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
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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
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
Cindy Krafft, PT, MS, HCS-O
Cindy Krafft PT, MS, HCS-O is an owner of K&K Health Care Solutions based in Florida. She brings more than 25 years of home health expertise that ranges from direct patient care to operational / management issues as well as a passion for … [Read more...] about Cindy Krafft, PT, MS, HCS-O
Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
At a September 19, 2023 hearing, held by the Subcommittee on Health Care of the Senate Finance Committee and entitled “Aging in Place: The Vital Role of Home Health and Access to Care,” Subcommittee Chair Senator Benjamin L. Cardin (D – MD) confirmed … [Read more...] about Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
Center Comments on 2023-2024 Proposed Home Health Rule
August 29, 2023 Centers for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1780-P, P.O. Box 8013Baltimore, Maryland 21244-8013 Submitted electronically to: https://www.regulations.gov Re: … [Read more...] about Center Comments on 2023-2024 Proposed Home Health Rule
CMS Reimbursement Rules for Skilled Nursing Facilities Disappoint Residents’ Advocates
In final rules that provide the annual update to Medicare Part A reimbursement for skilled nursing facilities (SNFs), the Centers for Medicare & Medicaid Services (CMS) increases Part A reimbursement by approximately $1.4 billion (4.0%), a higher … [Read more...] about CMS Reimbursement Rules for Skilled Nursing Facilities Disappoint Residents’ Advocates
Submit Comments on Part A Medicare Reimbursement For Skilled Nursing Facilities – Due June 5
The Centers for Medicare & Medicaid Services’ proposed annual update to Medicare Part A reimbursement for skilled nursing facilities, published in the Federal Register on April 10, 2023, includes policy issues of concern to advocates for … [Read more...] about Submit Comments on Part A Medicare Reimbursement For Skilled Nursing Facilities – Due June 5
Center Comments on Skilled Nursing Facilities Payments and Oversight, 2023
Centers for Medicare & Medicaid ServicesDepartment of Health and Human Services June 5, 2023 Re: Medicare and Medicaid Programs; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality … [Read more...] about Center Comments on Skilled Nursing Facilities Payments and Oversight, 2023
Issue Brief 80 | May 2023 – Final Part C & D Rule, and Other Issues
I. FINAL PART C & D RULE On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D. The final rule is available in the Federal Register at 88 Fed … [Read more...] about Issue Brief 80 | May 2023 – Final Part C & D Rule, and Other Issues