Welcome and Housekeeping (David Lipschutz, Moderator) Presentation: Re-Review of Previously Denied Claims Pursuant to the Jimmo Settlement (Gill Deford) Overview Claims Eligible for Review Deadlines and Request … [Read more...] about February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
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February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
1. PRESENTATION: RE-REVIEW OF PREVIOUSLY DENIED CLAIMS PURSUANT TO THE JIMMO SETTLEMENT In addition to revising Medicare manual provisions to now allow Medicare coverage for skilled maintenance care, the Settlement Agreement in Jimmo v. … [Read more...] about February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
One-Year Anniversary of Medicare Improvement Standard Settlement Brings Victories, and Ongoing Struggle, for Beneficiaries
January 24, 2014 - Today marks the one-year anniversary of the landmark Jimmo v. Sebelius settlement. The Jimmo case was brought in 2011 by the Center for Medicare Advocacy and Vermont Legal Aid on behalf of a nationwide class of Medicare … [Read more...] about One-Year Anniversary of Medicare Improvement Standard Settlement Brings Victories, and Ongoing Struggle, for Beneficiaries
December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues
1. PRESENTATION: CMS MANUAL PROVISIONS ISSUED PURSUANT TO THE JIMMO SETTLEMENT The Center for Medicare Advocacy is pleased to announce that the Medicare Policy Manuals have been revised pursuant to the Jimmo vs. Sebelius Settlement. … [Read more...] about December 2013 – Improvement Standard Update: CMS Issues Manual Provisions Pursuant to Jimmo, and Other Issues
December 2013 – IMPROVEMENT STANDARD UPDATE: CMS ISSUES MANUAL PROVISIONS PURSUANT TO JIMMO AND OTHER ISSUES
Monday, December 16, 2013 – 2:00 P.M., Eastern Time Call-in Number: 1 (888) 206-2266 Pass Code: 9874704 NOTE: We ask people calling from the same location to gather around one telephone. This frees up lines and holds … [Read more...] about December 2013 – IMPROVEMENT STANDARD UPDATE: CMS ISSUES MANUAL PROVISIONS PURSUANT TO JIMMO AND OTHER ISSUES
Improvement Standard Update: Re-Review Request Form Now Available
The Jimmo Settlement Agreement provides for the re-review of certain Medicare claims under clarified maintenance coverage standards for the SNF, HH, and OPT benefits, applicable when a patient has no restoration or improvement potential, but … [Read more...] about Improvement Standard Update: Re-Review Request Form Now Available
Improvement Standard Update: CMS Revises Medicare Policy to Ensure Coverage for Skilled Maintenance Care
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
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”
The Medicare Improvements for Patients and Providers Act: Improving Enrollment in the Medicare Savings Program Five Years Later
Five years ago this month, the Medicare Improvements for Patients and Providers Act (MIPPA)[1] became law. Since then, MIPPA has successfully increased enrollment in the Medicare Savings Program and helped ensure that thousands of Medicare … [Read more...] about The Medicare Improvements for Patients and Providers Act: Improving Enrollment in the Medicare Savings Program Five Years Later
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