The Potential and Risks of Maintenance Therapy
The Jimmo Settlement Agreement in January 2013 states that qualification for Medicare coverage depends on the beneficiary’s or patient’s need for skilled care, either nursing or therapy (PT, OT, and SLP) services, and NOT on their potential for improvement. This agreement made the Centers for Medicare and Medicaid Services (CMS) update and clarify the Medicare Benefit Policy Manual (MBPM) Chapter 1 – Inpatient Rehabilitation Facility (IRF), Chapter 7 – Home Health, Chapter 8 – Coverage…
