tci Medicare Compliance & Reimbursement - 2007 Issue 11

BILLING: You Can't Use ABNs To Collect Extra From Patients

The ABN is not a cure-all for your non-paid services.Confused by the extra paperwork of Advance Beneficiary Notices (ABNs)? Help is at hand.Myth #1: You should use an ABN any time you think Medicare won't pay for a service.Truth: You should only use an ABN when something is a Medicare-covered benefit but not covered in this instance, says Jeff Fulkerson with Emory Radiology in Atlanta. So for a screening exam that Medicare never covers, you should use the "GY" modifier (for statutorily non-covered services) instead of the "GA" modifier (meaning you have a signed ABN.)You...

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