DecisionHealth, DecisionHealth - 2016 Issue 6 (June)

Compliance update: When a service is bundled, don’t bill the patient separately for it

Not all types of Medicare denials are created equal. In certain cases, it may be appropriate for a provider to have the patient sign an advance beneficiary notice (ABN) and recoup payment. In others, particularly bundled service situations, a practice can get in a lot of trouble by attempting to skirt around the rules and seek payment when it isn’t warranted.

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