December 9, 2013 – The Center for Medicare Advocacy is pleased to announce that the Medicare Policy Manuals have been revised pursuant to the Jimmo vs. Sebelius Settlement. The Manual revisions, which clarify that improvement is not required to … [Read more...] about Improvement Standard Update: CMS Revises Medicare Policy to Ensure Coverage for Skilled Maintenance Care
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Timeline of the “Improvement Standard”
For decades, the Center for Medicare Advocacy has fought denials of care based on an illegal "Improvement Standard." Check out the story, below. Want to stay up-to-date? Sign up for our Alerts and Newsletters. Read more, access self-help … [Read more...] about Timeline of the “Improvement Standard”
Jimmo v. Sebelius Improvement Standard Case Summary
Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the "Improvement Standard" case, Jimmo v. Sebelius, No. 11-cv-17 (D.VT), filed January 18, 2011. A … [Read more...] about Jimmo v. Sebelius Improvement Standard Case Summary
Why the Jimmo v. Sebelius Case Matters: Improvement Standard Stories
(print stories only) Mrs. Jimmo Lead plaintiff in the Improvement Standard case, Glenda Jimmo of Bristol, Vermont is blind and has had her right leg amputated due to complications from diabetes. She requires a wheelchair, and receives multiple … [Read more...] about Why the Jimmo v. Sebelius Case Matters: Improvement Standard Stories
Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
General Question: Are professional therapy services available under Medicare only for patients who are improving or who are expected to improve? Answer: No. The Jimmo Settlement confirms that services by a physical therapist, occupational … [Read more...] about Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
1. PRESENTATIONS UPDATE ON JIMMO: SETTLEMENT APPROVED In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
February, 2013 – The Road Forward on Jimmo: The Improvement Standard Litigation
Welcome and Housekeeping (David Lipschutz, Moderator) Presentation: The Road Forward on Jimmo: Post-Approval Update on the Improvement Standard Litigation – Jimmo v. Sebelius (Judith Stein) Presentation: Update on Medicare … [Read more...] about February, 2013 – The Road Forward on Jimmo: The Improvement Standard Litigation
Self-Help Packet for Home Health Care Appeals Including “Improvement Standard” Denials
Introduction Checklist for Home Health Appeals Quick Screen: Should My Home Health Care Be Covered By Medicare? Home Health Appeal Details Additional Information The “Improvement Standard” Myth and Home Health … [Read more...] about Self-Help Packet for Home Health Care Appeals Including “Improvement Standard” Denials
December 2012 – Update on Jimmo: the Improvement Standard Case
1. PRESENTATIONS UPDATE ON JIMMO: THE IMPROVEMENT STANDARD CASE In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about December 2012 – Update on Jimmo: the Improvement Standard Case
Self-Help Packet for Skilled Nursing Facility Appeals Including “Improvement Standard” Denials
Introduction Checklist for Skilled Nursing Facility (SNF) Appeals Quick Screen: Should My SNF Care Be Covered By Medicare? Skilled Nursing Facility Appeal Details Additional Information The “Improvement Standard” … [Read more...] about Self-Help Packet for Skilled Nursing Facility Appeals Including “Improvement Standard” Denials