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Monday Memo
Monday Memo
Monday, January 16, 2017
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CMS MOON Law Added to Athena Forum Courses

This law is intended to make certain that Medicare beneficiaries know when they are in observation, meaning outpatient status. These updates have been added to Athena Forum courses:

  • CM (Case Manager) Express
  • Utilization Management (UM)

Diabetes Course Updates - FDA Approves Two Combo Drugs

Two new combination injectable drugs specific for use in management of Type 2 Diabetes Mellitus were recently approved for use in the United States. These drugs are actually a new drug category.

SoliquaTM 100/33 (Sanofi), a combination of U100 insulin glargine and lixisenatide (GLP-1 Agonist), will be available in January 2017.

XultophyTM 100/3.6 (Novo Nordisk), a combination of U100 insulin degludec and liraglutide (GLP-1 Agonist), the available date yet to be announced.

Will We See You In Dallas NEXT WEEK at CCMC Symposium January 26-28, 2017?

Stop by the Athena Forum Booth #300 and meet our team.

Case Managers: you can use Athena Forum courses to prepare for (re)certification exams. We can show you how.

Case Management Directors: assign Athena Forum courses to optimize staff performance and directly impact organizational excellence. We have training plans and data to support this.

Tips from our featured course

MOON: Observation versus Inpatient

FY 2017 changes to the Medicare Outpatient Observation Notice (MOON) were just finalized and all hospitals including critical access hospitals (CAHs) are now required to provide the MOON notice beginning no later than March 8, 2017.

Description: shutterstock_461375686This law is intended to make certain that Medicare beneficiaries know when they are in observation, meaning outpatient status verses inpatient admission. These updates have been added to the Athena Forum courses CM (Case Manager) Express and Utilization Management (UM).

The basic mandate is that hospitals are required to:

  • Notify Medicare beneficiaries that they are in observation if the observation services exceed 24 hours
  • Provide such notification to the beneficiary no later than 36 hours after observation services are initiated, or sooner if the individual is transferred, discharged, or admitted as an inpatient

[Utilization Management, Module B, External Forces]


Dealing with External Forces: MOON Requirements

The Medicare Outpatient Observation notification requires hospitals and critical access hospitals (CAHs) to:

  • Provide written notification using the MOON form
  • Provide an oral explanation of such notification
  • Have the notice signed by the beneficiary

Undoubtedly, this requirement will impact both case management and social services as they work with patients and families to plan discharges and transition patients consistent with external regulatory forces.

[CM Express, Module C, Effective Resource Management]

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Notice from the Publisher

I want to thank our 20,000 healthcare professionals for requesting new topics on Athena Forum.

Thanks,
Thomas A. Rasmussen
CEO & Publisher
Athena Forum Institute

Monday Memo Editor

Cathy Wright, BSN, RN

Clinical Editor

Athena Forum

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