Skilled Care Providers, Take Note Of Jimmo V. Sebelius
Law360, New York (March 13, 2013, 1:17 PM EDT) -- On Jan. 24, 2013, the U.S District Court for the District of Vermont approved a settlement agreement in the so-called Medicare improvement standard case, Jimmo v. Sebelius. In addition to its impact on Medicare reimbursement, the settlement agreement marks a significant change in the standard for determining eligibility for Medicare coverage of skilled maintenance care.
Skilled Care Medicare Coverage Standard after the Jimmo Settlement
In the settlement agreement, the secretary of health and human services clarifies the standard for determining Medicare coverage of skilled nursing facility (SNF),...