In an Opinion and Order released on August 18, 2016, Chief Judge Christina Reiss, the judge in Jimmo v. Burwell – the “Improvement Standard case” – ordered the federal government, through its Centers for Medicare … [Read more...] about Jimmo v. Sebelius Return to Court: Judge Orders Medicare Agency to Provide More Education per Settlement in “Improvement Standard” Case
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Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case and Provide More Education
For Immediate Release Contact: Matthew Shepard, mshepard@medicareadvocacy.org or 860-456-7790. Aug. 18, 2016. Burlington, Vt. In an Opinion and Order filed late yesterday and released this morning, Chief Judge Christina Reiss, who oversees … [Read more...] about Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case and Provide More Education
Jimmo v. Sebelius Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case, Provide More Education
In an Opinion and Order released on August 18, 2016, Chief Judge Christina Reiss, who oversees the “Improvement Standard” case (Jimmo v. Burwell, No. 11-cv-17 (D.Vt.)), ordered the federal government, through its Centers for Medicare … [Read more...] about Jimmo v. Sebelius Judge Orders Medicare Agency to Comply with Settlement in “Improvement Standard” Case, Provide More Education
Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials
Introduction Checklist for Outpatient Therapy Discharges Checklist for Outpatient Therapy Appeals Quick Screen: Medicare Coverage for Outpatient Therapy Outpatient Therapy Appeal Details Additional Information 1. Introduction Dear … [Read more...] about Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” Denials
February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Presentation: Re-Review of Previously Denied Claims Pursuant to the Jimmo Settlement (Gill Deford) Overview Claims Eligible for Review Deadlines and Request … [Read more...] about February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
1. PRESENTATION: RE-REVIEW OF PREVIOUSLY DENIED CLAIMS PURSUANT TO THE JIMMO SETTLEMENT In addition to revising Medicare manual provisions to now allow Medicare coverage for skilled maintenance care, the Settlement Agreement in Jimmo v. … [Read more...] about February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
One-Year Anniversary of Medicare Improvement Standard Settlement Brings Victories, and Ongoing Struggle, for Beneficiaries
January 24, 2014 - Today marks the one-year anniversary of the landmark Jimmo v. Sebelius settlement. The Jimmo case was brought in 2011 by the Center for Medicare Advocacy and Vermont Legal Aid on behalf of a nationwide class of Medicare … [Read more...] about One-Year Anniversary of Medicare Improvement Standard Settlement Brings Victories, and Ongoing Struggle, for Beneficiaries
December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues
1. PRESENTATION: CMS MANUAL PROVISIONS ISSUED PURSUANT TO THE JIMMO SETTLEMENT The Center for Medicare Advocacy is pleased to announce that the Medicare Policy Manuals have been revised pursuant to the Jimmo vs. Sebelius Settlement. … [Read more...] about December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues
December 2013 – IMPROVEMENT STANDARD UPDATE: CMS ISSUES MANUAL PROVISIONS PURSUANT TO JIMMO AND OTHER ISSUES
Monday, December 16, 2013 – 2:00 P.M., Eastern Time Call-in Number: 1 (888) 206-2266 Pass Code: 9874704 NOTE: We ask people calling from the same location to gather around one telephone. This frees up lines and holds … [Read more...] about December 2013 – IMPROVEMENT STANDARD UPDATE: CMS ISSUES MANUAL PROVISIONS PURSUANT TO JIMMO AND OTHER ISSUES
Improvement Standard Update: Re-Review Request Form Now Available
The Jimmo Settlement Agreement provides for the re-review of certain Medicare claims under clarified maintenance coverage standards for the SNF, HH, and OPT benefits, applicable when a patient has no restoration or improvement potential, but … [Read more...] about Improvement Standard Update: Re-Review Request Form Now Available