medicare medicare
play

Medicare Medicare Outpatient Observation Notice Outpatient - PowerPoint PPT Presentation

Jan 21, 2023 •223 likes •361 views

Medicare Medicare Outpatient Observation Notice Outpatient Observation Notice Janet Miller Center for Medicare February 7, 2017 Overview Overview Medicare Outpatient Observation Notice The MOON What Why About What is the MOON?

  1. Medicare Medicare Outpatient Observation Notice Outpatient Observation Notice Janet Miller Center for Medicare February 7, 2017

  2. Overview Overview Medicare Outpatient Observation Notice The MOON  What  Why  About

  3. What is the MOON? What is the MOON? • New Notice informing ...  FFS beneficiaries  Managed care enrollees ... that they are outpatients , rather than inpatients, in a hospital or CAH

  4. Why do we have the MOON? Why do we have the MOON? • To reduce confusion:  Outpatient distinction often unclear • Outpatient cost implications • State laws: outpatient notice

  5. Why do we have the MOON? Why do we have the MOON? • Unanimous passage  Enacted August 6, 2015

  6. About the MOON About the MOON • Written notice • Verbal explanation • For beneficiaries receiving outpatient observation services –  More than 24 hours  No later than 36 hours

  7. About the MOON About the MOON Must include: • Reason for outpatient vs. inpatient • Financial implications  Part B outpatient cost-sharing  Self-administered drugs

  8. About the MOON About the MOON Makes clear: • Outpatient observation days will not count toward 3-day minimum inpatient stay required for Medicare- covered skilled nursing care

  9. About the MOON About the MOON Must be:  Signed And written in:  Standardized format  Plain language

  10. About the MOON About the MOON • Compatible with existing state laws  Deliver before 24 hours  Attach additional page  Attach state-required notice

  11. About the MOON About the MOON • Hospitals are required to deliver no later than: March 8, 2017 • Released guidance with more specifics about MOON delivery.

  12. Learn More Learn More CMS.HHS.GOV/BNI MOONMailbox@cms.hhs.gov

Recommend

MEDICARE BASICS Welcome to Medicare Presented by the Aging & Disability Resource Center of

MEDICARE BASICS Welcome to Medicare Presented by the Aging & Disability Resource Center of

MEDICARE BASICS Welcome to Medicare Presented by the Aging & Disability Resource Center of Central Wisconsin Last updated: 12/9/2019 What are the parts of Medicare? Medicare A Medicare B Medigap Policy Medicare D Medicare C + 1

375 views • 15 slides
Original A/B Medicare and Medicare Advantage Part C or Medicare Advantage Whats The

Original A/B Medicare and Medicare Advantage Part C or Medicare Advantage Whats The

Original A/B Medicare and Medicare Advantage Part C or Medicare Advantage Whats The Advantage?!? Daniel Bailey, FSA, MAAA ACUMEN ACTUARIAL 1 Overview Medicare in 2018 ~55.5 mil Medicare beneficiaries ( benes ): ~84% are

865 views • 29 slides
MEDICARE PREPARATION Topics Understanding Medicare Enrolling in Medicare Working

MEDICARE PREPARATION Topics Understanding Medicare Enrolling in Medicare Working

MEDICARE PREPARATION Topics Understanding Medicare Enrolling in Medicare Working past age 65 Medicare and your state health insurance Split households Private Part C and Part D plans Resources MEDICARE

723 views • 29 slides
The Medicare Tsunami Bigger than Medicare Set Asides Stronger than the Medicare

The Medicare Tsunami Bigger than Medicare Set Asides Stronger than the Medicare

The Medicare Tsunami Bigger than Medicare Set Asides Stronger than the Medicare Secondary Payer Act Faster than the end of the recession A Tsunami you can plan for 1 2 Outline Medicare Eligibility

611 views • 20 slides
Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health plan Terri Lynn Retiree Solutions Manager VEBA Post 65 Basics of Medicare 2 What Is Medicare? Medicare is a federally funded health

435 views • 20 slides
Medicare: Parts A and B and Donna McCormick Medicare Advocacy Project Medicare Greater

Medicare: Parts A and B and Donna McCormick Medicare Advocacy Project Medicare Greater

Medicare: Parts A and B and Donna McCormick Medicare Advocacy Project Medicare Greater Boston Legal Services Advantage Elder Benefits Training June 2020 A national health insurance program established in 1965. Looks and acts

581 views • 34 slides
Your New Medicare Card Information for People With Medicare 2018 1 What does the new

Your New Medicare Card Information for People With Medicare 2018 1 What does the new

Your New Medicare Card Information for People With Medicare 2018 1 What does the new Medicare Card look like? It has your Name New Medicare number Dates that Medicare Part A and Medicare Part B coverage started It

87 views • 8 slides
PacificSource Medicare v PacificSource Medicare 2019 Plan Changes Medicare The service

PacificSource Medicare v PacificSource Medicare 2019 Plan Changes Medicare The service

PacificSource Medicare v PacificSource Medicare 2019 Plan Changes Medicare The service area has expanded to include Clackamas, Multnomah, and Washington counties and Clark County, Washington. Now $0 copay for Silver& Fit

534 views • 15 slides
Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health plans Terri Lynn Retiree Solutions Manager WELCOME - Grossmont-Cuyamaca Community College > District What Is Medicare? Medicare is a

594 views • 17 slides
Whats in Store for Medicare? May 24, 2017 The 24 th Princeton Conference Possible Medicare

Whats in Store for Medicare? May 24, 2017 The 24 th Princeton Conference Possible Medicare

Whats in Store for Medicare? May 24, 2017 The 24 th Princeton Conference Possible Medicare Changes: Impact on Beneficiaries, Payers, and the Federal Budget Tricia Neuman, Sc.D. Director, Program on Medicare Policy, Kaiser Family Foundation

432 views • 12 slides
Medicare Parts Part A is for inpatient hospital expenses. Free as a part of Social Security.

Medicare Parts Part A is for inpatient hospital expenses. Free as a part of Social Security.

Christopher C. Dee, CLU Your Go-To-Guy for Health Insurance Medicare - Parts to the Puzzle 2019 2019 Medicare Handbook https://www.medicare.gov/pubs/pdf/10050-Medicare-and-You.pdf Medicare Parts Part A is for inpatient hospital expenses.

453 views • 14 slides
CRFB.org Types of Medicare Expansion Medicare Buy-In/Eligibility Change A Public Option

CRFB.org Types of Medicare Expansion Medicare Buy-In/Eligibility Change A Public Option

CRFB.org Types of Medicare Expansion Medicare Buy-In/Eligibility Change A Public Option (Medicare for Some) Medicare for All (Comprehensive Single-Payer) CRFB.org How Much Would Medicare for All Cost? Depends on what you mean by

431 views • 10 slides
Medicare doesnt have to be complicated Medicare 101 Casanova Ins Discover the benefits of

Medicare doesnt have to be complicated Medicare 101 Casanova Ins Discover the benefits of

Medicare doesnt have to be complicated Medicare 101 Casanova Ins Discover the benefits of getting Medicare with: What is Medicare? Medicare is health insurance for people 65 or older, people under 65 with certain disabilities, and people

673 views • 33 slides
Health Insurance and Retirement Kaiser, CoreSource, and Medicare Medicare Basics Any

Health Insurance and Retirement Kaiser, CoreSource, and Medicare Medicare Basics Any

Health Insurance and Retirement Kaiser, CoreSource, and Medicare Medicare Basics Any retiree is eligible to enroll in Medicare at age 65 Once you are 65 and retired you are required to enroll in Medicare to keep your lifetime medical

435 views • 25 slides
Medicare and Medicaid Overview and Comparison History and Description Medicare and Medicaid

Medicare and Medicaid Overview and Comparison History and Description Medicare and Medicaid

Medicare and Medicaid Overview and Comparison History and Description Medicare and Medicaid were enacted in 1965. Medicare (Title XVIII of the Social Security Act) extended coverage to nearly all Americans aged 65 or older and those

319 views • 7 slides
Medicare Diabetes Prevention Program (MDPP) Expanded Model: Opportunities for Medicare Shared

Medicare Diabetes Prevention Program (MDPP) Expanded Model: Opportunities for Medicare Shared

Medicare Diabetes Prevention Program (MDPP) Expanded Model: Opportunities for Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACO) to Get Involved Centers for Medicare & Medicaid Services (CMS) Center for Medicare and

338 views • 21 slides
Significant Medicare Health Plan Changes Coming! Special Guest Speaker: Christy Namvar Medicare

Significant Medicare Health Plan Changes Coming! Special Guest Speaker: Christy Namvar Medicare

Significant Medicare Health Plan Changes Coming! Special Guest Speaker: Christy Namvar Medicare Specialist Direct Line: 612.436.3703 Email: Cnamvar@advisornet.com Agenda For Today BACK TO THE BASICS OF MEDICARE What is Medicare? Who is

438 views • 25 slides
Medicare Plus Blue Group PPO We have the solution. 1 What is Medicare Advantage? Plans

Medicare Plus Blue Group PPO We have the solution. 1 What is Medicare Advantage? Plans

Medicare Plus Blue Group PPO We have the solution. 1 What is Medicare Advantage? Plans offered by private insurance companies that contract with The Centers for Medicare and Medicaid Services (CMS). The insurers contract with the

480 views • 9 slides
Medicare Conditional Payment and Medicare Advantage Plan Reconciliation Processes Techniques to

Medicare Conditional Payment and Medicare Advantage Plan Reconciliation Processes Techniques to

Presenting a live 90-minute webinar with interactive Q&A Medicare Conditional Payment and Medicare Advantage Plan Reconciliation Processes Techniques to Minimize Repayment Obligations and Maximize Medicare Refunds After a Liability

1.23k views • 50 slides
Mutual of Omaha Medicare Supplements Jason Weber Sales Director, Medicare Supplement Mutual of

Mutual of Omaha Medicare Supplements Jason Weber Sales Director, Medicare Supplement Mutual of

Mutual of Omaha Medicare Supplements Jason Weber Sales Director, Medicare Supplement Mutual of Omaha Medicare Projected Enrollees Medicare Decision Tree Your Clients Are Buying a Commodity Product Our Company Founded in 1909 A mutual

640 views • 26 slides
Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage (HMO)

Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage (HMO)

Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage (HMO) Fresno Unified School District Yolanda Smith Retiree Consultant September 2014 Basics of Medicare What is Medicare? Medicare is a

497 views • 18 slides
MACRA MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 HISTORY OF MEDICARE Enacted with

MACRA MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 HISTORY OF MEDICARE Enacted with

MACRA MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 HISTORY OF MEDICARE Enacted with Social Security Act 1965 Omnibus Budget Reconciliation Act of 1990 (OBRA 90) Balanced Budget Act of 1997 2003 Medicare Prescription Drug

653 views • 18 slides
National Medicare Education Program (NMEP) Meeting Centers for Medicare & Medicaid Services

National Medicare Education Program (NMEP) Meeting Centers for Medicare & Medicaid Services

National Medicare Education Program (NMEP) Meeting Centers for Medicare & Medicaid Services Office of Communications September 20, 2018 New Medicare Card Information for Partners & Stakeholders Julie Franklin Integrated

737 views • 44 slides
Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage City

Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage City

Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage City of San Diego Nancy Voltero Retiree Consultant Basics of Medicare 2 What is Medicare? Medicare is a federally funded health insurance program

425 views • 19 slides

More recommend