Daughter comforting mother in hospital.

Consumers

Appealing a Discharge

Appeal a Discharge or Service Termination

As an individual with Medicare coverage, you (or an authorized guardian) have guaranteed rights and protections. You have the right to appeal an impending discharge or termination of service. Act quickly. If you have been notified that your inpatient hospital care or other medical services (rehabilitation, home health, skilled nursing/therapy or hospice) is about to end and you believe that you still need these services, it is important to begin the appeal process right away.

Call HQSI at:

  • 1-800-624-4557 or if you have a hearing problem or
     are speech impaired, TTY/TTD 1-800-752-8420

A reviewer from HQSI will discuss your situation with you and then contact the facility. We will request your medical record, assign an independent physician to review the documentation and determine whether it is medically necessary to continue your current course of treatment.  We will notify you and your healthcare provider of our decision right away.