Failure to Issue Notice of Medicare Non-coverage Upon Termination of Part A Services
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 inform a resident of the termination of Medicare Part A coverage by not issuing a Notice of Medicare Non-coverage (NOMNC) as required. Specifically, one resident who was discharged from Medicare Part A services but remained in the facility did not have a NOMNC in their medical record. Interviews with staff revealed that the Social Services Department was responsible for issuing NOMNCs, and Medical Records was responsible for uploading signed copies into the resident's record. However, no NOMNC was found for this resident. Staff acknowledged that the NOMNC should have been provided, even though the resident's payer changed and there was no impact on out-of-pocket expenses.