Q. Is there a form a facility would use to rescind the Notice of Medicare Non-coverage (NOMNC)? How would a facility go about doing this and notifying KEPRO?
A. There is a form attached to the medical record request that allows the facility to note that the NOMNC has been rescinded. It would also need to be noted in the medical record along with documentation for the reason that it was rescinded. If the medical records have already been sent, someone from the facility would need to contact KEPRO.
Q. Is there a notice required for a Medicare patient that is requesting to leave the facility prior to benefits exhausting even though skilled services and coverage remains in effect?
A. It is not required, but it is a good idea to give the NOMNC in case the beneficiary later disputes that he/she requested to leave. Sometimes when a beneficiary gets home and has difficulty, he/she may decide to file a complaint about an inappropriate discharge.