To help their beneficiaries in this situation, Medicare has contracted with Health Services Advisory Group (HSAG) to be its Quality Improvement Organization for California. A Medicare beneficiary has the right to appeal a hospital or skilled nursing discharge if s/he feels they are not ready to leave. It doesn’t matter what Medicare insurance s/he has (i.e., Medicare Advantage or Medicare Supplement or Medicare only).
When the beneficiary is told they are going to be discharged, they need to ask for the discharge in writing. There will be information with the written discharge explaining how to appeal the discharge. The telephone number on the form will be: 800-841-1602; for hearing impaired it will be 800-881-5980.