As an individual with Medicare coverage, you have guaranteed rights and protections. Please become familiar with the following facts:
If you are receiving care in a skilled facility, homecare agency, hospice or a comprehensive outpatient rehabilitation facility and the facility decides skilled care is no longer needed, you will receive an advance notice called a Notice of Medicare Non-Coverage at least two days before the coverage will end.
If you don’t think your skilled care should end, the notice explains how you can request an appeal. Your request for an expedited, or fast-track appeal, should be made no later than noon of the day before the effective date on the notice.
To request an appeal, call a CIMRO of Nebraska Beneficiary Protection Specialist at 1-800-458-4262. We will request your medical records, conduct a review and provide you with our determination within 48-72 hours.
If you are unhappy with CIMRO of Nebraska’s determination, you can request a reconsideration through a qualified independent contractor.