Regulations

On November 27, 2006, the Centers for Medicare & Medicaid Services (CMS) published a final rule, CMS-4105-F: Notification of Hospital Discharge Appeal Rights.  Beginning July 2, 2007, hospitals must deliver a revised version of the Important Message from Medicare to inform Medicare beneficiaries who are hospital inpatients about their hospital discharge appeal rights.  Notice is required both for Original Medicare beneficiaries and for those enrolled in Medicare health plans.  Beneficiaries who choose to appeal a discharge decision will receive a more detailed notice.The rule is posted below under "Downloads" along with the correction notice.

Notices

The final versions of the "Important Message from Medicare" and the "Detailed Notice of Discharge" are posted below along with the Manual Instructions for this process.  Also posted below is the Notice of Hospital Requested Review (HRR) which replaces HINN 10. The HRR should be issued by hospitals to beneficiaries in Original Medicare whenever a hospital requests QIO review of a discharge decision without physician concurrence.

Downloads
Important Message from Medicare (approved 5/2007) [pdf, 105KB] Spanish - Important Message from Medicare [pdf, 93KB] Spanish - Instructions for Important Message from Medicare [pdf, 61KB] Detailed Notice of Discharge (approved 5/2007) [zip, 9KB] Spanish - Detailed Notice of Discharge [zip, 7KB] Spanish - Instructions for Detailed Notice of Discharge [pdf, 18KB] CMS-4105 Manual Instructions [zip, 48KB] Special Open Door Forum Presentation May 29 [pdf, 60KB] CMS-4105-F Notification of Hospital Discharge Appeal Rights Final Rule [PDF, 174 KB] CMS-4105-CN: Correction Notice 1-26-2007 [PDF, 44KB] Resource 04-03-07 [PDF, 100KB] Resource 07-02-07 (Revised 8/21/07) [PDF, 76KB] Notice of Hospital Requested Review (HRR) [PDF, 8KB]
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Page Last Modified: 08/27/2008 10:26:54 AM
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