Medicare Beneficiaries

If you have a concern about the quality of care that you received when you were in a hospital or Skilled Nursing Facility, or while you were under the care of a Home Health Agency or Hospice, you may request a review.

A Hospital-Issued Notice of Non-Coverage (HINN) is a written notice given by a health care provider to you to alert you that Medicare may not pay for the services being rendered. The HINN can be issued as a preadmission denial or an admission denial for a hospital, or a continued stay denial if you are already in the hospital.

Medical Review Services audit patients' medical records on request to ensure that the highest quality of medical care is being delivered. Either you or your representative may request a review of the care delivered in most settings.

Mediation is a new option to resolve a quality of care complaint under Medicare. This is at no direct cost to you. It is a dialogue between you and your doctor or hospital, facilitated by an impartial third person (the mediator). It is an opportunity for you and your doctor or hospital to tell your story, respond to each other, and resolve your concerns about the way you were treated.