A Win for Medicare Beneficiaries: Maintenance Therapy Cannot Be Denied
It’s not a secret that skilled therapy, under the guidance of a licensed therapist, is helpful to maintain function, increase strength and prevent regression/deterioration. Yet for decades, Medicare beneficiaries have been denied care based upon their condition being deemed “unlikely to improve.”
Thankfully, the winds of change have prevailed. In January 2013, a win in the Medicare Improvement Standard case, Jimmo v. Sebelius, was not just a victory for the plaintiffs in the case, but for Medicare beneficiaries nationwide.
As a result of the settlement, Medicare beneficiaries – particularly those with long-term or debilitating conditions and those who need rehabilitation services – cannot be denied coverage for critical services like maintenance therapy because their conditions are not likely to improve.
The settlement reflects what we have long known to be true – ongoing, skilled intervention can make a world of difference for a patient who suffers from a debilitating, chronic condition, like:
- Balance/Fall risk
- Degenerative joint disease
- Multiple sclerosis
- Parkinson’s disease
- Physical decline from age
- Spinal cord injury
- Spinal stenosis
- Traumatic brain injury
If you or a loved one has been denied Medicare coverage for skilled therapy in the past, embrace your victory. Medicare patients with chronic conditions can maintain function and prevent decline with Good Shepherd's Stay Strong Program. Request an appointment or contact us today!