SNF not to use the “Improvement Standard” rule-of-thumb in determining coverage for maintenance claims requiring skilled care
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Revisions to Medicare Manual pursuant to the Jimmo vs. Sebelius Settlement, will be made to clarify that improvement is not required to obtain Medicare coverage for maintenance claims that require skilled care. Medicare has long recognized that even in situations where no improvement is possible, skilled care may nevertheless be needed for maintenance purposes (i.e., […]