tci Medicare Compliance & Reimbursement - 2005 Issue 27

HOME HEALTH: It's A Mistake To Hold Onto That ABN

Delayed ABNs ignore the NEMB altogether.One of the biggest gray areas regarding the new expedited review notices is how they'll coordinate with advance beneficiary notices - but don't expect guidance on that quandary any time soon.The Centers for Medicare and Medicaid Services does give some clues on the differences between the new notices and the home health advance beneficiary notice in a new 45 Question and Answer set. "Expedited determination notices are given to alert beneficiaries, prior to discharge, of their right to obtain an independent, immediate review [of] the upcoming end of Medicare covered care...

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