Getting discharged, or services ending? Here's what to do in the next few hours.

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1-800-633-4227

1-800-MEDICARE — or pick your state below for the faster, direct QIO line.

NOMNC (services ending)

By noon the day before services end.

Hospital discharge

Before you leave the hospital, day of discharge.

Which notice are you holding?

Notice of Medicare Non-Coverage (NOMNC)
Says a covered service — a nursing-home or rehab stay, home health, or outpatient therapy — is ending on a specific date. Request the fast appeal by the date and time on the form — no later than noon of the day before your services end.
42 CFR § 422.626Medicare.gov — Fast appeals
Important Message from Medicare
Given at hospital admission and again near discharge; explains your right to appeal a discharge. Request review no later than the day of discharge, before you leave the hospital.
42 CFR § 422.622Medicare.gov — Fast appeals

What to say on the call

NOMNC — ending nursing home, rehab, or home health services

  1. Say you want to file a fast appeal (expedited determination) of a coverage-ending decision.
  2. Give the QIO the date services are set to end, from the NOMNC.
  3. Ask them to request the detailed explanation from the plan or facility on your behalf.

Next: The QIO decides by close of business the day after it has all the information it needs. The plan must send a detailed notice explaining why coverage is ending.

Important Message from Medicare — hospital discharge

  1. Say you want to file a fast appeal (expedited determination) of a hospital discharge decision.
  2. Give the QIO the planned discharge date from the Important Message.
  3. Ask them to request the detailed notice from the hospital on your behalf.

Next: The QIO decides by close of business the day after it has all the information it needs. The hospital must send a detailed notice explaining the discharge decision.

Missed the deadline?

You can still appeal through the standard reconsideration process within 65 days of the notice. If the facility bills you for the days, that bill is appealable too.

Join the CaseWhy Appeals waitlist →

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