Failure to Provide Required Medicare Beneficiary Notices
Penalty
Summary
The facility failed to provide required Medicare beneficiary notices to three residents who either remained in the facility or were discharged home after their last covered day of Medicare Part A services. Specifically, for each of the three residents reviewed, the facility could not produce the Notice of Medicare Non-Coverage (NOMNC) and, where applicable, the Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN). Documentation reviewed indicated that these residents had benefit days remaining at the time their Medicare coverage ended, yet the necessary notifications regarding coverage termination and potential financial liability were not given. This was confirmed during an interview with the facility administrator, who acknowledged the absence of the required notices.