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Ohio KēPRO - Your Medicare Quality Improvment Organization
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Medicare Notices of Non-Coverage

Medicare-certified healthcare providers are required to provide Medicare patients with routine notices of non-coverage in all inpatient and some outpatient settings. A list of these notices follows:

Notice Who? When? Notes
Important Message from Medicare Hospitals including long-term acute care No greater than two days prior to discharge Regardless if patient is enrolled in a Medicare traditional fee for service or Medicare Advantage plan
Benefits Improvement and Protection Act (BIPA) Notice and Medicare Advantage (MA) Notice Skilled nursing facilities, home health agencies, hospices, and comprehensive outpatient rehabilitation facilities Two days prior to discharge/skilled services ending (or two visits prior to the last visit) Not given for a reduction in service For Medicare Advantage, the plan generally makes the decision, but it is the facility’s or agency’s responsibility to deliver the notices
Detailed notice All When an appeal is requested


Read more or download copies of the notices.



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