NGSConnex User Guide

Cardiac Rehabilitation

  1. Select Cardiac Rehabilitation from the left-side navigation.

    Medicare Part B (Medical Insurance) provides coverage for a cardiac rehabilitation or physical therapy program if a Medicare beneficiary has had at least one of the following conditions:
  • A heart attack in the last 12 months
  • Coronary artery bypass surgery
  • Current stable angina pectoris (chest pain)
  • A heart valve repair or replacement
  • A coronary angioplasty (a medical procedure used to open a blocked artery) or coronary stent (a procedure used to keep an artery open)
  • A heart or heart-lung transplant
  • Stable chronic heart failure

Medicare covers up to two one-hour sessions per day for up to 36-sessions. These sessions must occur during a 36-week period. If medically necessary, Medicare will cover an additional 36-sessions.

The following information is provided:

  • Number of Sessions Used 
  • Session Type

Cardiac Rehabilitation
 

  1. Select Intensive Cardiac Rehabilitation from the left-side navigation.

    Medicare Part B (Medical Insurance) also provides coverage for intensive cardiac rehabilitation programs that usually include more rigorous or intense exercise, education and counseling if a physician prescribes the program and the patient has any of the following conditions:
  • A heart attack in the last 12 months
  • Coronary artery bypass surgery
  • Current stable angina pectoris (chest pain)
  • A heart valve repair or replacement
  • A coronary angioplasty (a medical procedure used to open a blocked artery) or coronary stent (a procedure used to keep an artery open)
  • A heart or heart-lung transplant

If the patient qualifies, Medicare will pay for up to six one-hour sessions per day for up to 72 sessions. These sessions must occur during an 18-week period.

The following information will be provided:

  • Number of sessions used
  • Session Type

Intensive Cardiac Rehabilitation