BC Advantage - 2009 Issue 10

Medicare's Advanced Beneficiary Notice

Are you clear on the correct use of Medicare's Advance Beneficiary Notice (ABN)? If you are not sure, don't despair, you're not alone. In my travels, I have found that many physician staff members are confused about how and when the ABN is to be used.Medicare has very specific rules when it comes to their beneficiaries being made aware of their financial responsibility. For example: Medicare has identified certain codes that have limited coverage. This means that the code is sometimes paid for by Medicare and sometimes not paid for by Medicare due to medical necessity. For codes...

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