Jimmo Applies to…
- Skilled Nursing Facility
- Home Health
- Outpatient Therapy
Skilled maintenance therapies and nursing are covered by Medicare if the skills of a professional are required to perform or supervise the care to ensure it is safe and effective, and improvement or potential for improvement is not necessary.
- Inpatient Rehabilitation Facility/Hospital
Claims should never be denied because patient “cannot achieve complete independence in self-care” or “cannot be expected to return to prior level of functioning.” The Question should be: Is the care of practical value to this individual, including to adapt to the current level of disability or function?