Failure to Provide Required Medicare Non-Coverage Notice Prior to Discharge
Penalty
35 days payment denial
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 a required Notification of Medicare Non-Coverage (NOMNC) letter to a resident prior to discharge. Record review showed that the resident was readmitted and later discharged home after meeting their goals and completing antibiotic treatment. Although the facility provided a Nursing Home Transfer or Discharge notice and notified the local Long Term Care Ombuds about the discharge, there was no documentation that the NOMNC letter was given to the resident. Staff confirmed during an interview that the NOMNC letter should have been provided but was not.