Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Search Results for: Jimmo

Jimmo Implementation: Beneficiary Successfully Appeals Denial of Maintenance Therapy

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

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

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

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

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

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

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

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

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

Toolkit: Medicare Home Health Coverage & Jimmo v. Sebelius

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 Home Health Coverage & Jimmo v. Sebelius

Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement

On February 9, 2018, the Bipartisan Budget Act of 2018 was signed into law by the President. The budget act includes a “health extenders” package that, among other changes, permanently repeals annual Medicare payment limits (or caps) on … [Read more...] about Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement

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