2026 Medicare Rules & Regulations

Presented by Lorri Lee, MHA, BS, CCRP, CEP, FAACVPR; Susan Flack, MS, BSN, RN, FAACVPR; Todd Brown, MD, MSPH, FACC, FAHA, MAACVPR

Disclosures: No relevant disclosures

1.00 AACVPR CEUs, 1.00 ANCC CEUs

Description: This webinar will address current rules and regulations as they apply to Cardiac Rehab, Intensive Cardiac, SET PAD, Pulmonary Rehab and Outpatient Respiratory Services programs.  New CMS reimbursement rates and rulings will be presented as well as clarification and reinforcement of the current roles of Non-Physician Providers in these services. This webinar will review topics that cause confusion, frequently asked questions, and variability among the MACs.

Learning Objectives:  

1. Demonstrate competence in their interpretation and application of current Medicare rules for delivery of cardiac rehabilitation, intensive cardiac rehabilitation and SET PAD programs.  

2. Recognize the relationship between federal regulations, local governmental regulations, and private insurers.

3. Verbalize the role of non-physician providers within CR/ICR/PR services. 

4. Differentiate between Pulmonary Rehab (PR) and Outpatient Respiratory Services (ORS)

5. Identify applicable billing codes for PR and ORS, and what services are “bundled.”

6. Discuss tips to help determine what program is appropriate for your patient referral.

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