Health Information Management

Comply with CMS guidelines for cardiac, pulmonary rehab

APC Payment Insider, March 1, 2010

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Cardiac and pulmonary rehabilitation programs must comply with the Medicare guidelines in order to receive payment. Although some of the requirements are the same for both programs, others are not. Comprehensive rehab programs must include a medical evaluation, an individualized treatment plan, psychosocial evaluation, prescribed exercise, education, counseling, and may last for up to 36 sessions.

The first thing rehab providers must do is learn the program requirements, says Garvey.

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