Phase ii cardiac rehabilitation program

Phase II cardiac rehab continues to improve the recovery of the patients recovering from cardiac episodes that started in phase I. This comprehensive program includes:. Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view.

It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs. What is phase II outpatient cardiac rehabilitation? Diana Meeks on behalf of Sigma Nursing. Family Practitioner. National Academy of Sports Medicine. In addition to typical program duration, an endpoint for cardiac rehabilitation services may also be determined using the participant's work capacity as measured by metabolic equivalents of task MET.

A MET is the measurement of the work required from the cardiovascular and pulmonary systems by a given activity. One MET equals approximately 3. Depending on variables such as age, sex, cardiac history, the existence of other complicating medical conditions, etc. Reasonable endpoint criteria for medically supervised cardiac rehabilitation programs can include the ability of the participant to exercise at a level of eight 8 or more.

METs without cardiac symptoms and the acquisition of the skills necessary for the self-monitoring of anunsupervised exercise program. Since many participants with cardiac disease will not be capable of achieving this level of work capacity, the absence of improvement in capacity after three 3 serial exercise tests can be used as an alternative endpoint indicator.

Additional cardiac rehabilitation services are eligible based on the clinical criteria defined in this policy when the individual has a repeat occurrence of the covered conditions, e. In , the American College of Cardiology Foundation and the American Heart Association published updated guidelines on the management of heart failure. These guidelines include the following Class IIA recommendation related to cardiac rehabilitation Level of Evidence: B : Cardiac rehabilitation can be useful in clinically stable individuals with heart failure to improve functional capacity, exercise duration, HRQOL health-related quality of life , and mortality.

The guideline included the following statement on cardiac rehabilitation: Medically supervised exercise programs, i. References PDF. Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered.

Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Likewise, medical policy, which addresses the issue s in any specific case, should be considered before utilizing medical opinion in adjudication.

Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically.

Fargo Headquarters 13th Ave. Fargo, North Dakota All rights reserved. Log in Members Employers Providers Producers. Stay updated on HealthCare News Get timely provider information including policy, benefits, coding or billing updates, education, and more—delivered directly to your email. Enter email Error: Please enter a valid email Subscribe. Section: Visits. Effective Date: July 01, Revised Date: September 26, Last Reviewed: September 21, Applies To: Commercial and Medicaid Expansion.

Description Cardiac rehabilitation program, phase II refers to comprehensive medically supervised programs in the outpatient setting that aim to improve the function of individuals with heart disease and prevent future cardiac events. Phase IV cardiac rehabilitation programs or maintenance therapy that may be safely carried out without medical supervision are considered not medically necessary Cardiac rehabilitation when used in a preventive or prophylactic way, such as for angina, hypertension, or diabetes is considered not medically necessary.

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