The NOTICE Act and MOON: Operational Strategies and Regulatory Compliance
Tuesday, May 16, 2017
1:00-2:30 p.m. Eastern
Kimberly Anderwood Hoy Baker, JD, CPC
June Stark, RN, BSN, MEd
Level of Program:
The Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act and Medicare Outpatient Observation Notice (MOON) have been a source of regulatory and operational confusion for hospitals since they were introduced last year. Early evaluation of successes and failures regarding timing and documentation of MOON delivery is critical for organizations as they determine whether their processes should be modified.
Join HCPro instructors Kimberly Anderwood Hoy Baker, JD, CPC, and June Stark, RN, BSN, MEd, as they analyze regulatory guidance and discuss nationwide operational strategies for effective NOTICE Act and MOON compliance. The speakers will also explain NOTICE Act requirements and how to identify which patients should receive the MOON. Case studies and polling questions will help audience members gain insight into how others are tackling MOON delivery and documentation.
At the conclusion of this program, participants will be able to:
- Discuss NOTICE Act requirements and CMS definitions of patients who should receive the MOON
- Explain strategies for operationalizing the NOTICE Act and MOON delivery
- Identify pros and cons of different MOON delivery methods
- Recognize the impact of the NOTICE Act and MOON on various hospital departments
Who Should Listen?
- Case managers
- Case management managers and directors
- Utilization review staff
- Physician advisors
- Discharge planners
- Care coordination staff
- HIM directors and managers
- Compliance officers
- CDI specialists
- Revenue cycle managers
- Billing managers
- Registration and front-end staff
- NOTICE Act requirements
- Timing of MOON verbal and written delivery
- Identifying patients who must receive the MOON
- Delivery of the MOON
- CMS guidance on completing the clinical information section
- Issues regarding incompetent patients
- Requirements for patients who become inpatients after 24 hours
- Electronic vs. paper delivery of the MOON, and documentation of delivery
- Strategies for assigning a department to deliver the MOON
- Successes and failures
- Determining whether to use case management or registration staff: Pros and cons
- Case study on methods of MOON delivery
CMS website downloads:
- CMS-10611: MOON Instructions
- CMS-10611: MOON
- CMS10611: MOON Spanish
(Nursing contact hours valid for Live webcast participant only) - HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This educational activity for 1.5 nursing contact hours is provided by HCPro. (Ability to claim nursing contact hours for this webinar expires on: 5/15/2018)
Commission for Case Manager Certification (CCMC)
This program has been submitted to The Commission for Case Manager Certification for approval to provide board certified case managers with 1.5 clock hour(s).
Meet the Speakers
Kimberly Anderwood Hoy Baker, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist and lead instructor for HCPro's Medicare Boot Camp®—Hospital Version, Utilization Review Version, and Provider-Based Departments Version. She is a former hospital compliance officer and in-house legal counsel, with over 20 years of healthcare experience and over 10 years of experience teaching, speaking, and writing about Medicare coverage, payment, and coding regulations and requirements.
June Stark, RN, BSN, MEd, instructor for HCPro's Case Management Boot Camp®, has been a director of case management and social work for more than 18 years in both major Boston teaching hospitals and community-based hospitals. Currently, she is the director of case management and social work at St. Elizabeth’s Medical Center in Boston. Stark’s long-time experience in case management provides her a unique perspective and understanding of case management's role, operations, and systems. She shares her expertise as an adjunct facility member at the Regis College School of Nursing in Weston, Massachusetts, where she has taught case management and care coordination since 2012. She has been teaching a case management certification course at the University of Southern Maine since 1998. Stark is an editorial advisory board member and regular contributor to HCPro’s Case Management Monthly newsletter.
Webinar system requirements and program materials:
To fully benefit from the webcast experience, please note you will need a computer equipped with the following:
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
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