Keeping you updated on the latest Medicare and Part D news

Medicare ordered to clarify when it will pay for skilled nursing and rehab

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The Jimmo Settlement Agreement filed on August 17, 2016 clarifies that CMS is required to provide skilled nursing and rehabilitation services to at least maintain a  beneficiary’s condition. A federal judge in Vermont ruled that CMS has two months to create a plan to educate providers and auditors about this maintenance standard which heretofore was a source of much confusion. The financial impact of the settlement remains to be seen.

Jimmo Settlement Agreement

Jimmo FAQ


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