(redirected from Notice of Non-Coverage)
NONCNotice of Non-Compliance
NONCNotice of Non-Coverage (health insurance)
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* missing pre-authorization documentation or a signed Advanced Beneficiary Notice of Non-Coverage.
The hospital must have either the agreement of the physician or the QIO before giving a patient written notice of non-coverage. If the physician, but not the QIO, agrees with the hospital, the patient may make a telephone request to the QIO for review, with a simultaneous written confirmation to the QIO of the request for review.
If the QIO upholds its initial decision, then the patient is liable for all charges beginning the third day after receipt of the hospital's notice of non-coverage.
These overturns primarily focus on two issues: preparation and delivery of the notice of non-coverage (NONC), and reasons for denial of skilled services.
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