What is a moon notice for Medicare?
Medicare Outpatient Observation Notice (MOON) Hospitals and CAHs are required to provide a MOON to Medicare beneficiaries (including Medicare Advantage health plan enrollees) informing them that they are outpatients receiving observation services and are not inpatients of a hospital or critical access hospital (CAH).
What is a moon for outpatients receiving observation services?
Hospitals and CAHs are required to provide a MOON to Medicare beneficiaries (including Medicare Advantage health plan enrollees) informing them that they are outpatients receiving observation services and are not inpatients of a hospital or critical access hospital (CAH).
What is the Medicare outpatient observation notice?
The Medicare Outpatient Observation Notice, or MOON, is a standardized notice developed to inform Medicare patients that they are an outpatient receiving observation services and are not an inpatient of the hospital. Here are 10 things to know about the notice.
Do hospitals have to deliver the Moon to all beneficiaries?
The statute expressly provides that the MOON be delivered to beneficiaries who receive observation services as an outpatient for more than 24 hours. In other words, the statute does not require hospitals to deliver the MOON to all beneficiaries receiving outpatient services.
What is the purpose of the Medicare MOON form?
Issued to inform Medicare beneficiaries (including health plan enrollees) that they are outpatients receiving observation services and are not inpatients of a hospital or critical access hospital (CAH).
When must the moon form be given to the patient?
The MOON must be delivered before 36 hours following initiation of observation services if the beneficiary is transferred, discharged, or admitted. The MOON may be delivered before a beneficiary receives 24 hours of observation services as an outpatient.
What is IMM and MOON?
These include the Important Message from Medicare (IM), the Medical Outpatient Observation Notice (MOON), the Advance Beneficiary Notice of Noncoverage (ABN), the Emergency Medical Treatment & Labor Act (EMTALA) requirements, Medicare Secondary Payer (MSP) and Centers for Medicare & Medicaid Services (CMS) ...
What does MOON mean in medical terms?
Medicare Outpatient Observation Notice (MOON) | CMS.
Who gets a MOON form?
What is MOON? The MOON is a standardized notice to inform beneficiaries (including Medicare health plan enrollees) that they are an outpatient receiving observation services and are not an inpatient of the hospital or CAH. View the form.
What is the Moon letter?
Definition of moon letter : an Arabic consonant to which the l of a preceding definite article al is not assimilated in pronunciation. — called also lunar letter. —opposed to sun letter.
How do you describe a MOON to a patient?
The MOON is a standard CMS form with blanks for:Patient name and number.Attending physician name.Date and time observation services begin.A description of why the patient is being placed in outpatient observation status.Additional patient-specific information, which may be added by the hospital.More items...•
Can you appeal a MOON?
[22] Only the MOON defines the coverage issue as non-appealable. Just as beneficiaries can challenge a premature discharge or contest a host of other coverage determinations in the Medicare program, they should be able to appeal their placement on Observation Status.
When should you give an Important Message from Medicare?
An Important Message from Medicare is a notice you receive from the hospital and sign within two days of being admitted as an inpatient. This notice explains your rights as a patient, and you should receive another copy up to two days, and no later than four hours, before you are discharged.
When did the Moon form?
When did the Moon form? Scientists believe the moon formed during a giant impact about 60-175 million years after the solar system was born. To arrive at this estimate, they can use rocks from Earth.
How did our MOON form?
What is most widely accepted today is the giant-impact theory. It proposes that the Moon formed during a collision between the Earth and another small planet, about the size of Mars. The debris from this impact collected in an orbit around Earth to form the Moon.
What is a Medicare outpatient observation notice?
The “Medicare Outpatient Observation Notice”, or “MOON,” is a standardized document that Medicare developed for hospitals to use to explain observation status. All Medicare patients receiving observation services for more than 24 hours must receive a MOON.
When should you give an Important Message from Medicare?
An Important Message from Medicare is a notice you receive from the hospital and sign within two days of being admitted as an inpatient. This notice explains your rights as a patient, and you should receive another copy up to two days, and no later than four hours, before you are discharged.
When did the Moon form?
When did the Moon form? Scientists believe the moon formed during a giant impact about 60-175 million years after the solar system was born. To arrive at this estimate, they can use rocks from Earth.
What is the 2 midnight rule?
The Two-Midnight rule, adopted in October 2013 by the Centers for Medicare and Medicaid Services, states that more highly reimbursed inpatient payment is appropriate if care is expected to last at least two midnights; otherwise, observation stays should be used.
How do you describe a MOON to a patient?
The MOON is a standard CMS form with blanks for:Patient name and number.Attending physician name.Date and time observation services begin.A description of why the patient is being placed in outpatient observation status.Additional patient-specific information, which may be added by the hospital.More items...•
Information
Issued to inform Medicare beneficiaries (including health plan enrollees) that they are outpatients receiving observation services and are not inpatients of a hospital or critical access hospital (CAH). Hospitals must provide an oral explanation in addition to the written notice which must be signed by the patient or patient's representative.
Authority
Full instructions are available in Section 400, of Chapter 30 of the CMS Claims Processing Manual, available at: /Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c30.pdf (PDF)
Notes
Questions regarding the MOON can be submitted at: https://appeals.lmi.org
What is the MOON section?
The MOON "additional information" section may be used to add information to meet any state law observation notification requirements that differ from the MOON federal requirements but the MOON may not be used for non-Medicare/Medicare Advantage patients. 6. The MOON is required for any Medicare/Medicare Advantage patient who receives 24 hours ...
How long can you use an old moon?
The old MOON cannot be used. 3. Because the new MOON must go through the approval process, use of the MOON will not be required for at least 120 days (the 30-day comment period and unknown time for comment review and release of the final MOON then a 90-day implementation period.)
How many hours of observation is required for a MOON?
The MOON is required for any Medicare/Medicare Advantage patient who receives 24 hours of observation and must be given by 36 hours but CMS allows the MOON be given to any Medicare/MA patient who receives observation services.
Is a moon required for Medicare?
The MOON is required for patients in whom Medicare is a second payer and for all patients with Medicare Advantage plans even though the copay ments and SNF requirements for those patients may differ from those described on the MOON.