New CMS medicare coverage decision memorandum supervised exercise therapy for symptomatic PAD

The Centers for Medicare and Medicaid Services (CMS) has issued, on May 25, 2017, a new coverage decision memorandum, CAG-00449N, determining that there is sufficient evidence to provide Medicare coverage for Supervised Exercise Therapy for Symptomatic Peripheral Artery Disease (SET Program) under certain circumstances. Medicare will cover up to 36 SET Program sessions over a 12 week period so long as the following are requirements are met. However, after receiving a second, additional physician referral as detailed below, a Medicare Administrative Contractor has the discretion to cover additional SET Program services up to an additional 36 sessions over an additional period of time.

Source: Geriatric Nursing - July 4, 2017 Category: Nursing Authors: Howard L. Sollins Tags: Legal Column Source Type: research