Jimmo guidance: Document goal before you provide care
By
Tim Mullaney
Feb 01, 2014
Skilled nursing facilities should not claim that therapy was to maintain a patient’s condition if documentation reflected only an improvement goal.
Jimmo correction: Assistants may provide maintenance services in skilled nursing facilities
By
Tim Mullaney
Jan 17, 2014
Skilled nursing facilities may be reimbursed for maintenance therapy services performed by assistants, the Centers for Medicare & Medicaid Services clarified in a recent Medicare Benefit Policy manual...
Ask the payment expert … about changes related to Jimmo v. Sebelius
By
Patricia Boyer
Jan 01, 2014
How come there are so many Medicare A denials when Jimmo v. Sebelius stated we could keep residents on Medicare A even if they are not improving?
This time they really mean it: CMS to host Jimmo ‘Open Door’ conference call Thursday
By
James M. Berklan
Dec 13, 2013
For the second week in a row, the Centers for Medicare & Medicaid Services has postponed an eagerly awaited SNF Open Door Forum conference call that will focus on accommodations from the Jimmo case and...
CMS updates Medicare manual to reflect Jimmo settlement
By
Tim Mullaney
Dec 10, 2013
The Centers for Medicare & Medicaid Services has revised the Medicare Benefit Policy manual to clarify that skilled care and skilled therapy may be covered even for conditions that will not improve, per...
Federal regulators postpone highly anticipated ‘Jimmo’ conference call until Thursday
Dec 06, 2013
The Centers for Medicare & Medicaid Services will now hold an eagerly awaited SNF Open Door Forum conference call that will focus on accommodations from the Jimmo case and other hot topics next Thursday....
Jimmo and the future of rehab
By
Shelly Mesure, MS, OTR/L
Nov 07, 2013
On Jan. 24 of this year, the Jimmo vs. Sebelius class action lawsuit was settled. This was a significant win for us, the healthcare providers. As we continue to work out the details, I feel now is a good...
CMS not saying much about a payment deal that could be a game changer
By
John O'Connor
Jul 08, 2013
In recent years, many skilled care operators have nervously watched the Centers for Medicare & Medicaid Services reduce and sometimes eliminate payments for physical, occupational and speech therapy services....
When preparing for the future, don’t forget about LTC costs
By
Romeo Raabe
Jun 07, 2013
Many recent articles are warning about the future healthcare costs that retirees face, despite having Medicare for their primary health insurance. Medicare does leave 20% of many medical related costs...
The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...