tci Part B Insider - 2019 Issue Q3

Compliance: Review 4 Tips to Ace ABN Quandaries

Tip: Follow Medicare’s rules to avoid ABN issues. Now and again, your practice may perform a service or furnish items that Medicare doesn’t cover for beneficiaries because it deems the care medically unnecessary or unreasonable. That’s when you must implement an advance beneficiary notice (ABN), both to alert your patients of the issue and to protect yourself from liability. Read on to make sure you know how to properly use an ABN, so you can submit clean claims every time. Tip 1: Define and Explain ABNs for Clarity Providers issue an ABN — form CMS-R-131 &mdash...

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