Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Search Results for: jimmo

Know Jimmo | Medicare Covers Therapy in Nursing Homes to Maintain or Slow Decline

“Maintenance Therapy – Therapy services in connection with a maintenance program are considered skilled when they are so inherently complex that they can be safely and effectively performed only by, or under the supervision of, a qualified therapist. … [Read more...] about Know Jimmo | Medicare Covers Therapy in Nursing Homes to Maintain or Slow Decline

Know Jimmo | Looking at You, AI – Rules of Thumb Should Not Be Used to Deny Medicare

To qualify for most Medicare-covered care, the individual must need and receive skilled care. Skilled services include nursing, physical therapy, occupational therapy, and speech-language pathology services. In November 2010, CMS revised its … [Read more...] about Know Jimmo | Looking at You, AI – Rules of Thumb Should Not Be Used to Deny Medicare

Know Jimmo | Outpatient Therapy to Maintain Function or Slow Decline Is Eligible for Medicare Coverage

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 | Outpatient Therapy to Maintain Function or Slow Decline Is Eligible for Medicare Coverage

Know Jimmo | Maintenance Care is Covered if it Requires Skilled Personnel for Safe Delivery – Ask CMS!

Frequently Asked Question #5: Q5: When are skilled nursing or therapy services to maintain a patient’s current condition or prevent or slow further deterioration covered under the SNF, HH, and OPT benefits, assuming all other coverage criteria are … [Read more...] about Know Jimmo | Maintenance Care is Covered if it Requires Skilled Personnel for Safe Delivery – Ask CMS!