Sometimes “Improvement” is Not Enough: The Jimmo Settlement

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Abstract

The Jimmo Settlement is about the erroneous, but pervasively used, “improvement standard” of the past 30 years. In essence, Medicare beneficiaries were being denied skilled services if they did not have the capacity to improve, or more clinically described as “lack of restoration potential.” The Centers for Medicare & Medicaid Services (CMS) has a webpage clarifying this misconception and about the Jimmo Settlement; it contains links that shed light on this issue. The link, https://www.cms.gov/Center/Special-Topic/Jimmo-Center.html, is the official CMS webpage about the Jimmo Settlement and has information for the case manager to peruse.

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