, complete, dated, timed,

authenticated, and meet all other medical record requirements specified at §482.24.

History

Rev. 72, Issued: 11-18-11, Effective: 11-18-11, Implementation: 11-18-11

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
4a4cfbba43c2d5d5cadd93b5d8256a53f671c7813234c1c16faa51c44d8a0cf6
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