Settlement Eases Rules for Some Medicare Patients

Posted on 24. Oct, 2012 by in Blog, Health, Health Information

Medicare will now cover Chronic Care Conditions

Tens of thousands of people with chronic conditions and disabilities may find it easier to qualify for home health care, nursing home stays and outpatient therapy. This proposed settlement will help people with chronic diseases like Alzheimer’s disease, multiple sclerosis and Parkinson’s disease, and stroke qualify for Medicare coverage for the physical therapy, occupational therapy, rehabilitation and home care services necessary to maintain their functional ability and overall quality of life, even if there is no expectation that the patient’s condition will improve, which is a standard that some Medicare contractors have used to review and pay claims on behalf of the government. Home health agencies and other providers of home-based services will now have the opportunity to provide necessary home health care, therapy and other skilled services to people with chronic conditions and disabilities, a patient population that, until now, had no choice but to seek inpatient care in hospitals and nursing homes.

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