CMS Issues Updated Hospital Discharge Appeal Notices

PUBLISHED: Jul 5, 2017
Source: Centers for Medicare and Medicaid Services
Relevant to: Hospital, Critical Access Hospital

Hospitals and Critical Access Hospitals receiving Medicare reimbursement are required to deliver the Important Message from Medicare (IM), CMS-R-193 to all Medicare beneficiaries (original Medicare beneficiaries and Medicare Advantage plan enrollees) who are hospital inpatients. The IM informs hospitalized inpatient beneficiaries of their hospital discharge appeal rights.

Beneficiaries who choose to appeal a discharge decision must be provided with the Detailed Notice of Discharge (DND) from the hospital or their Medicare Advantage plan, if applicable.

The Centers for Medicare and Medicaid Services recently issued updated IM and DND notices. Hospitals and Critical Access Hospitals must begin using the renewal notices no later than Monday, August 28, 2017.

Included with today’s notice are example policies related to the provision of this required information to Medicare beneficiaries. Also included is a link to the updated IM and DND notices.

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