Ask the expert: How should we deliver the Important Message from Medicare that went into effect on July 1?
HIM Connection, September 25, 2007
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A: When delivering the initial copy of the Important Message from Medicare using standardized notice CMS-R-193, hospitals must:
- Deliver it within two calendar days of admission or at preadmission, but not more than seven calendar days before admission.
- Ensure the beneficiary understands the information. Hospital staff members should be prepared to explain it, answer questions, and assess the beneficiary's comprehension. The beneficiary should sign and date the notice.
- Give the beneficiary a copy of the notice upon signed delivery and retain a copy to store in the patient's record (either paper or electronic).
If a patient or representative refuses to sign this notice, the hospital should note the refusal and retain a copy of the notice. In this case, the date of refusal is the date of receipt of the notice.
Editor's note: This Q&A was adapted from an article in the September 2007 issue of Briefings on Coding Compliance Strategies. For more information, visit http://www.hcpro.com/content/75834.cfm.
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