Understand the Medicare coverage standards for skilled maintenance therapy/nursing services that are in effect now.ĭevelop their facility’s or agency’s strategy for implementing the clarified Medicare coverage standards for skilled maintenance therapy/nursing services.įacilitator: Anthony Szczygiel, J.D. Program Objectives: Participants will be able to: There is also a brief Q and A period and the exchange of potential barriers as well as opportunities at the end of the program. This workshop will explain what this clarification of Medicare law means and how patients can benefit and organizations can effectively bill for services provided. The Centers for Medicare & Medicaid Services (CMS) will revise its Medicare Benefit Policy Manual and numerous other policies, guidelines and instructions to ensure that Medicare coverage is available for skilled maintenance services in the home health, nursing home and outpatient settings.įor decades, Medicare beneficiaries – particularly those with long-term or debilitating conditions and those who need rehabilitation services – have been denied necessary care based on the "Improvement Standard.” This illegal practice has resulted in Medicare coverage for vital care being denied to thousands of individuals on the grounds that their condition was stable, chronic, not improving, or that the necessary services were for "maintenance only.” The use of this illegal standard has had a particularly devastating effect on patients with chronic conditions such as Multiple Sclerosis, Alzheimer's disease, ALS, Parkinson's disease and paralysis to name a few. The new policy, effective immediately, marks a critical step forward for thousands of beneficiaries nationwide. This change results from the binding settlement on Januof Jimmo v. This one hour and forty minute pre-recorded workshop will review and describe the implementation of the Medicare policy covering maintenance services as skilled care. Retiring the Medicare Improvement Standard: This new interdisciplinary institute brings together researchers, educators, health care providers and community-based programs to develop and disseminate evidence-based care of the frail and aging citizens in our society. The Institute for Person-Centered Care - the first of its kind in the United States - is designed to promote better delivery of services to frail and vulnerable people, particularly the elderly, and support advocacy and public awareness of their needs, through a program of cross-disciplinary research, education and practice development. “ Medicare is Covering Skilled Maintenance Services”
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