Professional- licensure, reimbursement, other

Thank you Megan. That's encouraging. May I ask... how much do you charge for your services?

Peggy Kraus, CEP, CDCES

Cardiopulmonary Rehab

Stony Brook Southampton Hospital

240 Meeting House Lane

Southampton, NY 11968

631-726-8620 office

I own and operate a remote platform for generalFitness and wellness, which has recently included remote cardiac rehab virtually. This is via my app where I monitor their steps HR etc remotely.

This is a self pay option only.

However, I show them the cost of cardio rehab and any associated co- pays etc. if they don’t have Medicare, and most patients are paying. I have also created relations where private insurances are reimbursing the patients back with my programs.

as of now most of my patients don’t mind paying out of pocket for services they know could benefit them and they have the flexibility without insurance.

Thanks for that, Robert.

Our population is probably 90% Medicare insured but will consider to reach out to private payers.

Peggy Kraus, CEP, CDCES

Cardiopulmonary Rehab

Stony Brook Southampton Hospital

240 Meeting House Lane

Southampton, NY 11968

631-726-8620 office

Hi Peggy

This is a tough question to answer due to the differences in payer mixes and the resources that are available to each institution. True, CMS will no longer provide reimbursement for virtual CR (preferred term for live, synchronous 2-way A-V program delivery) after 11 May 2023, but private payers may. Henry Ford Medical Group was successful in getting virtual CR reimbursed by both Health Alliance Plan and BCBS of MI back in 2016, so pursuing private payers is certainly a viable option.

Making some of the exemptions that were granted by CMS during the PHE permanent is a high priority for AACVPR. There is a bill drafted in the House to accomplish this. Keep your eyes out for this bill and its companion Senate bill (if introduced) and make sure that your representatives know you want them to support those bills.

Hi,

I was curious if anyone has any ideas for their remote cardiac rehab programs with the upcoming end of the Public Health Emergency in May.

We have continued to offer remote cardiac rehab successfully for the past few years and will be sad to see it go away. Does anyone have any ideas on how to be able to continue this service in a non-traditional way? I don't think we have a large enough remote phase 3 population to justify continuing the program but we are open to all options.