Medicare Misconceptions: How to Advocate for Skilled Care
Oct 16, 2018 ·
22m 56s
In this episode of Eldercare Illuminated, host Lenore Tracey and elder law attorney Cathy Sikorski shed light on an enduring misunderstanding about Medicare coverage for skilled services. For years, Medicare...
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In this episode of Eldercare Illuminated, host Lenore Tracey and elder law attorney Cathy Sikorski shed light on an enduring misunderstanding about Medicare coverage for skilled services.
For years, Medicare recipients have been denied coverage for services, such as skilled nursing, physical therapy, and occupational therapy, based on the notion that they have plateaued or there is a lack of restoration potential. For example, patients were told (and are still being told) that Medicare would no longer pay for physical therapy because there was no potential for improvement in their condition. Perpetuated for years, this notion has resulted in patients not getting needed services to which they are entitled and from which they can benefit.
Cathy shares the facts and the strategies you need to dispel this myth and advocate effectively for your loved one. Listen and learn.
Then check out additional information from the Centers for Medicare and Medicaid Services (and print materials to bring with you) so you have all the information in hand if you need to get your loved one’s providers up to speed.
1. Updated Publication from CMS (Centers for Medicare and Medicaid Services), because federal court found that 'virtually no effort' was made to promote the Jimmo vs. Sebelius settlement.
https://www.cms.gov/Center/Special-Topic/Jimmo-Center.html
2. Frequently Asked Questions associated with the above publication:
https://www.cms.gov/Center/Special-Topic/Jimmo-Settlement/FAQs.html
Caregivers, you make such a difference in your loved one’s lives!
About Our Guest:
Cathy Sikorski has been a caregiver for the last 25 years for seven different family members and friends. A published author and humorist, Sikorski is also a practicing elder law attorney. Her legal expertise and sense of humor have made her a sought-after speaker where she tackles the legal issues that affect those who will one day be or need a caregiver (which is everyone).
Cathy’s first book is a humorous memoir Showering with Nana: Confessions of a Serial (killer) Caregiver. That was followed by Who Moved My Teeth? - a humorous and informative book with practical and legal tips for caregivers and baby boomers. Cathy maintains an active blog “You just have to Laugh…where Caregiving is Comedy…”.
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For years, Medicare recipients have been denied coverage for services, such as skilled nursing, physical therapy, and occupational therapy, based on the notion that they have plateaued or there is a lack of restoration potential. For example, patients were told (and are still being told) that Medicare would no longer pay for physical therapy because there was no potential for improvement in their condition. Perpetuated for years, this notion has resulted in patients not getting needed services to which they are entitled and from which they can benefit.
Cathy shares the facts and the strategies you need to dispel this myth and advocate effectively for your loved one. Listen and learn.
Then check out additional information from the Centers for Medicare and Medicaid Services (and print materials to bring with you) so you have all the information in hand if you need to get your loved one’s providers up to speed.
1. Updated Publication from CMS (Centers for Medicare and Medicaid Services), because federal court found that 'virtually no effort' was made to promote the Jimmo vs. Sebelius settlement.
https://www.cms.gov/Center/Special-Topic/Jimmo-Center.html
2. Frequently Asked Questions associated with the above publication:
https://www.cms.gov/Center/Special-Topic/Jimmo-Settlement/FAQs.html
Caregivers, you make such a difference in your loved one’s lives!
About Our Guest:
Cathy Sikorski has been a caregiver for the last 25 years for seven different family members and friends. A published author and humorist, Sikorski is also a practicing elder law attorney. Her legal expertise and sense of humor have made her a sought-after speaker where she tackles the legal issues that affect those who will one day be or need a caregiver (which is everyone).
Cathy’s first book is a humorous memoir Showering with Nana: Confessions of a Serial (killer) Caregiver. That was followed by Who Moved My Teeth? - a humorous and informative book with practical and legal tips for caregivers and baby boomers. Cathy maintains an active blog “You just have to Laugh…where Caregiving is Comedy…”.
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