tci Part B Insider - 2007 Issue 7

PART B MYTH BUSTER: The ABN Is Not A Cure-All For Your Non-Paid Services

You can't use ABNs to collect extra from patientsConfused 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 should use...

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