Search Results for: maintenance

The decision regarding coverage should turn on whether skill is needed, not whether the individual  is expected to improve. Maintenance nursing is a Medicare-covered service if a nurse is needed to provide or supervise care. Example: … [Read more...] about Know Jimmo | Improvement is Not Required for Medicare Home Health Coverage

New Documentation Guidance was included in the Jimmo Manual revisions. Nurses and therapists should document what they do and why. IF improvement is occurring, note it. If the goal is, or includes maintenance or changes to maintenance, make sure … [Read more...] about Know Jimmo | Documentation Tips

"Medicare has never supported the imposition of an “Improvement Standard” rule-of-thumb in determining whether skilled care is required to prevent or slow deterioration in a patient’s condition. Thus, such coverage depends not on the beneficiary’s … [Read more...] about Know Jimmo | Medicare Has Never Supported an “Improvement Standard” Rule-Of-Thumb

The Center for Medicare Advocacy is often asked in what care settings the Jimmo Settlement applies. Jimmo applies to skilled care – nursing and therapy (physical, occupational and speech language pathology) – received in a skilled nursing facility, … [Read more...] about Know Jimmo | More Outpatient Therapy

Jimmo applies to outpatient therapy Services, too - Skilled therapy to maintain or slow decline is NOT limited, and the cap on outpatient therapy was repealed in 2018.  As CMS stated in its February 2024 reminders to Providers and Contractors: … [Read more...] about Know Jimmo | Outpatient Therapy

The following is an excerpt from a May 28, 2024 article in McKnight's Long Term Care by Jean Wendland Porter, Regional Director of Therapy Operations at Diversified Health Partners in Ohio. “I don’t want to risk my license by continuing therapy … [Read more...] about Know Jimmo | “‘Plateaued’ is not a medical description”