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Cardiac Rehabilitation

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Just a few questions for others who may manage a cardiac rehab program.

Does anyone charge for the intake or initial assessment by the Cardiac Rehab

nurse before the client begins a monitored cardiac exercise program? If so,

what CPT code do you use? In our case, since we are a hospital based

program the stress test is done by the referring physician not by us, yet we

still like to meet individually with the client to develop goals, etc. Also

how are other programs coping with the Medicare fee schedule reimbursement,

in CO we get $17.71 per client per class, about a 70% discount off our

regular charges. This seems to be having a significant impact on our

program. How are others coping? Have you changed your service delivery

model? If so, how? Any feedback would be appreciated. Thanks.

Becky Herman

Pyhsical Medicine Manager

Longmont, CO

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