Notification of Appeal Rights (Cont'd)
{"Image DocumentName": "Notification of Appeal Rights (Cont\u2019d)", "Image ImageDescription": "Beneficiary must submit request to the QIO either via telephone or in writing. Beneficiary should not be discharged until QIO review completed with outcome unless beneficiary leaves of own accord. QIO notifies Hospital of appeal/request for review. Section 1154 of the Social Security Act. CMS-4105-F.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}