Failure to Provide Timely Notice of Medicare Non-Coverage
Penalty
Summary
The facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) at least two days prior to the end of Medicare-covered services for one resident. During a state agency complaint investigation, it was found that the responsible party for the resident received the NOMNC via email on the same day that Medicare services were set to end, rather than the required advance notice. Interviews with the Social Services Director and Social Services Assistant confirmed that the notice was not issued in a timely manner, and a progress note was incorrectly dated, further indicating the notice was not provided as per policy. The facility's own policy requires that the NOMNC be issued at least two days before the end of a Medicare Part A stay, which was not followed in this instance.