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Physicians spared from tough new ABN GA modifier rule, at least for now
Institutional providers will need to be much more careful in using Medicare's Advance Beneficiary Notice of Non-coverage (ABN) form in 2010, thanks to a tough new rule CMS recently unveiled. Transmittal 1840 to the Medicare Claims Processing Manual, released Oct. 29, isn't explicitly clear about whether it applies to hospitals/facilities or physician practices, but CMS does intend for it to affect onlyinstitutional claims (i.e. services done in hospitals and facilities), an agency official confirms in an interview with Part B News.
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