Wednesday, January 30, 2013

Medicare Rewrites the Rules on Therapy Services


 “This is absolutely wonderful news for the clients of our center” says Carol Dickert, Vice President of Outpatient Therapy Services at St. Ann Center for Intergenerational Care.


Thousands of people with chronic conditions and disabilities may
find it easier to qualify for Medicare coverage for outpatient therapy
under policy changes in Medicare.

As a result of a recent nationwide class-action lawsuit, Medicare 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 therapy services.

Under this significant change Medicare will rewrite the manual to make clear that its coverage rules will pay for “Skilled Maintenance Therapy” it is 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.

This change will help people with chronic conditions like Alzheimer’s disease, multiple sclerosis, Parkinson’s disease, stroke, spinal cord injuries and traumatic brain injury. It could also provide relief for families and caregivers who often find themselves stretched financially and personally by the need to provide care.

Disability frequently accompanies many chronic conditions and often there are no cures, so people are likely to experience progressive disability. Rehabilitation, including Physical and Occupational Therapy and Speech Therapy, are incredibily important to maintain a person’s function and quality of life.

To find out more information or to schedule an appointment for therapy at St. Ann Center contact: Outpatient Therapy Services, Carol Dickert, 414-977-5005 or email csdickert@stanncenter.org


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