ABNs for procedures with screening limits like colonoscopies and flex sigs present special concerns for GI practices

Article Overview

This article explains a Medicare compliance issue affecting gastroenterology practices that perform screening procedures with frequency limits. It focuses on advance beneficiary notices, concerns about blanket use of ABNs, and the practical challenges of obtaining patient acknowledgment when prior procedure history may be uncertain. The piece is relevant to GI coders, billing staff, practice managers, and compliance personnel working with Medicare claims and patient financial responsibility.