“Skilled Nursing Care & Skilled Therapy Services to Maintain Function Or Prevent or Slow Decline: ReminderMedicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy … [Read more...] about Know Jimmo | CMS Reminded Providers & Contractors Back in 2021
Search Results for: maintenance
Know Jimmo | Jimmo Applies to Home Health Care
Skilled Maintenance Care is CoveredThe Jimmo Court rulings and related policy changes specifically apply to Medicare coverage for home health care. The Medicare Home Health Benefit Policy Manual makes that very clear. It states: “Coverage of … [Read more...] about Know Jimmo | Jimmo Applies to Home Health Care
Know Jimmo | Right from the Medicare Agency
The Centers for Medicare & Medicaid Services (CMS) reminds the Medicare community of the Jimmo Settlement Agreement (January 2013), which clarified that the Medicare program covers skilled nursing care and skilled therapy services under … [Read more...] about Know Jimmo | Right from the Medicare Agency
Know Jimmo | CMS Clarification 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
Know Jimmo | What It Means
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
Know Jimmo | More FAQs
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
Know Jimmo – Jimmo Can Open Doors to Necessary Care
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
Know Jimmo | FAQs
Frequently Asked QuestionsQ: 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
Know Jimmo | To what care settings does Jimmo apply?
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?
Know Jimmo | Skilled Nursing Facility Policy
Medicare Benefit Policy Manual, Chapter 8 – Skilled Nursing Facility ServicesSection 30Coverage 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