Twenty-one months after winning a national class action lawsuit that sought to overturn Medicare's practice of denying skilled maintenance care to patients who did not meet an "improvement standard," plaintiff Glenda Jimmo is finally … [Read more...] about Federal Case Settled for Vermont Plaintiff in Landmark Jimmo v. Sebelius Class Action − Medicare Coverage Finally Granted for Jimmo’s Skilled Maintenance Care
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February 2014 – Improvement Standard Update: Re-Review of Previously Denied Claims Pursuant to Jimmo and Other Issues
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
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 SETTLEMENTIn 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
Jimmo Class Members Can Now Have Their Coverage Denials Re-Reviewed
If you are covered by Medicare and you have a long-term or chronic condition, you may be eligible to have Medicare re-review your claims that were denied in prior years. Please read carefully.In addition to revising Medicare manual … [Read more...] about Jimmo Class Members Can Now Have Their Coverage Denials Re-Reviewed
Medicare Policy Manuals Revised as Required by Jimmo Settlement
As of December 6, 2013, Centers for Medicare & Medicaid Services (CMS) Policy manuals have been updated to reflect the settlement in Jimmo vs. Sebelius, No.11-cv-17 (D.VT, January 24, 2013). The manuals now make it clear that improvement is … [Read more...] about Medicare Policy Manuals Revised as Required by Jimmo Settlement
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 SETTLEMENTThe 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 TimeCall-in Number: 1 (888) 206-2266Pass Code: 9874704NOTE: 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
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. JimmoLead 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
GeneralQuestion: 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