The fact that multidisciplinary programs are available in some areas does not mean that they are available in all areas nor are they necessary in every case. Nor does the fact that section 35-25 has made them possible mean that they should be the only source of rehabilitation services to Medicare beneficiaries with cardiac diagnoses. The document substantiates that physical therapists' educational preparation at both the entry level and Advanced Clinical Competency Board Certification level includes a substantial amount of academic preparation relative to patients with cardiac dysfunction. The document further substantiates that clinical practice of physical therapy includes the skills required in the therapeutic management of patients with cardiovascular system dysfunction. Physical therapists have made significant contributions to the professional literature in this area.
Cardiopulmonary care is an integral part of physical therapy.
Medicare itself has recognized cardiac care as a part of physical therapy. In spite of these CORF definitions and the fact that a CORF is a physician directed clinic, some fiscal intermediaries have denied coverage of physical therapy services to cardiac patients. Physical therapists are prepared to handle high risk patients. We deal with them on a daily basis and are prepared to handle medical emergencies. For example, we may treat a patient who has suffered a stroke and has a previous myocardial infarction.