New Jimmo toolkit for providers who believe Medicare coverage is being denied based on old standard … Medicare OKs coverage for needle-free glucose monitoring … Researchers: Shingles vaccine...
Have you met Jimmo’s stepbrother Jimmo?
By
Steven Littlehale
Apr 21, 2017
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...
Jimmo succeeds in getting Medicare coverage, two years after landmark case ended
By
Tim Mullaney
Oct 31, 2014
Glenda Jimmo has reached a settlement with the federal government and will finally receive Medicare coverage for claims that were denied in 2007, which led her to file a class-action lawsuit over the so-called...
‘Improvement standard’ lives on, Medicare refuses to cover Jimmo herself
By
Tim Mullaney
Oct 28, 2014
Medicare officials continue to cite an “improvement standard” as a reason for withholding benefits from Glenda Jimmo, whose 2012 legal victory was supposed to end this type of denial, Kaiser...
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 implementation is troubled, long-term care expert says
By
Tim Mullaney
Apr 30, 2014
Skilled nursing providers remain confused about Medicare changes related to the Jimmo v. Sebelius legal settlement, and many beneficiaries are not aware that their therapy might now be eligible for coverage,...
Palliative possibilities: Therein lies the rub
By
Shelly Mesure, MS, OTR/L
Apr 22, 2014
When a patient is referred to therapy, and they are receiving hospice care, then therapy needs to seek permission from the hospice company to provide any treatment. Hospice is required to reimburse the...
5 reasons for rehab potential
By
Shelly Mesure, MS, OTR/L
Mar 11, 2014
How many clinicians (physical, occupational, and speech therapy) can honestly say that they have achieved full independence with 100% of every patient they have ever worked with? Unfortunately, I definitely...