“Skilled Nursing Care & Skilled Therapy Services to Maintain Function Or Prevent or Slow Decline: Reminder Medicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient … [Read more...] about Know Jimmo – CMS Reminded Providers & Contractors in 2021
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Know Jimmo | Medicare Law and CMS Policy Spell It Out
The Code of Federal Regulations: “Restoration potential is not the deciding factor in determining whether skilled care is required. Even if full recovery or medical improvement is not possible, a patient may need skilled services to prevent … [Read more...] about Know Jimmo | Medicare Law and CMS Policy Spell It Out
Know Jimmo – Jimmo Can Open Doors to Necessary Care
The Jimmo case was settled in 2013, with an agreement, approved by the court, confirming that improvement potential is not the deciding factor to determine Medicare coverage for nursing home care, home health care, and outpatient therapy. The Jimmo … [Read more...] about Know Jimmo – Jimmo Can Open Doors to Necessary Care
Know Jimmo | Underscoring the Value of Physical Therapy: A New American Physical Therapy Association Report
Physical therapy services have long been known to cost-effectively improve the lives of those who need them, whether provided to improve a condition or, as affirmed by the Jimmo v. Sebelius settlement and court order, to maintain or prevent decline. … [Read more...] about Know Jimmo | Underscoring the Value of Physical Therapy: A New American Physical Therapy Association Report
Center Symposium on the Jimmo Settlement Calls for Sustainable Implementation
On September 27, 2023 the Center for Medicare Advocacy convened a symposium to discuss the Jimmo v. Sebelius "Improvement Standard" Settlement. This virtual meeting brought together advocates, providers, beneficiaries, and others to discuss practical … [Read more...] about Center Symposium on the Jimmo Settlement Calls for Sustainable Implementation
Join Your CMA Community For A Jimmo Symposium
Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation Make Your Voices Heard Wednesday, September 27 from 2:00 – 4:00 PM ET In 2013, the Center for Medicare Advocacy and Vermont Legal Aid along with additional counsel provided … [Read more...] about Join Your CMA Community For A Jimmo Symposium
Jimmo Update: CMS Reminds Providers and Contractors of Medicare Coverage to Maintain or Slow Decline
Skilled nursing care and skilled therapy services for beneficiaries who need skilled care to maintain function or to prevent or slow decline is covered by Medicare. That is the message of reminders issued by the Centers for Medicare & Medicaid … [Read more...] about Jimmo Update: CMS Reminds Providers and Contractors of Medicare Coverage to Maintain or Slow Decline
Guest Post: Jimmo Enforced, Preventive & Maintenance Therapy Affirmed
By John Marmarou, DPT, MSCS - Executive Director, Total Rehab & Fitness For the last 15 years, all of my professional work and efforts have been devoted to keeping those with multiple sclerosis (MS) in their communities and out of the … [Read more...] about Guest Post: Jimmo Enforced, Preventive & Maintenance Therapy Affirmed
Jimmo Implementation Council Meeting | June 16, 2021
The Center for Medicare Advocacy, with support from The John A. Hartford Foundation, brought together a multidisciplinary team of experts for the third Jimmo Council meeting on June 16, 2021. The meeting, led by the Center’s Executive Director Judy … [Read more...] about Jimmo Implementation Council Meeting | June 16, 2021
New Factsheet | Medicare Home Health Coverage and Jimmo v. Sebelius
Medicare home health coverage can be a crucial resource for individuals with long-term or chronic conditions who continue to reside in their homes. Beneficiaries who meet the qualifying criteria are eligible for home health coverage if the skilled … [Read more...] about New Factsheet | Medicare Home Health Coverage and Jimmo v. Sebelius