Failure to Provide NOMNC to Resident Discharging from Skilled Services
Penalty
Summary
The facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) to a resident who was discharging from skilled services, despite having benefit days remaining. Resident #94 was admitted to the facility and later discharged home with home health services. The resident's Medicare Part A skilled services episode began on 12/07/24, with the last covered day being 02/24/25. The discharge was initiated voluntarily by both the facility and the resident, who wanted to go home. However, the MDS coordinator mistakenly had the resident sign an advance beneficiary notice of non-coverage instead of the NOMNC, due to confusion about the correct form. The NOMNC should have been provided 48 hours before discharge, but it was not given because the resident did not stay in the facility.