Challenges with the NOTICE Act and the MOON Form: Is your Hospital/CAH Facility Ready for the Upcoming March 8 Implementation

Duration: 60 Minutes
CMS has recently posted its updated version of the Medicare Outpatient Observation Notice (MOON), a standard notice that all hospitals and critical access hospitals must provide to Medicare beneficiaries who receive outpatient observation services for more than 24 hours. All hospitals and critical access hospitals (CAHs) are required to provide the MOON beginning no later than March 8, 2017.
MOON form
Instructor: Stephane P. Fabus
Product ID: 502058
Objectives of the Presentation
  • Review the differences between inpatient status and observation in outpatient status
  • Review and discuss the provisions within the NOTICE Act
  • Review the MOON form and the information that must be provided
  • Discuss and assess the guidance given by CMS relative to notifying Medicare beneficiaries as to their status
  • Review form, format and signature requirements
  • Discuss interaction and alignment with related state law requirements
  • Appreciate the involvement of SNFs in this process
  • Assess how the patients, physicians, and hospital are affected by this notice process; and
  • Discuss the need for policies, procedures and targeted training of individuals charged with presenting the MOON form in order to address questions and challenges regarding regulatory compliance
Why Should you Attend
The development of the MOON (Medicare Outpatient Observation Notice) form and subsequent implementation by hospitals has raised a number of different questions particularly with regard to what information needs to be included in the notice and how to identify which patients are required to receive it. This webinar explores some of the implementation processes for issuance of the MOON form and ensuring that Medicare beneficiaries and/or their families receive the information necessary to understand the implications of outpatient observation status. A brief history of the NOTICE Act and its implementing regulations, an explanation of the MOON form and discussion of frequently asked questions surrounding its implementation are all discussed. Careful development of written policies and implementation procedures is a must in this area. Proper compliance is a difficult goal, and as a condition of participation, investigation of regulatory compliance should be anticipated in the future.

Areas Covered
    I.Introduction
    • Observation versus Inpatient Admissions
    • The NOTICE Act and MOON Form
    • Over 2-Midnight Rule
    II. NOTICE Act
    • Requirements in the Act
    • Notification of Observation versus Inpatient Services
    • Explanation of Differences
    • Verification of Understanding and Receipt
    • Using the MOON Form
    • Developing Written Policies and Procedures
    III. CMS Guidance
    • Form and Format
    • Signature Requirements
    • Processes and Procedures
    • Compliance Issues
    IV. Special Concerns
    • Beneficiary Impact
    • Beneficiary Education
    • Utilization Review Involvement
    • Inpatient Admission Criteria and the Over 2-Midnight Rule - Inpatient Admission
    • Over 3-Midnight Rule - SNF Services
    • Self-Administrable Drugs
    • Appeal Rights
    • MAC and QIO Involvement
Who will Benefit
All personnel involved with patient status including physicians, clinical personnel, utilization review personnel, compliance and management personnel, coding/billing personnel, and all others involved with inpatient admission and observation services will benefit from this training program.
$300
Recorded Session for one participant
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Instructor Profile:
Stephane Fabus , Attorney with Hall, Render, Killian, Heath & Lyman, P.C. focuses her practice on assisting health care clients in a wide range of areas, including general business transactions and services and regulatory and compliance matters. She actively works with clients addressing privacy and security matters under both state and federal law. Ms. Fabus has counseled clients in various contractual matters including clinical trial agreements, supply chain and vendor contracts, leases and professional services agreements. Additionally, she has assisted health care clients in developing corporate documents, policies and procedures.
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