Louisiana Health Care Review
THE MEDICARE QUALITY IMPROVEMENT ORGANIZATION


Update on CMS-4105-F:
Notification of Hospital Discharge Appeal Notices

Link to .pdf of CMS Power Point Presentation
detailing changes that are effective July 1, 2007.

CMS has two new notices and form instructions associated with CMS-4105-F: Notification of Hospital Discharge Appeal Rights that must be used beginning July 2, 2007. 

Link to "Detailed Notice of Discharge" form (CMS 10066) revised by LHCR (includes instructions for its completion).

Link to "An Important Message from Medicare About Your Rights" form (CMS-R-193) revised by LHCR (includes instructions for its completion).   

 The notices are also posted at www.cms.hhs.gov/bni, click on “Hospital Discharge Appeal Notices.”  Check this page frequently for updates.

In order to be sure you receive future important CMS updates as they are available please register on their website, http://cms.hhs.gov, to be added to their ListServs.  They consider the ListServs a primary means of communication with providers on regulations and related materials.
 

 


For more Quality Improvement
resources, visit www.medqic.org

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