Failure to Timely Provide Medicare Coverage Termination and Appeal Notices
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to provide timely and complete notification of Medicare Part A coverage termination and associated appeal rights to a resident. Specifically, the resident's last day of covered Medicare Part A skilled services was identified, but both the Notice of Medicare Non-Coverage (NOMNC) and the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) were signed by the resident eight days after coverage ended, rather than at least two days prior as required. Additionally, the SNFABN did not indicate which appeal option the resident had chosen. The facility's policy requires that such notices be given at least two days before the last covered day, but this was not followed in this instance.