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Hospital Discharge Appeal Notices

Regulations

Hospitals 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 receive the Detailed Notice of Discharge (DND) from the hospital or their Medicare Advantage plan, if applicable.

What’s New

The effective date for use of the updated IM and DND is 60 days from June 29, 2017.

06/07/2017 – Updated Important Message from Medicare Form and Form Instructions available under “Downloads” below.

06/07/2017 – Updated Detailed Notice of Discharge Form and Form Instructions available under “Downloads” below.

Notices

The latest versions of the Important Message from Medicare (IM), Form CMS-R-193, and the Detailed Notice of Discharge (DND), Form CMS-10066, are posted below under 'Downloads'.  Issuance guidelines can be found in the Manual Instructions download below.

Questions?

Questions regarding the IM and DND can be emailed to BNImailbox@cms.hhs.gov