[Verified Answer]: Which of the following scenarios would be…

Which of the following scenarios would be considered “proper notice” when issuing the NOMNC, CMS 10123? The resident is informed that Medicare services are ending today and facility staff can coordinate plans with her to return home tomorrow. The facility representative explains the right to expedited appeal, shows her the telephone number, and has her sign and date the form. The resident is informed that Medicare services are ending in two days and facility staff can coordinate with her plans to return home. The facility representative explains the right to expedited appeal and the process for obtaining the appeal. The resident signs and dates the form after she voices understanding and has no further questions. The resident is incapable of understanding the appeal process, so the physician may document the resident’s inability to understand, then order discharge from skilled services in two days, thereby waiving the requirement for a beneficiary signature on the CMS 10123. The resident is incapable of understanding the appeal process and the daughter is unavailable, so the business office may leave a message on the daughter’s home phone, put a copy of the NOMNC in the resident’s medical record, and ask the nurse to give it to the daughter at the next care plan meeting.