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You stay informed
You receive a written progress note at session 1, session 10, session 25, and at course completion, including CCS / NYHA class change, 6-minute walk delta, and any medication-related observations.
A covered, non-invasive next-line therapy for refractory angina, chronic stable heart failure, and patients who’ve exhausted, or declined, revascularization. We handle prior auth, scheduling, transport coordination, and the report you want back in your chart.
Complete the secure Certificate of Medical Necessity below to refer a patient for EECP. We’ll confirm receipt and coordinate scheduling, records, and insurance verification directly with your office.
EECP is a defined 7-week course, not a transfer of care. Your patient comes back to you with measurable improvement, a clean progress note, and unchanged medications.
You receive a written progress note at session 1, session 10, session 25, and at course completion, including CCS / NYHA class change, 6-minute walk delta, and any medication-related observations.
EECP doesn’t require holding antiplatelets, anticoagulants, or beta-blockers. Patients continue your prescribed regimen unchanged for the entire course.
Medicare (NCD 20.20) and most commercial plans cover HCPCS G0166 for refractory angina. We handle prior authorization where required and bill the payor directly, your office is not involved.
Guideline-recommended therapy supported by two RCTs (MUST-EECP, PEECH) and the IEPR registry (n=1,427). In registry data, roughly 75–80% of patients improve by at least one CCS angina class (IEPR registry; Soran 2006).
A short overview of how counterpulsation works, what the randomized and registry data show, and where EECP fits alongside optimal medical therapy.
Send the referral anyway. Our medical director reviews every chart within 24 hours and will call you directly if there's a contraindication or a question. No patient is enrolled without a clear go-ahead.
Your office sends a referral. Everything between that moment and a closed care episode is on us.
Fax, online form, or EMR (Epic, Athena, eClinicalWorks). Include your H&P, recent cardiology note, ECG, and echo. If you've already documented refractory status, that's all we need for prior auth.
Our intake nurse calls your patient, explains the therapy, books their consult, and arranges transportation if covered by their plan. We also call your office if anything in the chart raises a question.
The patient is treated at our clinic 5 days a week. You receive a written progress note at session 1, 10, 25, and 35, with CCS class, NYHA class, 6-minute walk, PROM scores, and any clinical observations.
One-page summary with pre/post measures, recommended follow-up cadence, and any flagged items for your visit. Patient is returned to your active panel with no transfer of care. We do not prescribe.
All four go to the same intake team. Most offices use fax or the online form.
Auto-fills chart fields, accepts ECG/echo uploads up to 25MB, and routes to the right regional clinic by patient zip.
Open the form →Cover sheet + H&P + recent cardiology note. Confirmation back to your office within one business day.
Secure email accepted. Direct EMR integration with Epic, Athena, eClinicalWorks, ask us to enable yours.
Talk to a clinical intake coordinator directly, useful for complex cases or quick eligibility questions.
Fillable PDF referral form + sample cover sheet + medical-necessity letter template.
Medicare and Medicare Advantage: no, coverage is via NCD 20.20 for refractory angina, and your chart documentation is sufficient. Commercial plans: usually yes, and we handle it. We submit the prior auth, follow up with the payor, and only schedule the patient after approval is confirmed. Your office is not asked to chase auth.
Most patients are scheduled for their first session within 5–10 business days of the referral arriving, assuming a clean prior auth. Complex commercial auth can push that to 2–3 weeks. We notify your office of the start date.
Four scheduled progress notes (session 1, 10, 25, 35) plus a final outcomes summary, delivered via fax, secure email, or direct EMR integration depending on your preference. Plus an ad-hoc call from our medical director for any clinical event during treatment (BP changes, new symptom, missed sessions, etc.).
No. Patients continue all your prescribed cardiac medications during the course, antiplatelets, anticoagulants, beta-blockers, nitrates, statins, diuretics. We don't titrate, hold, or substitute anything without explicit instruction from your office.
Yes, pacemakers and ICDs are not a contraindication. We synchronize counterpulsation to the paced rhythm. The only related caution is sustained ventricular arrhythmia that prevents reliable ECG gating; in that case we'd defer until rhythm is stable.
Medicare: standard 20% coinsurance per session, fully covered if patient has a supplement. Commercial: varies by plan, most patients pay their normal specialty-visit co-pay (typ. $25–$50) per session. We verify benefits upfront and tell the patient their estimated cost before they commit.
Roughly 1 in 5 patients may not achieve a one-class CCS improvement (IEPR registry; Soran 2006). We flag non-response by session 25 and discuss with you whether to continue, modify, or stop. Either way, you receive a full outcomes report and the patient returns to your panel for next-line management.
11 centers across 3 states, see the locations page for the full list. We route every referral to the closest clinic by patient zip and offer covered transportation in regions where the plan benefits include it.
Most patients have never heard of EECP, and a therapy they cannot picture is an easy one to decline. This short film explains the treatment in plain language and shows what a session actually looks like, so your patient arrives at their consult already comfortable with the idea.
No surgery talk. No commitment. Just answers from the team that has helped 50,000+ patients regain energy, walk further, and feel like themselves again.