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Search Results for: maintenance

Know Jimmo | More FAQs

May 29, 2025

Q:  Does Jimmo only apply to people with certain diseases, diagnoses, or conditions? A:  No. The Jimmo Settlement applies to anyone who requires skilled services to maintain or slow deterioration regardless of the individual’s underlying illness, … [Read more...] about Know Jimmo | More FAQs

Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

Know Jimmo – Jimmo Can Open Doors to Necessary Care

May 1, 2025

The Jimmo case was settled in 2013, with an agreement, approved by the court, confirming that improvement potential is not the deciding factor to determine Medicare coverage for nursing home care, home health care, and outpatient therapy. The Jimmo … [Read more...] about Know Jimmo – Jimmo Can Open Doors to Necessary Care

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

Know Jimmo | FAQs

April 17, 2025

Frequently Asked Questions Q:  Does the Jimmo Settlement only apply to people with certain diseases, diagnoses, or conditions? A:  No. The Settlement applies to anyone who requires skilled services to maintain or slow deterioration (or … [Read more...] about Know Jimmo | FAQs

Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

Know Jimmo | To what care settings does Jimmo apply?

April 3, 2025

Jimmo Applies to... Skilled maintenance therapies and nursing are covered by Medicare if the skills of a professional are required to perform or supervise the care to ensure it is safe and effective, and improvement or potential for improvement … [Read more...] about Know Jimmo | To what care settings does Jimmo apply?

Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

Know Jimmo | Skilled Nursing Facility Policy

March 27, 2025

Medicare Benefit Policy Manual, Chapter 8 – Skilled Nursing Facility Services Section 30 Coverage of nursing care and/or therapy to perform a maintenance program does not turn on the presence or absence of a patient’s potential for improvement … [Read more...] about Know Jimmo | Skilled Nursing Facility Policy

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

Know Jimmo | Medicare Coverage is Available for Outpatient Therapy to Maintain Function or Slow Decline

March 20, 2025

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 | Medicare Coverage is Available for Outpatient Therapy to Maintain Function or Slow Decline

Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

Know Jimmo | Home Health Policy

March 13, 2025

Medicare Benefit Policy Manual, Chapter 7 – Home Health Services Section 20.1.2 Coverage of skilled nursing or therapy to perform a maintenance program does not turn on the presence or absence of a patient’s potential for improvement from the … [Read more...] about Know Jimmo | Home Health Policy

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

Know Jimmo | It’s Not About Care Setting

February 13, 2025

The Jimmo Settlement Agreement is consistent with the Medicare program’s regulations governing maintenance nursing and therapy in skilled nursing facilities, home health services, and outpatient therapy (physical, occupational, and speech) and … [Read more...] about Know Jimmo | It’s Not About Care Setting

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

Know Jimmo | Medicare Home Health Coverage Does Not Require Improvement

February 6, 2025

Medicare home health coverage is misunderstood and too often denied. This is particularly true for people with longer-term and chronic conditions who are unable to obtain Medicare coverage although they meet the benefit’s criteria – are homebound and … [Read more...] about Know Jimmo | Medicare Home Health Coverage Does Not Require Improvement

Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

Know Jimmo | No Matter Who’s In Charge – Jimmo is the Law

January 16, 2025

Medicare IS available for skilled care to maintain or slow decline of an individual’s condition. “Restoration potential is not the deciding factor in determining whether skilled care is required. Even if full recovery or medical improvement is not … [Read more...] about Know Jimmo | No Matter Who’s In Charge – Jimmo is the Law

Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

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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.

National Voices of Medicare Summit

With the many threats currently facing the Medicare program, now is the time to come together as allies and explore ways to advocate for comprehensive Medicare coverage, health equity, and quality health care. Drawing inspiration from real-life experiences and stories of beneficiaries and caregivers, we hope to share impactful discussions with you.

Learn more.

Center for Medicare Advocacy Follow 10,480 5,339

A national nonpartisan, nonprofit law organization working to advance access to comprehensive #Medicare coverage and quality #healthcare.

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Arnold_Ventures avatar Arnold Ventures @Arnold_Ventures ·
30 Oct 1983891138059612187

Did you catch the latest episode of @LastWeekTonight on the problems with Medicare Advantage (MA)? @iamjohnoliver nailed it: overpayments to MA plans burden taxpayers and increase premiums. It's clear reform is needed, and we have solutions. Learn more:

Image for twitter card

Medicare Advantage Policy Agenda

Viewing philanthropy as an engine of innovation, we rigorously research problems and answers in criminal justice, heal...

www.arnoldventures.org

Reply on Twitter 1983891138059612187 Retweet on Twitter 1983891138059612187 2 Like on Twitter 1983891138059612187 2 X 1983891138059612187
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LeverNews avatar The Lever @LeverNews ·
28 Oct 1983177317019959492

💥 @iamjohnoliver just cited The Lever’s reporting on the dark side of Medicare Advantage, the privatized system trapping millions of seniors in denied-care nightmares.

📺 “Once a patient enters the Medicare Advantage system, they typically can’t afford to leave.” -…

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tricia_neuman avatar Tricia Neuman @tricia_neuman ·
27 Oct 1982819330006843694

For many seniors, provider networks are a major factor when choosing their Medicare coverage. Our new @KFF analysis finds Medicare Advantage enrollees have access to about half of all physicians available to traditional Medicare beneficiaries, on average

Image for twitter card

Medicare Advantage Enrollees Have Access to About Half of the Physicians Available to Traditional...

Medicare Advantage enrollees were in a plan that included just under half (48%) of all physicians available to tra...

www.kff.org

Reply on Twitter 1982819330006843694 Retweet on Twitter 1982819330006843694 9 Like on Twitter 1982819330006843694 5 X 1982819330006843694
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iamalsorg avatar I AM ALS @iamalsorg ·
25 Oct 1982204567216328979

The only thing you need in order to join the Veterans Team is a desire to help and make change. You don’t need to be a Veteran yourself, or even have a direct connection to a Veteran with ALS. Hear more from co-chair Tim Abeska & sign up to join the team: https://bit.ly/3HlU96m

Reply on Twitter 1982204567216328979 Retweet on Twitter 1982204567216328979 2 Like on Twitter 1982204567216328979 7 X 1982204567216328979
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