Finally, if you don't agree with the DAB decision, you can attract government court as long as at least $1,000 is at stake. Although many QIO decisions agree with the medical facility, requesting QIO evaluation often makes good sense since the process itself can typically add a day or 2 of Medicare insurance coverage. You are more likely to get two days of additional insurance coverage if you wait until the morning of the day after you receive the notice to contact the QIO-- yet make sure you do it before noontime. So a person who obtains a notification on a Thursday needing discharge by Friday commonly can prolong Medicare coverage till noon on Monday by looking for QIO testimonial on Friday morning.