Tag: Medicare coverage

Ask the expert: Medicare coverage

Q: A resident in a SNF has not used her Medicare benefit since 2005. She was receiving rehab therapy 5x week prior to qualifying for a hospital stay. Are we allowed to skill her upon re-admission? A: Your question cannot be answered without more information.  Did the beneficiary ever go 60 days without receiving skilled […]

Digging in deeper: MedPAC report’s SNF findings

On March 15, the Medicare Payment Advisory Commission (MedPAC) issued its annual report to Congress. In the report, MedPAC addresses the SNF PPS in Chapter 8. MedPAC states that most indicators of payment adequacy for SNFs are positive. Here are some findings published in the report: Access to SNF services remains stable for most beneficiaries. […]

Historic Jimmo v. Sebelius settlement approved

A settlement in the Medicare Improvement Standard case, Jimmo v. Sebelius, was approved on January 24, 2013, marking a huge step forward for thousands of beneficiaries nationwide, according to the Center for Medicare Advocacy. Glenda Jimmo of Lincoln, Vt., was the lead plaintiff in a class-action suit filed after Medicare denied her coverage for nurses […]