Settlement could affect Medicare coverage with HHAs

We don’t know when changes might happen, but this could help HHAs.

Settlement Eases Rules for Some Medicare Patients

… In a proposed settlement of a nationwide class-action lawsuit, the Obama administration has agreed to scrap a decades-old practice that required many beneficiaries to show a likelihood of medical or functional improvement before Medicare would pay for skilled nursing and therapy services.

Under the agreement, which amounts to a significant change in Medicare coverage rules, Medicare will pay for such services if they are needed to “maintain the patient’s current condition or prevent or slow further deterioration,” regardless of whether the patient’s condition is expected to improve….

Leave a Reply

%d bloggers like this: