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.
This 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]