It’s time to act and we need everyone’s involvement in October

It’s time to act and we need everyone’s involvement!
A simple phone call can secure the future of Cardiopulmonary Rehab for your program or other programs in your state.
The more calls that a House member receives, the higher the chances that we will have this bill move forward this year. Everyone’s input helps.
You can use this script to make it easier:
Converse With Your U.S. Representatives Over the Phone
A brief phone call to your US Representative’s DC office is also very powerful to express your support for HR 3348 and HR 1956.
It is a very simple message:
Share your name, where you live and where you work
Ask for support of these two bills
HR 3348 to allow adequate reimbursement for ALL cardiac and pulmonary rehab programs, whether on or off campus,
HR 1956 to increase access to cardiac and pulmonary rehab programs by allowing non-physician practitioners to order and supervise these services beginning in January 2022.
Explain why both bills are important to you
HR 1956 increases access beginning in 2022 to medically directed, life-saving cardiac and pulmonary rehabilitation programs by reducing delay to enrollment and allowing professional practitioners to order and supervise these services. The Access to Quality Cardiac Rehabilitation Care Act of 2021 simply moves up the enactment date from 2024 so people can get started with the life-saving treatment they need now.
HR3348 will allow program locations that are more accessible to patients and offer larger capacity to provide these services to more patients
Contact or 52-847-9146 to find out the direct number to your representative’s office.
Are you in district 1, 8 or 13 your involvement is especially important because Rep Butterfield, Hudson and Budd serve on committees that are important to this process?
12 Adams, Alma (202) 225-1510
9 Bishop, Dan 202-225-1976
13 Budd, Ted 202-225-4531
1 Butterfield, G.K. (202) 225-3101
5 Foxx, Virigina 202-225-2071
8 Hudson, Richard 202-225-3715
3 Murphy, Greg (202) 225-3415
10 McHenry, Patrick (202) 225-2576
4 Price, David 202-225-1784
7 Rouzer, David 202-225-2731
2 Ross, Deborah (202) 225-3032
6 Manning, Kathy (202) 225-3065
11 Cawthorn, Madison (202) 225-6401

Upcoming educational opportunities through AACVPR

There are some great educational opportunities presented through AACVPR that we don’t want you to miss!

Delivering Effective Patient Education In On-Site and Virtual Cardiac Rehabilitation

Thursday, September 16 | 12 p.m. – 1 p.m. CT | Virtual

Presented By: Crystal Aultman, MSc, R.Kin, OCT; Gabriela Melo Ghisi, PhD, PT; Paul Oh, MD, MScm FRCPC, FACP; Melissa Yan, MPH

You’re invited! In just two days, you have the opportunity to learn from Crystal Aultman, Gabriela Melo Ghisi, Paul Oh and Melissa Yan during their one-hour webinar: “Delivering Effective Patient Education In On-site and Virtual Cardiac Rehabilitation.” Throughout the presentation, these seasoned experts will familiarize you with the success of Toronto Rehab’s new virtual cardiac rehabilitation model and give you strategies for delivering virtual education. Set yourself up for success – register today.

By the end of this webinar, you will be able to:

  • Describe the benefits of delivering patient education in cardiac rehab
  • List strategies for addressing low health literacy
  • Give examples of strategies for delivering effective onsite and virtual patient education

Members: Free
Nonmembers: $99.00

AACVPR CE Credit: 1.0
ACSM CE Credit: 1.0
Nurse CE Credit: 1.0


Don’t Let Your Patients Puff Their Lives Away

Comprehensive tobacco treatment is a critical component of the clinical care for individuals with or at risk for cardio/pulmonary disease, as well as peripheral arterial disease (PAD). As part of our partnership with the Centers for Disease Control and Prevention (CDC) on the Tips From Former Smokers® (Tips®) campaign, we are bringing you an eight-part series that will explore the latest approaches to tobacco treatment within the rehab setting. Join the fight and help your patients put down the light – check out this series today!

In addition to continuing education credits, participants will walk away from this series with the ability to:

  • Identify chemical and physiological consequences of tobacco use and the mechanism of addiction in the brain
  • Discuss the principles of the ACC Expert Consensus Decision Pathway on Tobacco Cessation Treatment
  • Describe possible detrimental effects of E-cigarettes, vaping, hookah, and other new electronic devices
  • Explore researched-based pharmacological interventions used in successful tobacco cessation
  • Utilize assessment tools in taking a tobacco history from patients
  • Discuss the key components of operationalizing a tobacco treatment program, within a variety of rehabilitation settings
  • Participate in role play exercises centered around behavioral strategies, motivational interviewing techniques, communication skills, and coaching strategies to utilize with cardiac, pulmonary, and PAD patients in tobacco treatment, relapse prevention, and successful cessation

Members: Free
Nonmember: $375.00

CEU Credits:  3.5




Updates on the DHHS Cardiac Rehab license renewal process


If you are looking for your email from DHHS about your Cardiac rehab license renewal please see the latest information that we received:

“Cardiac Rehab has been delayed until the end of September.  Hopefully, if all continues to go well – we should have the online renewals ready for you at that time.”


AHRQ TAKEheart cardiac rehabilitation initiative

The American Hospital Association (AHA) is actively recruiting hospitals and health systems to join the AHRQ TAKEheart cardiac rehabilitation initiative. This national initiative provides individualized technical assistance, coaching, and step-by-step training on implementing automatic referral with care coordination – a proven means of increasing cardiac rehabilitation among eligible patients. The next cohort for the TAKEheart initiative is anticipated to begin in late October 2021, and resources will be provided to participating hospitals at no cost.

To learn more about TAKEheart visit:

To join TAKEheart, complete a short application by September 15, 2021.

TAKEheart Partner Hospital FAQ_8.5.2021_FINAL

TAKEheart Program Overview_FINAL_07.21.2021

NC Medicaid Managed Care plans and NCCRA

As you may be aware the NC Medicaid Managed Care plans kicked off on July 1st.  We wanted to share some information about cardiovascular and pulmonary rehab coverage for these plans but encouraged you to contact your business office regarding your organizations participation with each plan.

In contacting United Healthcare Community Care for a patient we were told that both Cardiac (93797/93798)  and Pulmonary Rehabilitation (G0424/G0239) allow up to 15 sessions of therapy and no pre-authorization was needed.

In contacting Healthy Blue we were told that Cardiac rehabilitation must be pre-authorized and that we could suggested the number of therapy sessions we think are needed and that Clinical Review would either except or indicate the number of sessions allowed.  We were told there is no coverage for Pulmonary or Respiratory therapy.

In contacting WellCare we were told that Cardiac Rehabilitation(93797 and 93798) and Pulmonary Rehabilitation must be pre-authorized but Respiratory Therapy (G0239) did not require pre-authorization.

In contacting AmeriHealth Caritas they tell us that Cardiac Rehabilitation(93797/93798) does not require pre-authorization for participating providers but would require pre-authorization for non-participating providers. They could find no information for either Pulmonary Rehabilitation (G0424) or Respiratory Therapy (G0239) and suggested that those services would require pre-authorization.

We did not check with Carolina Complete Health or EBCI Tribal Option.

And NC Medicaid Direct is continuing with the traditional plan as it has been.

Below is are the links to the Health Plans.

Health plans
For health plan questions, or to learn more about covered services, contact the health plan.

This health plan is offered statewide.

UnitedHealthcare Community Plan
This health plan is offered statewide.

Healthy Blue
This health plan is offered statewide.

AmeriHealth Caritas
This health plan is offered statewide.

Carolina Complete Health
Carolina Complete Health is a provider-led entity offered to people who live in these counties: Alamance, Alexander, Anson, Bladen, Brunswick, Cabarrus, Caswell, Catawba, Chatham, Cleveland, Columbus, Cumberland, Durham, Franklin, Gaston, Granville, Harnett, Hoke, Iredell, Johnston, Lee, Lincoln, Mecklenburg, Montgomery, Moore, Nash, New Hanover, Orange, Pender, Person, Richmond, Robeson, Rowan, Sampson, Scotland, Stanly, Union, Vance, Wake, Warren, Wilson.

The Eastern Band of Cherokee Indians (EBCI) Tribal Option
The EBCI Tribal Option is for federally recognized tribal members or others who qualify for services through Indian Health Service (IHS) and live in Cherokee, Haywood, Graham, Jackson or Swain County or in a neighboring county of the 5-county region. As a member of the EBCI Tribal Option, you can still get services from any Medicaid or NC Health Choice provider.

NC Medicaid Direct
NC Medicaid Direct is for members who qualify.

New DHSR recertification process

Have you received your letter?  DHSR certification renewal will be available electronically!  Make sure you review your letter and directions so you meet the first deadline of this new process which is August 13th!


New DHSR certification renewal

We need your help getting this legislation passed!

Your help is needed! We are in the final push to get our Washington representatives to cosign HR 3348 and HR 1956. When Congress returns to DC in the fall we want this legislation to be included in the healthcare package that will be created. Even if you feel that this doesn’t impact you directly it may in the future and it does effect your colleagues.
Things that you can do:
If you haven’t already done so, go to and send a letter to your representative.
Call your representatives office and tell them that you want them to support these bills
Email Stacey Greenway ( and find out how to directly email the healthcare legislative assistant that we have been working with this year and use the form letter to ask for your representatives support.
The time is now! Let’s do this!

OIG report on Cardiopulmonary Rehab 5-2021

The Office of Inspector General (OIG) issued a report of an audit that reviewed their cardiac, intensive cardiac, and pulmonary rehabilitation (CR/ICR/PR) programs. As you may remember there was an OIG audit in 2015 of cardiac and pulmonary services (CR/PR) and identified claims for these services did not comply with Federal requirements.

The objective of this audit was to determine whether CMS regulatory requirements contained sufficient information to ensure that claims for CR/ICR/PR complied with Medicare coverage requirements.  One hospital was selected to review an audit period covering April 2016 through March 2018.

The OIG’s conclusion was that CMS’s regulatory requirements may not be sufficient to ensure providers complied with the intent of the Medicare coverage requirements. More details about specific findings are found in the report.

The recommendation from the OIG was that CMS should revise the regulations to ensure that providers meet coverage requirements. The CMS response to this recommendation was that such changes would require notice and a public comment period and that consideration would be given to CMS’s next steps.

We are uncertain what the next steps will be.  AACVPR is very aware of this issue and we will keep the NCCRA membership aware of any communications or additional information that comes to light.

See a copy of the report here: OIG report 5-2021

Symposium follow up items

We hope that enjoyed this year’s virtual symposium.  There were a few follow up items that we wanted to include that were discussed during the event:

  1.  Article mentioned by Dr. Crouch’s session titled:  AACVPR Guidelines for Pulmonary Rehabilitation 2020-2021: What’s New?
    jama_lindenauer_2020_oi_200034 (1)    jama_rochester_2020_ed_200025
  2. Patient education sheets mentioned by Dr. Sears during his talk entitied: Walk This Way! Psychological Benefits of Exercise in the Cardiac Rehab Setting
    af pt page
    chf 2013 confidence pt page
    coping with trauma pt page 2013
    icd spouse patient page 2009
    pt page covid
    pt page shock
    sexual health and icd 2010
    sexual health with CAD 2014
  3. Dr. King’s slides for his talk entitled: Fundamentals of PAD Rehab: “The Journey of a Thousand Miles begins with a Single Step-Tao”
    PAD slides

Are you familiar with the NCCRA Student Outreach Program?

by Bridget Way

One of the goals of the NCCRA is to increase awareness of our profession. A great way to do this is by reaching out to students and educators across the state at schools that have Exercise Science programs. In 2019, the Membership Committee began presenting at local schools and received wonderful feedback. The pandemic paused our outreach efforts, but we were able to begin presenting virtually across the state a few months later. So far, we’ve presented at Campbell, Shaw, Chapel Hill, Meredith, Mount Olive (2 separate presentations), Appalachian, and Wake Forest.

We want to provide students the opportunity to network with and learn from professionals in the field of Cardiopulmonary Rehabilitation, beyond the regular internships and the annual Symposium. We want to reach students who may have never heard of this field. By giving a presentation or simply talking about what you do, our members can play a crucial role in helping meet these goals.

We created a Google spreadsheet with all the current contact information for each school, along with space to record your information when you pick a school you want to present to. We also created a basic power point presentation that you can modify to meet your needs.  Below is the Google drive link for the sign-up sheet. The power point is posted on the NCCRA website.

School Presentation_generic – Cardiac & Pulmonary Rehabilitation