DecisionHealth, DecisionHealth - 2009 Issue 3 (March)

New ABN can show patients if they're under therapy cap

Use the new Advance Beneficiary Notice of Non-coverage (ABN) to notify patients when they could potentially be personally responsible for the cost of services that exceed Medicare's therapy caps. CMS's Transmittal 1678 to the Medicare Claims Processing Manual instructs providers to use either the newly revised ABN CMS-R-131 or Notice of Exclusion from Medicare Benefits form CMS-20007 to show Medicare coverage under the cap.

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