All hospitals and critical access hospitals will be required to provide the final Medicare Outpatient Observation Notice (MOON) form, as well as oral notification, to applicable Medicare patients beginning March 8, 2017.
The MOON form must be signed and dated by Medicare beneficiaries (or their representative) who receive outpatient observation services for longer than 24 hours. The notice informs patients that they are classified as an outpatient receiving observation services and explains the associated implications for cost-sharing and Medicare coverage eligibility. In January, CMS updated the Medicare claims processing manual to include guidance for using the form.
The MOON was mandated under the Federal Notice of Observation Treatment and Implication for Care Eligibility Act, and also was included in Medicare’s 2017 Inpatient Prospective Payment System final rule.
Contact Director of Policy Erin O’Malley at email@example.com or 202.585.0127 with questions.