O-14-111 Verify Receipt of NOMNC to Client

👤 Responsible Person

Administrative Specialist

🎯 Purpose

When a client is being discharged from a MDCR/MDCR Advantage payer source, the agency is required to issue a Notice of Medicare Non-Coverage 48 hrs prior to discharging the patient from home care services.

The clinician will obtain the patient’s signature on the appropriate form and then return the paperwork to the office to attach to the medical record.

The branch will utilize the workflow task "Verify Receipt of Notice of Medicare Provider Non-Coverage to Client" and the Coordination Note type "NOMNC Details" to manage tracking the paperwork until received signed and attached to the patient’s medical record.

🔄 Process

The VERIFY RECEIPT OF NOTICE OF MEDICARE PROVIDER NON-COVERAGE TO CLIENT task will generate to Administrative Specialist following the approval of a Discharge from Agency Physician Order:

This task will generate based on the clinician responses to M0150 within the OASIS assessment. This means that sometimes, it will generate for payers that do not require a NOMNC. There are 4 different scenarios that may apply:

Scenario #1: Primary Payor Source listed is Non MDCR/MDCR Adv:

1. If Primary Payor Source listed is Non MDCR/MDCR Adv, Stage Complete Task (NOMNC is not required):

   

Scenario #2: Primary Payor Source listed is MDCR/MDCR Adv, NOMNC DETAILS Coordination Note indicates NOMNC not required

1. For MDCR/MDCR ADV, review Coordination Notes to determine if NOMNC is not required:

   1. From the Workflow Console, select Review Coordination Notes, Administrative Specialist, Note Type–NOMNC Details:

      

   2. Review Coordination Note to view content of note:

      

      

   3. If NOMNC not required, Stage Complete task:

      

Scenario #3: Primary Payor Source listed is MDCR/MDCR ADV, no NOMNC DETAILS Coordination Note

1. NOMNC will be required if MDCR/MDCR ADV is payer and there is no NOMNC DETAILS coordination note that indicates otherwise.

   

   1. View Patient/Episode Attachments for linked/signed paperwork:

      

   2. Follow up with clinician if paperwork has not been received back/signed.
   3. Task should remain in workflow until NOMNC is received/signed and attached to the patient’s chart.

   4. When paperwork is received, stage complete.

      

Scenario #4: NOMNC DETAILS Coordination Note but NO Verify Receipt of NOMNC to Client Workflow Task

1. If CQS or Clinical Supervisor identifies the need to alert the office to manually track the NOMNC, they will complete the NOMNC DETAILS coordination note. This may be because part of the discharge process was missed, indicating that the Verify Receipt of NOMNC to Client Workflow task will not generate.

   1. Review Coordination Notes for NOMNC Details:

      

   2. View Patient/Episode Attachments for linked/signed paperwork:

      

   3. Follow up with clinician if paperwork has not been received back/signed.
   4. Coordination Note should not be completed until NOMNC is received/signed and attached to the patient’s chart.

   5. When paperwork is received signed and attached, mark note as reviewed:

      

📅 Effective: 04/20/2023  |  🔍 Reviewed: 09/19/2024

🛠️ Revised: 07/18/2025  |  ✅ Approved by: JS