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therapy

Medicare Covers Maintenance Therapy – Therapist Assistants Can Provide It

May 14, 2020

  The Center for Medicare & Medicaid Services issued MLN Matters # MM-11721 on May 1, 2020. Effective January 1, 2020, the MLN, reconfirms that therapy to maintain an individual’s function is a Medicare-covered service. Further, the MLN … [Read more...] about Medicare Covers Maintenance Therapy – Therapist Assistants Can Provide It

Filed Under: Article Tagged With: alert, Jimmo-practice-tip, The Improvement Standard, therapy, Weekly Alert

Patients Need Therapy – Medicare Payment Systems Create Barriers

December 12, 2019

A unified Medicare payment system that pays all institutional post-acute care providers the same rates, regardless of setting, runs counter to repeated analysis showing that all post-acute providers are not the same, even when they treat patients … [Read more...] about Patients Need Therapy – Medicare Payment Systems Create Barriers

Filed Under: Article Tagged With: alert, Rehab Hospital Care, Skilled Nursing Facility, therapy, Weekly Alert

CMS Tries Again: Another New Skilled Nursing Facility Medicare Reimbursement System Proposed – If Implemented, Would Gut Therapy

May 17, 2018

Proposed changes to nursing facility payment under consideration by CMS would reduce financial incentives to provide therapy, and would do so with such force – providing higher reimbursement to skilled nursing facilities (SNFs) that provide … [Read more...] about CMS Tries Again: Another New Skilled Nursing Facility Medicare Reimbursement System Proposed – If Implemented, Would Gut Therapy

Filed Under: Article Tagged With: alert, snf, therapy, Weekly Alert

Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius

April 2, 2018

Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius

Filed Under: Article Tagged With: Jimmo-practice-tip, The Improvement Standard, therapy

Congress DID Repeal Outpatient Therapy Caps Despite Lack of Information on Medicare.gov

March 1, 2018

The Bipartisan Budget Act of 2018 became law on February 9, 2018. The Act repealed the Medicare outpatient therapy caps, which functioned as a barrier to care for those receiving outpatient therapy services. Section 50202 of the Act, “Repeal of … [Read more...] about Congress DID Repeal Outpatient Therapy Caps Despite Lack of Information on Medicare.gov

Filed Under: Article Tagged With: alert, Coverage & Appeals, Medicare Part B, therapy, Weekly Alert

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

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