The development of the MOON (Medicare Outpatient Observation Notice) form and
subsequent implementation by hospitals has raised a number of different questions
particularly the exact difference in determining inpatient status versus outpatient
This workshop explores some of implementation processes for issuances of the MOON
form and the questions that may be raised by Medicare beneficiaries and/or their families.
Competent personnel who are knowledgeable about the form, explanation of the notice
and the attendant questions are all discussed. Careful development of written policies
and implementation procedures is a must in this area. Proper compliance is a difficult
goal, and litigation at some level should be anticipated in the future.
Dr. Duane Abbey is a management consultant and president of Abbey & Abbey
Consultants. For more than 20 years, Dr. Abbey has provided health care consulting
services to hospitals, physicians, and medical clinics. The focus of his consulting has been
in the areas of compliance, payment and delivery systems. In addition to his consulting,
Duane is an invited presenter for hospital associations, medical societies and other groups.
He has also published articles and books on health care topics. The speaker has no real or
perceived conflicts of interest that relate to this presentation.
All personnel involved with patient status including physicians, clinical personnel,
utilization review staff, compliance and management personnel, coding/billing employees,
and all others involved with inpatient admission and observation services.