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Search Results for: Jimmo

Jimmo Implementation Update: Where is CMS?

February 28, 2019

The Settlement Agreement in Jimmo v. Sebelius, No. 5:11-CV-17 (D. VT), was approved by a federal district court in January 2013. The Centers for Medicare & Medicaid Services (CMS) was required to confirm that Medicare coverage is determined by a … [Read more...] about Jimmo Implementation Update: Where is CMS?

Filed Under: Article Tagged With: alert, The Improvement Standard, Weekly Alert

Medicare Coverage In Light of Jimmo v. Sebelius For Providers, Contractors, and Adjudicators

December 10, 2018

With support from The John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Fact Sheet to help Medicare providers, contractors, and adjudicators apply the correct legal standard to Medicare coverage and payment … [Read more...] about Medicare Coverage In Light of Jimmo v. Sebelius For Providers, Contractors, and Adjudicators

Filed Under: Article, fact-sheet Tagged With: alert, Jimmo-practice-tip, The Improvement Standard, Weekly Alert

Jimmo Implementation: Beneficiary Successfully Appeals Denial of Maintenance Therapy

November 8, 2018

Despite the Jimmo case’s confirmation that Medicare coverage of a stay in a skilled nursing facility (SNF) is appropriate to maintain a resident’s functional status, when the nursing or therapy services must be provided by a professional … [Read more...] about Jimmo Implementation: Beneficiary Successfully Appeals Denial of Maintenance Therapy

Filed Under: Article Tagged With: alert, Jimmo-practice-tip, The Improvement Standard, Weekly Alert

Center for Medicare Advocacy Survey: CMS’ Jimmo v. Sebelius “Improvement Standard” Education Still Not Working

October 4, 2018

The Center for Medicare Advocacy recently completed a survey of Jimmo v. Sebelius stakeholders to analyze the effectiveness of the Centers for Medicare & Medicaid Services’ education efforts regarding the Jimmo Settlement, which clarified … [Read more...] about Center for Medicare Advocacy Survey: CMS’ Jimmo v. Sebelius “Improvement Standard” Education Still Not Working

Filed Under: Article Tagged With: alert, The Improvement Standard, Weekly Alert

CMA Alert – Association Health Plans Are Here; New Jimmo Resources

September 6, 2018

Health Care Sabotage: Association Health Plans Are Here New Jimmo Resources from the Center for Medicare Advocacy and The John A. Hartford Foundation Health Care Sabotage: Association Health Plans Are Here Thanks to a final rule issued by … [Read more...] about CMA Alert – Association Health Plans Are Here; New Jimmo Resources

Filed Under: Uncategorized

New Jimmo Resources from the Center for Medicare Advocacy and The John A. Hartford Foundation

September 6, 2018

With support from The John A. Hartford Foundation, the Center for Medicare Advocacy has produced two new Checklists to help Medicare beneficiaries and their families respond to unfair Medicare denials based on an erroneous “Improvement … [Read more...] about New Jimmo Resources from the Center for Medicare Advocacy and The John A. Hartford Foundation

Filed Under: Article Tagged With: alert, Jimmo-practice-tip, The Improvement Standard, Weekly Alert

Fact Sheet – Medicare Home Health Coverage In Light of Jimmo v. Sebelius

April 12, 2018

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare home health beneficiaries and their families respond to unfair Medicare denials based on an erroneous … [Read more...] about Fact Sheet – Medicare Home Health Coverage In Light of Jimmo v. Sebelius

Filed Under: Article, fact-sheet Tagged With: alert, Home Health, Jimmo-practice-tip, The Improvement Standard, Weekly Alert

CMA Alert – Jimmo “Improvement Standard” News; Elder Justice Newsletter & More

April 6, 2018

Jimmo "Improvement Standard" News: ALJ Rules Medicare Covers Outpatient therapy to Maintain Function, Indefinitely if Needed New Fact Sheet: Skilled Nursing Facility Coverage and Jimmo v. Sebelius  Elder Justice … [Read more...] about CMA Alert – Jimmo “Improvement Standard” News; Elder Justice Newsletter & More

Filed Under: Uncategorized

Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius

April 5, 2018

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare nursing home beneficiaries and their families respond to unfair Medicare denials based on an erroneous … [Read more...] about Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius

Filed Under: Article, fact-sheet Tagged With: alert, Jimmo-practice-tip, Skilled Nursing Facility, snf, The Improvement Standard, Weekly Alert

Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius

April 2, 2018

Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius

Filed Under: Article Tagged With: Jimmo-practice-tip, The Improvement Standard, therapy

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

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