Failure to Provide Timely Notice of Medicare Non-Coverage
Penalty
Summary
The facility failed to provide the Notice of Medicare Non-Coverage (NOMNC) to two residents within the required two-day timeframe prior to the end of their Medicare Part A coverage. For one resident, the NOMNC form indicated the last covered day as 6/17/2025, but the form was signed on 6/16/2025, only one day prior. For the second resident, the last covered day was 3/4/2025, but the form was signed by the resident's representative on 3/5/2025, after the coverage had already ended. The facility was unable to provide documentation of the email sent to the representative for signature. Interviews with the Social Services Director (SSD) and the Administrator confirmed that the NOMNC forms were not delivered 48 hours before the last covered day as required by policy. The SSD acknowledged responsibility for reviewing, obtaining signatures, and filing the NOMNC forms, and confirmed the forms for both residents were not provided within the mandated timeframe. Review of facility policy reiterated the requirement to deliver the NOMNC at least two calendar days before Medicare-covered services end.