Questions billers ask › What is a Notice of Medicare Non-Coverage (NOMNC) and when must it be ...
What is a Notice of Medicare Non-Coverage (NOMNC) and when must it be given?
The rule, word for word
“The expedited determination process is available to beneficiaries in Original Medicare whose Medicare covered services are being terminated in the following settings. All beneficiaries receiving services in these settings must receive a Notice of Medicare Non- Coverage (NOMNC) before their services end: For purposes of this instruction, the term “beneficiary” means either beneficiary or representative, when a representative is acting for a beneficiary. • Home Health Agencies (HHAs) • Comprehensive Outpatient Rehabilitation Services (CORFs) • Hospice • Skilled Nursing Facilities (SNFs)-- Includes services covered under a Part A stay, as well as Part B services provided under consolidated billing (i.e. physical therapy, occupational therapy, and speech therapy). A NOMNC must be delivered by the SNF at the end of a Part A stay or when all of Part B therapies are ending. For example, a beneficiary exhausts the SNF Part A 100-day benefit, but remains in the facility under a private pay stay and receives physical and occupational therapy covered under Medicare Part B. A NOMNC must be delivered by the SNF when both Part B therapies are ending. Skilled Nursing Facilities includes beneficiaries receiving Part A and B services in Swing Beds.”
What our AI found in the sources
A NOMNC (Notice of Medicare Non-Coverage) is the standardized written notice a provider must give a beneficiary before Medicare-covered services end, informing them of the termination date and their right to an expedited appeal. For SNFs specifically, the NOMNC must be delivered at the end of a Part A stay or when Part B therapy services (PT/OT/ST) are ending, including for beneficiaries in swing beds. It must be delivered at least two calendar days before covered services end, using the CMS-approved form (CMS-10123).
Also cited
Published2026-04-06 Captured2026-04-06
sha256:b25ab9bd…5ffecb8e · Source
Captured2026-05-24
sha256:f4889372…00df7468 · Source
Captured2026-05-24
sha256:f4889372…00df7468 · Source
If this comes up on one of your claims
The quoted paragraph above is what you would put in the appeal or the audit file, with its citation and dates. Verbatim does not tell you how to bill; it shows you the rule as published so the decision is yours and the proof is in writing.
Ask it your own question and get the same thing back: the governing rule, quoted, with a citation that still verifies later.
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