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Share of Cost, Know how to appeal if you think the hospital is discharging you too soon.

Friday, Jan. 29th 2016 6:08 AM

You should appeal the hospital’s decision to discharge you if you think you are being told to leave too soon. To appeal, first consult the Important Message from Medicare notice, which the hospital should provide you at least once during your inpatient hospital stay. Among other things, the notice tells you how to request a review of your case by the Beneficiary and Family-Centered Care Quality Improvement Organization, often called the Quality Improvement Organization (QIO).

To begin the appeal, call the QIO listed on your notice by midnight of the day of your discharge. The QIO should make a decision within 24 hours. If the appeal is successful, you can remain in the hospital, and Medicare or your Medicare Advantage Plan will continue to cover your care. You are not responsible for the cost of your care during this first appeal, even if you are unsuccessful. If you are unsuccessful, there are additional levels of appeal you can use – but you may have to pay for the care you receive if those appeals are unsuccessful.

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Posted on Friday, Jan. 29th 2016 6:08 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost, Know how to appeal if you think the hospital is discharging you too soon.