tci Medicare Compliance & Reimbursement - 2004 Issue 21

ABN: Achieve ABN Success In 4 Simple Steps

When Medicare is shy, break the ice with these forms.Misinterpreting the extensive rules for advance beneficiary notices (ABNs) saddles many providers with needless bills and compliance problems. But following a few simple guidelines will keep them in the know about when they need a patient's John Hancock and when they don't. 1. Specify the Reason What service does the provider think Medicare will deny, and more important, why do they think Medicare won't pay? Include this information on the ABN, and in language the patient can understand. Just saying the service is "medically unnecessary" isn't enough, said Thomas...

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