tci Medicare Compliance & Reimbursement - 2014 Issue 21

Advance Beneficiary Notices: Overcome ABN Confusion

Four reality checks put you on the right payment track. If you think that getting a signed Advance Beneficiary Notice (ABN) is the cure to all ills when a clinician orders a test that Medicare may not cover, think again. When to use an ABN and how to let your payer know that you have one can be a source of much confusion. Dispel these four myths to learn how to make appropriate use of ABNs.  Myth 1: You Must Get an ABN for Non-Covered Services You’re not required to get an ABN if Medicare excludes the...

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