tci Medicare Compliance & Reimbursement - 2016 Issue 23

Compliance: Nab ABN, Forget Worries About Uncovered Service

Experts: ABN will build patient trust. Occasionally, a patient will present to the practice for an evaluation and management (E/M) service that Medicare might not pay for completely, if at all. If you are unsure about whether Medicare will cover a patient’s E/M service, you should obtain an advance beneficiary notice (ABN) to keep compliant. Without an ABN on file, you could be on the hook for any part of the service Medicare doesn’t pay for. Keep all your bases covered with these tips for handling ABN situations. Green-Light ABN If Medicare Won’t Pay According to...

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