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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.

Footnotes

”FFS & MA IM/DND” Centers for Medicare & Medicaid Services. Accessed June 24, 2025 ⤶
”Medicare Claims Processing Manual, Chapter 30 – Financial Liability Protections (Section 200.4.5 – The Detailed Notice of Discharge (DND))” Centers for Medicare & Medicaid Services. Aug. 1, 2024 ⤶

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Eligibility for Medicare coverage depends on factors that include your work history, health status, and residency status. Check your eligibility today.

Enrollees are underutilizing Medicare’s free preventive services

According to results from our latest Medicare Survey, nearly 65% of our readers hadn't – or didn't think they had – utilized one of Medicare's free preventive services in the past year.

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detailed notice of discharge

What is a detailed notice of discharge?

What is a detailed notice of discharge?

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