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Notice of Non-Coverage Appeal Rights
Patients deserve to get the best health care possible, and Medicare wants to make sure they get that care. That's why certain kinds of health care providers must provide a written "Notice of Non-Coverage" before care ends, if Medicare is paying for it.
This notice is provided if the care being received from any of the following is going to stop:
- Hospital
- Skilled nursing facility or hospital "swingbed" (for people who are not sick enough for the hospital but still need full-time nursing care).
- Home health agency.
- Hospice.
- Comprehensive outpatient rehabilitation facility (a clinic for patients who no longer need full-time care but still need special treatment).
Once a patient receives a written notice, they can request a fast-track review if the patient or their representative thinks they still need care and that Medicare should continue to pay for it.
If a patient receives a Notice of Medicare Provider Non-Coverage and they would like Qualidigm to review the case, we can be contacted at 1.800.553.7590.
Access tools and resources related to this topic at the Centers for Medicare & Medicaid Services (CMS) website.
