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2020-01-02
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2019-03-08
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2020-09-26
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2020-07-27
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What is the Jimmy settlement?
In essence, the Jimmy Settlement Agreement clarifies. Medicare's longstanding policy that coverage of skilled nursing. And skilled therapy services in the Skilled Nursing Facility. (SNF), Home Health (HH), and Outpatient Therapy (OPT) settings does not turn on the presence or absence of a.
What is Jimmy v Sibelius?
The Center for Medicare Advocacy (CMA) has released an issue brief, “Implementing Jimmy v. Sibelius: An Overview.” Sibelius that confirmed Medicare coverage should be determined based on a beneficiary's need for skilled care (nursing or therapy), not on an individual's potential for improvement.
What is Jimmy?
The Jimmy webpage is the final step in a court-ordered Corrective Action Plan, designed to reinforce the fact that Medicare does cover skilled nursing and skilled therapy services needed to maintain a patient's function or to prevent or slow decline.
Is maintenance therapy covered by Medicare?
Medicare coverage for ongoing maintenance physical therapy. Actually, Medicare can cover ongoing PT if you therapist feels that such therapy is needed to maintain your current function and slow your decline.
What constitutes skilled maintenance?
A3: These are nursing or therapy services to maintain the patient's condition or to prevent or slow further deterioration. Skilled care may be necessary to improve a patient's current condition, to maintain the patient's current condition, or to prevent or slow further deterioration of the patient's condition.
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