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https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R42BP.pdf
observation care or to admit the patient as an inpatient can be made in less than 48 hours, usually in less than 24 hours. In only rare and exceptional cases do reasonable and necessary outpatient observation services span more than 48 hours. Hospitals may bill for patients who are “direct admissions” to observation. A “directFile Size: 65KB
https://medicareadvocacy.org/medicare-info/observation-status/
In most cases, the Manuals provide, a beneficiary may not remain in observation status for more than 24 or 48 hours. Even if a physician orders that a beneficiary be admitted to a hospital as an inpatient, since 2004 CMS has authorized hospital utilization review (UR) committees to change patients’ status …
https://www.cgsmedicare.com/partb/mr/pdf/observation_serv_factsheet.pdf
observation services span more than 48 hours. In the majority of cases, the decision whether to discharge a patient from the hospital following resolution of the reason for the observation care or to admit the patient as an inpatient can be made in less than 48 hours, usually in less than 24 hours. Initial Observation Care (New/Established Patients)
http://www.hcpro.com/content.cfm?dp=HIM&content_id=212898
Jun 06, 2008 · Because Medicare states that observation of more than 48 hours in duration should be rare and exceptional, we recommend that qualified personnel review all observation cases that exceed 48 hours to verify the medical necessity of all hours you bill. If documentation shows that a physician actively treated the patient, and that the physician tried to make the determination whether to admit the patient as an inpatient or discharge him or her, you should bill these hours.
https://www.cms.gov/newsroom/fact-sheets/medicare-outpatient-observation-notice-moon
Dec 08, 2016 · Hospitals and CAHs are required to furnish a new CMS-developed standardized notice, the Medicare Outpatient Observation Notice (MOON), to a Medicare beneficiary who has been receiving observation services as an outpatient. Under CMS’ final NOTICE Act regulation, published August 2, 2016, hospitals and CAHs may deliver the MOON to individuals receiving observation services as an outpatient before such individuals have received more than 24 hours of observation …
https://med.noridianmedicare.com/web/jea/topics/observation
Mar 07, 2017 · Decision to admit or discharge should be made within 48 hours, usually less than 24 hours; Observation status generally assigned to patients who present to emergency department (ED) and then require treatment/monitoring before a decision to admit or discharge can be made "Direct Admit" occurs when patient in community admits to observation bypassing ED or clinic; Not Observation
https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00091093
Nov 12, 2020 · All patients receiving services in hospitals and clinical access hospitals (CAHs) must receive a Medicare outpatient observation notice (MOON) no later than 36 hours after observation …
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