October 19, 2017
CMS Education on Medicare Skilled Nursing and Therapy Services Coverage
The Centers for Medicare and Medicaid (CMS) want to remind you that the Jimmo v. Sebelius Settlement Agreement clarified that Medicare covers skilled nursing care and skilled therapy services under its skilled nursing facility, home health, and outpatient therapy benefits when a patient needs skilled care in order to maintain function or to prevent or slow decline or deterioration (provided all other coverage criteria are met). This may reflect a change in practice for those of you who thought that Medicare only covers nursing and therapy services under these benefits when a patient is expected to improve.
View Full Post
October 19, 2017
CMS Education on Medicare Skilled Nursing and Therapy Services Coverage
The Centers for Medicare and Medicaid (CMS) want to remind you that the Jimmo v. Sebelius Settlement Agreement clarified that Medicare covers skilled nursing care and skilled therapy services under its skilled nursing facility, home health, and outpatient therapy benefits when a patient needs skilled care in order to maintain function or to prevent or slow decline or deterioration (provided all other coverage criteria are met). This may reflect a change in practice for those of you who thought that Medicare only covers nursing and therapy services under these benefits when a patient is expected to improve.
View Full Post
October 17, 2017
After many discussions with providers and partners, we’ve decided to make significant temporary changes in the rollout of our preauthorization program with eviCore. In order to provide additional time for education, communication, and collaboration around this program, we’ll be significantly reducing or eliminating the clinical assessment required for getting therapy preauthorizations.
View Full Post
October 9, 2017
The Annual Enrollment Period is almost here! We can help you be prepared to field patient questions about Medicare. Providers and their office staff members are invited to join one of our upcoming webinars to learn more about our Medicare Advantage plans.
View Full Post
September 20, 2017
For the first therapy request received during a patient’s episode of care, these are the minimum numbers of visits you can expect:
View Full Post