Benefits Improvement and Protection Act (BIPA) regulations ensure Medicare beneficiaries an appeal process for termination for services provided by home health agencies, skilled nursing facilities, including hospital skilled swing beds, comprehensive outpatient rehabilitation facilities and hospices.

All Medicare beneficiaries who are notified of impending termination of services or discharge from providers may appeal to IFMC.

IFMC reviews the termination notice when the Medicare beneficiary does not agree that services should end and requests an appeal.

Valuable information for providers on this expedited review process can be found on CMS' Beneficiary Notice Initiative web page at: www.cms.hhs.gov/BNI/.

Providers are encouraged to visit this website frequently for updates.

The IFMC HelpLine phone number for appeals is 1-800-752-7014. If the correct number is not on your beneficiary notice, it is considered an invalid notice.

Generic Notice
Detailed Notice

BIPA Questions and Answers

Information about other IFMC Medicare Case Review activities