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
Search Results for: observation status
Anderson v. Leavitt
No. 09-cv-16 (D.Vt.), filed January 22, 2009 Issue: Whether the Secretary's policy of terminating Medicare coverage for a home health patient on the ground that her condition is stable or is not improving violates the Medicare … [Read more...] about Anderson v. Leavitt
Chronic Conditions
Services for Beneficiaries with Chronic ConditionsMany beneficiaries and providers often have questions about obtaining Medicare and Medicare Advantage coverage for services provided to individuals with on-going, chronic conditions.Medicare … [Read more...] about Chronic Conditions
Center for Medicare Advocacy Commends CMS for Proposing resident-Centered Nursing Home Regulations
July 14, 2010For Immediate Release Contact: Toby Edelman (202) 293-5760 tedelman@medicareadvocacy.orgIn its first set of regulations implementing the nursing home provisions of the new Health Care Reform law, the Centers for Medicare & … [Read more...] about Center for Medicare Advocacy Commends CMS for Proposing resident-Centered Nursing Home Regulations
Medicare for People with Chronic Conditions
People with chronic conditions and long-term illnesses are too often denied Medicare coverage on the grounds that they will not improve, need "maintenance services only," have "plateaued" or are "chronic and stable". Taken together, these reasons … [Read more...] about Medicare for People with Chronic Conditions
The Medicare Prospective Payment System (SNF)
Payment System Prior to July, 1998: Retrospective and Cost-BasedUntil July, 1998, nursing homes used to be reimbursed for care provided to Medicare Part A-covered residents residing in Medicare-certified beds through a retrospective cost-based … [Read more...] about The Medicare Prospective Payment System (SNF)