Intensive Cardiac Rehabilitation Program - Benson-Henry Institute Cardiac Wellness Program
Effective for dates of service on and after May 6, 2014, Medicare determined that the evidence is sufficient to expand the ICR benefit to include the Benson-Henry Institute Cardiac Wellness Program. This revision to the Medicare National Coverage Determinations Manual is a national coverage determination (NCD). NCDs are binding on all carriers, fiscal intermediaries, contractors with the Federal government that review and/or adjudicate claims, determinations, and/or decisions, quality improvement organizations, qualified independent contractors, the Medicare appeals council, and administrative law judges (ALJs) (see 42 CFR section 405.1060(a)(4) (2005)). An NCD that expands coverage is also binding on a Medicare advantage organization. In addition, an ALJ may not review an NCD. (See section 1869(f)(1)(A)(i) of the Social Security Act.)
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 03, 2014
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