Medicare's Revised Cardiac Rehab Coverage in Brief

Why This Topic Matters

The policy changes affect which patients may qualify for cardiac rehabilitation and how practices must structure and document the service under Medicare. It is relevant to providers and coders who need to understand coverage updates, site-of-service expectations, and the associated cardiac rehab billing landscape.

Article Sections

1. Coverage Changes and Program Requirements

   Compares earlier and revised Medicare coverage rules for cardiac rehabilitation, including covered diagnosis categories, program duration, service components, physical space expectations, supervision, incident-to considerations, monitoring strips, and exit criteria.

2. Payment for Cardiac Rehabilitation (per session)

   Presents a small reimbursement table and related utilization information for the cardiac rehabilitation professional service codes.