Search Results for: maintenance

From Frequently Asked Questions – CMS.gov/Jimmo: Q11: If a patient is not improving or is not expected to return to his or her prior level of function from skilled nursing or therapy, does Medicare coverage for skilled nursing or skilled therapy … [Read more...] about Know Jimmo | You do NOT Have to Decline

Medicare Opens Doors to Health Care for 68 million Americans.  Jimmo provides the key for thousands of beneficiaries who have longer-term and chronic conditions.   The Jimmo case settlement reiterates that Medicare should not be denied … [Read more...] about Know Jimmo | Help Open Doors to Care

Jimmo v. Sebelius Settlement Agreement Program Manual Clarifications Fact Sheet “… Medicare has never supported the imposition of an “Improvement Standard” rule-of-thumb in determining whether skilled care is required to prevent or slow … [Read more...] about Know Jimmo | CMS Fact Sheet

“… 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 | CMS Clarification Fact Sheet

Coverage does not turn on the presence or absence of potential for improvement but rather on the need for skilled care. Skilled maintenance therapies and nursing are covered by Medicare. Claims should never be denied because patient cannot achieve … [Read more...] about Know Jimmo | What It Means

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