



You must appeal by midnight of the day of your discharge. If the hospital says you must leave and you disagree, follow the instructions on the Important Message from Medicare to file an expedited appeal to the Quality Improvement Organization (QIO).This notice should arrive up to two days, and no later than four hours, before you are discharged. If your inpatient hospital stay lasts three days or longer, you should receive another copy of the same notice before you leave the hospital. This notice explains your patient rights, and you will be asked to sign it. If you are an inpatient at a hospital, you should receive a notice titled Important Message from Medicare within two days of being admitted.Inpatient hospital appeal for ending care Note: The appeal process is different if your care is being reduced but not ending, and you do not agree with that reduction. (See Medicare Advantage ending appeals chart for more details.) You can file an appeal to extend your care as long as you feel that continued care is medically necessary. The two sections below review the steps you should follow if you want to appeal your proposed discharge. There are separate processes for hospital and non-hospital appeals. If you are receiving care from a hospital, skilled nursing facility (SNF), Comprehensive Outpatient Rehabilitation Facility (CORF), hospice, or home health agency and are told that your Medicare Advantage Plan will no longer pay for your care (meaning that you will be discharged), you have the right to a fast (expedited) appeal if you do not believe your care should end.
