Judge Christina Reiss To Halt Fraudulent Use Of Medicare Statute

The Medicare Medicaid certified health provider (registered nurse, physical therapist, occupational therapist, speech therapist) will no longer be able to deny you service because of "no documented progress, plateaued,  or a chronic progressive disease process resulting in maintenance".  This frequently verbalized improvement standard is a mis-representation of existing Medicare Medicaid statute, fraudulent.

The improvement standard announced the provision of health services to individuals who were not getting better was not in line with the true intention of the Medicare Medicaid program.  This class action suit announces the need for additonal health services does not depend on the individuals ability to demonstrate progress as defined through recorded participation in implemented models of therapeutic design.

In January 2011 the Center For Medicare Advocacy and Co-Counsel from Vermont Legal Aid filed a class action lawsuit against Kathleen Sebelius Secretary of DHHS (Department of Health and Human Services).   The class action suit alleged administration facilitated the denial of care through use of an improvement standard that requires progression to assure access to needed health services.

This inappropriate practise prevented individuals with chronic progressive disease processes to benefit from health services that could slow or stall the loss of fitness and function.  Timely access to these much needed services could prevent hospitalizations and save the Medicare Medicaid programs money. 

Federal Chief Judge Christina Reiss Of The United States District Court In Vermont will deliver the ruling.  An important piece of the proposed settlement is the addition of a printed mandate to the Medicare Policy Manual that coverage of therapies does not turn on the presence or absence of a beneficiary's potential for improvement from therapy, but rather on the beneficiary's need for skilled care. 

Home Care Path www.homecarepath.com expects the (CMS) Centers for Medicare and Medicaid to develop and conduct educational sessions to assist Medicare Medicaid certified providers to comprehend the change as it relates to the delivery of care in their direct practise.

Home Care Path is a leading senior care provider serving south central Wisconsin.  Services include:
-in home staffing with help for ADL's and IADL's
-inpatient advocacy for safe successful hospital stays
-crisis intervention with transitional counseling
-temporary help with a scheduled day surgery
-down sizing home contents when stuff matters
-communicate face to face on the computer across long distances
-packing and shipping with holiday gift giving season
Simply call 608-432-4286 to schedule an in home interview.  2012 rates are 20.00 per hour.  Email lkutzke@homecarepath.onmicrosoft.com  We accept long term care insurance.  We can be there when you are working.  Services are tax deductible.  Valuing home and human life.