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Medicare Part B Outpatient Cardiac and Pulmonary Rehabilitation Services

Medicare Part B covers outpatient cardiac and pulmonary rehabilitation services. For these services to be covered, however, they must be medically necessary and comply with certain documentation requirements. Previous OIG work identified outpatient cardiac and pulmonary rehabilitation service claims that did not comply with Federal requirements. We will assess whether Medicare payments for outpatient cardiac and pulmonary rehabilitation services were allowable in accordance with Medicare requirements. We will also determine whether potential risks in outpatient cardiac and pulmonary rehabilitation programs continue to exist.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
May 2018 Centers for Medicare & Medicaid Services Medicare Part B Outpatient Cardiac and Pulmonary Rehabilitation Services Office of Audit Services W-00-18-35808 2019