Hosp Case Manag. 2013 Aug;21(8):101-3.
The Important Message from Medicare (IM), advising patients of their right to appeal their discharge, should be issued correctly or your hospital could be fined or lose the ability to receive reimbursement from Medicare. IMs should be given as close as possible to admission but no later than two days after admission. If patients remain in the hospital for two additional days, they must receive a second copy. Use the IM as an opportunity to discuss the discharge process with patients and families and to alert them to the expected discharge date. When patients appeal, drill down and determine the reason they appealed and use your finding to improve your discharge process.
医疗保险重要通知（IM）用于告知患者其有权对出院提出上诉，必须正确发布，否则医院可能会被罚款或失去从医疗保险获得报销的资格。IM应在尽可能接近入院时发放，但不得晚于入院后两天。如果患者在医院多住两天，则必须收到第二份副本。利用IM这个机会与患者及其家属讨论出院流程，并提醒他们预期的出院日期。当患者提出上诉时，深入调查并确定他们上诉的原因，并利用你的发现来改进出院流程。
