tci Part B Insider - 2012 Issue 25

In other news…

CMS has allowed payment for physician-supervised pulmonary rehab programs since 2010, but the agency is still tweaking the policies to confirm that only patients with moderate to very severe COPD are entitled to the benefit.Background: Effective Jan. 1, 2010, physician-supervised comprehensive pulmonary rehab programs have been payable for up to two hourly sessions per day, up to 36 lifetime sessions. The programs must include physician-prescribed exercise, education or training, psychosocial assessment, outcomes assessment, and an individualized treatment plan.Update: On July 16, CMS revised MLN Matters article MM6823 to clarify that the benefit is only payable for patients...

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