occupational therapy

Medicare Settlement Means No More ‘Improve or You’re Out’

Posted on 02/6/2013 by |Aging, Home & Family Expert | Comments

CaregivingA federal judge has approved the proposed Settlement Agreement in the Medicare Improvement Standard case, Jimmo vs. Sebelius, clearing the way for thousands of Medicare beneficiaries to receive needed health services to maintain their current level of functioning. The settlement, which represents a significant change in Medicare coverage rules, ends Medicare’s longstanding practice of requiring people to show a likelihood of improvement in order to receive coverage of skilled care and therapy services. The Agreement, which is retroactive to the …

Medicare Coverage Change for Therapy Offers Ray of Hope for Caregivers

Posted on 10/25/2012 by |Aging, Home & Family Expert | Comments

CaregivingA loved one suffers a stroke, a fall, or has a chronic illness such as Alzheimer’s disease, Parkinson’s disease or multiple sclerosis. Medicare initially covers payment for vital services such as skilled nursing, home health care and physical, occupational or speech therapy. We see improvement as they heal, grow stronger, speak more and become more engaged in life. Suddenly the bad news is delivered: the patient reaches a “plateau” or doesn’t show “improvement” according to Medicare standards. They will no …