detailed notice of discharge

What is a detailed notice of discharge?

A detailed notice of discharge (DND) provides a full explanation of the reasons for your discharge from a hospital, and why services you are receiving will no longer be covered by Medicare. This notice is only provided if the patient appeals their discharge.¹

If a Medicare beneficiary is told they’re being discharged from a hospital and the patient believes their care should continue, they can request an expedited review. The review will be conducted by a Beneficiary Family Centered Care-Quality Improvement Organization (BFCC-QIO).

The hospital must deliver the DND to the patient in person, by noon of the day after the provider is notified by the BFCC-QIO that the patient has asked for an expedited review of their case.²

The DND must include:

• The details of the patient’s discharge and why the medical provider believes that Medicare coverage should end.
• Details of why medical services are no longer reasonable/necessary or no longer covered by Medicare.
• Details of the applicable Medicare coverage rules.