Jimmo V. Sebelius

Pay for performance, medical necessity and Jimmo

Pay for performance, medical necessity and Jimmo

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Why would anyone mention value-based reimbursement, medical necessity and the Jimmo lawsuit in the same sentence? I feel they are all related, but it will be difficult to find the perfect balancing act to maximize the benefits of each topic.

Jimmo guidance: Document whether therapy is for restoration or maintenance before providing care

Jimmo guidance: Document whether therapy is for restoration or maintenance before providing care

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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 officials with the Centers for Medicare & Medicaid Services.

CMS updates Medicare manual to reflect Jimmo settlement

CMS updates Medicare manual to reflect Jimmo settlement

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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 the settlement in the high-profile Jimmo v. Sebelius case.

Judge grants final approval of Jimmo settlement

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Marking another step toward guaranteeing Medicare coverage for nursing home residents needing skilled services, a federal judge on Thursday approved the October 2012 settlement agreement in Jimmo v. Sebelius.

Administration proposal would ease Medicare coverage for SNF stays

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Federal health officials have agreed to changes in Medicare coverage rules that would make it easier for beneficiaries with chronic conditions to qualify for nursing home stays, outpatient therapy and home healthcare services, according to reports.

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