E/M Coding Alert - 2016 Issue 9
Compliance: Expect the Full MOON Roll Out by October 2016
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Article Overview
This article covers the CMS rollout timeline for the Medicare Outpatient Observation Notice (MOON) and the NOTICE Act, with emphasis on implementation timing, notice delivery expectations, and hospital compliance preparation. It is relevant for hospital compliance teams, revenue cycle staff, HIM professionals, and others responsible for observation-status patient communications. The discussion also addresses draft-to-final form changes, recordkeeping considerations, and the administrative burden associated with adopting the notice.
Why This Topic Matters
Hospitals and critical access hospitals need to understand when the notice becomes required, what broad content and delivery processes are involved, and how CMS’s timing affects implementation planning and workload.
Article Sections
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Grab Ahold of the Timelines
Discusses the CMS timeline for approval and implementation of the standardized Medicare Outpatient Observation Notice and the related NOTICE Act effective date.
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Master the Anatomy of MOON
Reviews the general components of the notice, who receives it, and the broad communication requirements tied to observation services.
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Know These Changes from the Draft
Summarizes broad differences between the draft and updated notice and identifies areas of patient guidance that were revised.
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Give MOON to the Right Patient, the Right Way
Covers the intended patient population, delivery formats, retention expectations, and handling when a representative is involved.
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Know What MOON Will Cost You
Addresses the estimated administrative burden, affected provider volume, and background context for the federal notice requirement.
What You Will Learn
- The federal timeline for MOON implementation and approval
- Which provider types and patient situations are implicated by the notice
- The broad informational elements associated with the notice
- How the article characterizes draft-to-final form changes
- The general administrative burden and compliance planning considerations
Who Should Read This
- Hospital compliance staff
- Revenue cycle professionals
- Health information management professionals
- Critical access hospital administrators
- Medicare billing and patient access teams
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