Effective March 8, 2017, all hospitals and critical access hospitals (CAHs) are required to provide notice informing Medicare beneficiaries who receive observation services as outpatients for more than 24 hours that they are an outpatient receiving observation status, NOT an inpatient of the hospital or CAH.
The notice, called the Medicare Outpatient Observation Notice (MOON), is required as a result of the Federal Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act) which was passed on Aug. 6, 2015. The NOTICE Act requires all hospitals and CAHs to provide written and oral notification under specified guidelines.
The Centers for Medicare and Medicaid Services (CMS) offers forms and instructions for complying with Moon requirements on its website here.
According to CMS, additional MOON requirements include:
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