tci Part B Insider - 2013 Issue 32

In other news

What’s the difference between a "recommended" advance beneficiary notice (ABN) and a "required" ABN? That difference could be thousands of dollars in lost revenue if you don’t keep up with CMS requirements. Background: Earlier this year, if you provided outpatient therapy services to a patient who had exceeded the therapy cap, the beneficiary was automatically responsible for the non-covered services, and CMS had encouraged therapists to issue a voluntary ABN as a courtesy, even though it wasn’t required. Fast forward to Sept. 6, when CMS issued MLN Matters article MM8404, which states that this rule has...

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