Get Ready to MOON Your Patients! New Notification Requirements for Patients Receiving Outpatient Observation Services


Institute for Healthcare Improvement 28th Annual National Forum on Quality Improvement in Health Care (Orlando, December 4-7, 2016) Storyboard by Timothy Kelly, MS, MBA, Taylor Healthcare


The Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act), enacted August 6, 2015, is slated for enforcement on March 8, 2017. This legislation is designed to help eliminate confusion on the part of Medicare beneficiaries who are admitted for observation services as outpatients – it requires that those patients, who receive observation services as outpatients for greater than 24 hours, receive both oral and written notification of their status via the Medicare Outpatient Observation Notice (MOON). Potential challenges for hospitals include completing the MOON and patients who may leave against medical advice upon understanding their coinsurance responsibilities.

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