Therapy utilization will be as scrutinized as much as it ever has been, even though the “improvement standard” has once again been deemed deceased.
Experts argue court didn’t go far enough in new ‘Jimmo’ case mandate
By
Elizabeth Newman
Aug 22, 2016
While pleased with a court decision mandating that the Centers for Medicare & Medicaid Services should do better in explaining maintenance coverage under the landmark Jimmo case, leading long-term care...
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
Hospitals object to collecting their own data as part of post-acute reform, urge revisions to draft legislation
By
Tim Mullaney
May 15, 2014
Hospitals should not be required to collect patient assessment data as part of an effort to revamp post-acute care, the leader of the American Hospital Association argued in a recent letter to top Congressional...
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...
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...
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...
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...