Failure to Provide Timely Medicare Non-Coverage Notification
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 notification of Medicare non-coverage to a resident who was discharged home following the last covered day of Medicare Part A services. Specifically, the Notice of Medicare Non-Coverage (NOMNC) was issued only 24 hours prior to the end of covered services, rather than the required minimum of 48 hours as outlined in the CMS-10123 form instructions. This deficiency was identified during a review of records and confirmed by the Business Office Manager, who acknowledged that the notification was not provided within the mandated timeframe. The review focused on one of three residents sampled for beneficiary protection notification, with the facility census at 54 residents at the time of the survey.