Tag Archives: inpatient status

CMS Proposes MOON for the NOTICE Act in FY2017 IPPS Proposed Rule

One of many changes floated in the FY2017 IPPS Proposed Rule CMS introduced a standard notice to be given to observation patients after 24 hours as such, the “Medicare Outpatient Observation Notice” (MOON) that would include all of the informational … Continue reading

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CMS Offers the MOON to fulfill NOTICE requirements

CMS has developed a standard notice, the “Medicare Outpatient Observation Notice” (MOON) that would include all of the informational elements necessary to fulfill the NOTICE Act’s written notice requirement. Continue reading

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Congress Passes H.R.876 Requiring Notice of Patient Status

President Obama Expected to Sign Soon Congress presented President Obama with a bill for his signature to require a hospital or critical access hospital to provide both oral and written notification to any patient who receives observation services for more … Continue reading

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CMS Moves The Inpatient Benchmark to 48 Hours

CMS redefined the benchmark used to determine medical necessity for an inpatient claim typically filed by acute care hospitals for Medicare reimbursement, moving the mark from 24 hours, the long-standing instruction in the Medicare Benefits Policy Manual, to 48 hours, … Continue reading

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