Maintenance Therapy

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,...

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...

Skilled nursing facilities should not claim that therapy was to maintain a patient’s condition if documentation reflected only an improvement goal.

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...

How come there are so many Medicare A denials when Jimmo v. Sebelius stated we could keep residents on Medicare A even if they are not improving?

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...

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 Centers for Medicare & Medicaid Services has issued a fact sheet, that clarifies the conditions the terms under which “maintenance therapy” will be covered by Medicare.

Providers must sufficiently document the need for skilled care in order to obtain Medicare coverage for so-called “maintenance therapy,” the Centers for Medicare & Medicaid Services stressed...