The Centers for Medicare & Medicaid Services (CMS) today announced it will expand coverage for cardiac rehabilitation services to three additional groups of patients. National coverage is extended for cardiac rehabilitation to Medicare beneficiaries who have had heart valve repair or replacement, percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting, or a heart or combined heart-lung transplant.
In the release, CMS said, “While the evidence on the benefits for congestive heart failure is not sufficient for a coverage expansion at this time, ongoing studies are likely to provide more certainty about the impact of cardiac rehabilitation for these patients.”
CMS determined that cardiac rehabilitation services should be comprehensive and include medical evaluation, education, and nutrition services. Evaluation of the current medical evidence demonstrated a greater benefit to patients when services were provided in such a comprehensive manner.
For the full determination, go to the CMS website.