IMM2 Basics
True/False
Documentation
Timeline
100

What does IMM2 stand for?

Important Message from Medicare

100

The IMM2 can be printed in Spanish.

True

100

How many IMM2 forms should be printed for each patient?

1
100

What is the latest that an IMM2 can be provided to a patient (hours before discharge)?

4 hours

200

Patients with what insurance require the IMM2?

Traditional Medicare or any Medicare carve outs

200

The IMM2 is for adult patients only.

False- Any patient who has Medicare (adolescents too) require the IMM2.

200

What section of the Social Services documentation tab is the IMM2 documented under?

Daily & DC

200

What is the earliest that an IMM2 can be provided to a patient (hours before discharge)?

48 hours

300

What does the IMM2 state?

Informs patients of their rights to receive Medicare covered services, be involved in decisions about their hospital stay, how to report concerns about the quality of care they received, and how to appeal their discharge.

300

The patient keeps the original signed IMM2.

False- A copy of the originally signed document will be made and provided to the patient. The original will be placed in the chart.

300

What is the flowsheet called where the IMM2 is documented under?

Compliance Forms

300

If you provide the IMM2 form to a patient at 9AM and complete your documentation at 2PM, what time do you put in the Compliance Flowsheet and why?

9AM because you are to document the time the IMM2 was actually given to the patient, not the time you are documenting the interaction.

400

How do you know a patient has Medicare?

Check the facesheet, use the IMM2 workque, or check the payor status that pulls into your daily note.

400

If a patient is discharging on Monday, the IMM2 form can be provided on Friday.

False- Friday is outside of the 48 hour window.

400

Where do you go in EPIC to print the IMM2 form?

Summary- IPCM Index Report- Print & Display Editable PDF Forms- IMM2 Form

500

If a voluntary patient requests discharge and is deemed safe to discharge, we can hold the patient for 4 hours in order to meet the IMM22 timeframe.

False- per the Medicare guidelines on IMM, beneficiaries may choose to leave prior to the 4 hour mark if notice of discharge was given on the same day

500

What are the steps to document the IMM2?

1. Open the Compliance Forms flowsheet.

2. Change the “Time Taken” section to the exact time the patient signed.

3. Scroll down to “IMM2 Form” and document the proper answer.

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