Hospital Discharge Appeal Notices

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 latest versions of the "Important Message from Medicare", Form CMS-R-193, and the "Detailed Notice of Discharge", Form CMS-10066, - updated as of July 20, 2010 - are posted below along with the manual instructions for this process.  Please note that the latest version of the “Important Message from Medicare” requires hospitals to note the time of delivery.  Hospitals and Medicare Advantage organizations (MAOs) may use these versions immediately, but use is not required until April 1, 2011. After April 1, 2011, the forms with approval dates of 05/07 will not be valid.

Note: The Notice of Hospital Requested Review (HRR), also known as HINN 10, has been relocated to the HINN web page and can be accessed by clicking on the "HINNs" link below.