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        <title>Medicare Program; Notification of Hospital Discharge Appeal Rights</title>
        <partNumber>Part IV</partNumber>
        <partName>Rules and Regulations</partName>
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    <abstract>This final rule sets forth requirements for how hospitals must notify Medicare beneficiaries who are hospital inpatients about their hospital discharge rights. Notice is required both for original Medicare beneficiaries and for beneficiaries enrolled in Medicare Advantage (MA) plans and other Medicare health plans subject to the MA regulations. (For purposes of this preamble, these entities will collectively be known as "Medicare health plans"). Hospitals will use a revised version of the Important Message from Medicare (IM), an existing statutorily required notice, to explain the discharge rights. Hospitals must issue the IM within 2 days of admission, and must obtain the signature of the beneficiary or his or her representative. Hospitals will also deliver a copy of the signed notice prior to discharge, but not more than 2 days before the discharge. For beneficiaries who request an appeal, the hospital will deliver a more detailed notice.</abstract>
    <identifier type="FR citation">71 FR 68708</identifier>
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    <identifier type="FR Doc No.">E6-20131</identifier>
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    <identifier type="Regulation ID Number">RIN 0938-AO41</identifier>
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    <subject>
        <topic>Administrative Practice and Procedure</topic>
        <topic>Health Facilities</topic>
        <topic>Health Professions</topic>
        <topic>Kidney Diseases</topic>
        <topic>Medical Devices</topic>
        <topic>Medicare</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
        <topic>Rural Areas</topic>
        <topic>X-Rays</topic>
        <topic>Puerto Rico</topic>
        <topic>Reporting and Record Keeping Requirements</topic>
        <topic>Health Maintenance Organizations (Hmo)</topic>
        <topic>Medicare Advantage</topic>
        <topic>Penalties</topic>
        <topic>Privacy</topic>
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        <partNumber>IV</partNumber>
        <agency order="1">DEPARTMENT OF HEALTH AND HUMAN SERVICES</agency>
        <agency order="2">Centers for Medicare &amp; Medicaid Services</agency>
        <effectiveDate>2007-07-01</effectiveDate>
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        <action>Final rule.</action>
        <summary>This final rule sets forth requirements for how hospitals must notify Medicare beneficiaries who are hospital inpatients about their hospital discharge rights. Notice is required both for original Medicare beneficiaries and for beneficiaries enrolled in Medicare Advantage (MA) plans and other Medicare health plans subject to the MA regulations. (For purposes of this preamble, these entities will collectively be known as "Medicare health plans"). Hospitals will use a revised version of the Important Message from Medicare (IM), an existing statutorily required notice, to explain the discharge rights. Hospitals must issue the IM within 2 days of admission, and must obtain the signature of the beneficiary or his or her representative. Hospitals will also deliver a copy of the signed notice prior to discharge, but not more than 2 days before the discharge. For beneficiaries who request an appeal, the hospital will deliver a more detailed notice.</summary>
        <dates>These regulations are effective on July 1, 2007.</dates>
        <contact>Eileen Zerhusen, (410) 786-7803, (For issues related to Original Medicare). Tim Roe, (410) 786-2006, (For issues related to Medicare Advantage).</contact>
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            <subject>Administrative Practice and Procedure</subject>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Health Professions</subject>
                                    
            <subject>Kidney Diseases</subject>
                                    
            <subject>Medical Devices</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Reporting and Recordkeeping Requirements</subject>
                                    
            <subject>Rural Areas</subject>
                                    
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            <subject>Health Maintenance Organizations (Hmo)</subject>
                                    
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            <subject>Privacy</subject>
                                    
            <subject>Provider-Sponsored Organizations (Pso)</subject>
                                
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            <part number="489"/>
                                
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        <tocSubject1>Medicare:</tocSubject1>
        <tocDoc>Hospital discharge appeal rights; notification, </tocDoc>
        <emailRef>carolyn_lovett@omb.eop.gov</emailRef>
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            <partNumber>Vol. 71, no. 227</partNumber>
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