Skilled maintenance therapy: Jimmo v. Sebelius revisited
By
Kevin Cezat
Sep 12, 2024
On January 24th, 2024, we marked the 11-year milestone of the landmark settlement in the Jimmo v. Sebelius Lawsuit. This pivotal event had profound implications for using skilled maintenance therapy to...
When the goal is to maintain
By
Renee Kinder
Mar 16, 2023
At a time of year when everyone is focusing on springing forward, it is also important to remember that some of the patients that we serve daily have a skilled need to maintain. Skilled services,...
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...
Jimmo guidance: Document whether therapy is for restoration or maintenance before providing care
By
Tim Mullaney
Dec 20, 2013
In seeking Medicare reimbursement, skilled nursing facilities should not claim that therapy was to maintain a patient’s condition if documentation reflected only an improvement goal, according to...
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...