The key to coverage is whether the individual requires a skilled provider to ensure the services are safe and effective, not whether improvement is expected. “Medicare coverage does not turn on the presence or absence of improvement from therapy, … [Read more...] about Know Jimmo | Medicare Coverage is Available for Outpatient Therapy to Maintain Function or Slow Decline
Search Results for: Jimmo
Know Jimmo | Home Health Policy
Medicare Benefit Policy Manual, Chapter 7 – Home Health Services Section 20.1.2 Coverage of skilled nursing or therapy to perform a maintenance program does not turn on the presence or absence of a patient’s potential for improvement from the … [Read more...] about Know Jimmo | Home Health Policy
Know Jimmo | Medicare Home Health Coverage is Available for Speech Language Pathology (“Speech Therapy”/”SLP”) to Maintain Function or Slow Decline
The key to coverage is whether the individual requires a skilled provider to ensure the services are safe and effective, not whether improvement is expected. (And the individual meets other Medicare home health qualifying criteria: is homebound and … [Read more...] about Know Jimmo | Medicare Home Health Coverage is Available for Speech Language Pathology (“Speech Therapy”/”SLP”) to Maintain Function or Slow Decline
Know Jimmo | Home Health Care is Available for Medicare Beneficiaries with Long Term, Chronic, and Terminal Conditions
The key to coverage is whether the individual requires skilled nursing or therapy and whether care would be safe and effective if skilled care was not provided. (And the individual meets other qualifying criteria: is homebound and has proper provider … [Read more...] about Know Jimmo | Home Health Care is Available for Medicare Beneficiaries with Long Term, Chronic, and Terminal Conditions
Know Jimmo | Frequently Asked Questions (FAQs) Regarding Jimmo Settlement
(CMS.gov, Sept 10, 2024. Last visited 2/28/2025.) Q1: What is the Jimmo Settlement Agreement (January 2013)? A1: The Jimmo Settlement Agreement clarified that when a beneficiary needs skilled nursing or therapy services under Medicare’s skilled … [Read more...] about Know Jimmo | Frequently Asked Questions (FAQs) Regarding Jimmo Settlement
Know Jimmo | It’s Not About Care Setting
The Jimmo Settlement Agreement is consistent with the Medicare program’s regulations governing maintenance nursing and therapy in skilled nursing facilities, home health services, and outpatient therapy (physical, occupational, and speech) and … [Read more...] about Know Jimmo | It’s Not About Care Setting
Know Jimmo | Medicare Home Health Coverage Does Not Require Improvement
Medicare home health coverage is misunderstood and too often denied. This is particularly true for people with longer-term and chronic conditions who are unable to obtain Medicare coverage although they meet the benefit’s criteria – are homebound and … [Read more...] about Know Jimmo | Medicare Home Health Coverage Does Not Require Improvement
Know Jimmo | What It Means
Coverage does not turn on the presence or absence of potential for improvement but rather on the need for skilled care. Skilled maintenance therapies and nursing are covered by Medicare. Claims should never be denied because patient cannot achieve … [Read more...] about Know Jimmo | What It Means
Know Jimmo | No Matter Who’s In Charge – Jimmo is the Law
Medicare IS available for skilled care to maintain or slow decline of an individual’s condition. “Restoration potential is not the deciding factor in determining whether skilled care is required. Even if full recovery or medical improvement is not … [Read more...] about Know Jimmo | No Matter Who’s In Charge – Jimmo is the Law
Know Jimmo | Medicare Home Health Coverage Available for People with Ongoing Conditions
Medicare home health coverage offers the promise of allowing eligible individuals (legally homebound and in need of skilled care), to remain at home with the care they need. According to Medicare law, regulations, and policy, home health coverage … [Read more...] about Know Jimmo | Medicare Home Health Coverage Available for People with Ongoing Conditions