Revised: Use updated forms for BCN Advantage members being discharged from a hospital stay

Note: The news item originally posted on Sept. 1, 2017, is revised to show that providers may use either the updated forms that CMS provides on its website or the forms that BCN Advantage offers on its website.

Effective Aug. 28, 2017, providers must use the updated Important Message from Medicare form and Detailed Notice of Discharge form for BCN Advantage^SM members being discharged from an inpatient hospital stay.

The forms were recently revised by the Centers for Medicare & Medicaid Services and are available at these locations:

• On the CMS website. Click here to access them.
• On this website. Click BCN and then click Forms. Look in the BCN Advantage section of the page under the subheading "Hospitals, for inpatients." These forms have the BCN Advantage logo and contact information for KEPRO, the Quality Improvement Organization for Michigan.

You can use either the CMS forms or the forms specific to BCN Advantage.

The purpose of the forms is to inform BCN Advantage members hospitalized at an inpatient facility that they have special appeal rights if they are dissatisfied with their discharge plan or believe that coverage of their hospital stay is ending too soon.

Additional information about each form is found in the BCN Advantage chapter of the BCN Provider Manual. Look in the section titled "QIO immediate review of hospital discharges."

Posted: September 2017
Line of business: Blue Care Network