DecisionHealth, DecisionHealth - 2013 Issue 6 (June)

Getting paid: Don’t charge patient when therapy charges exceed annual cap without ABN

In the latest Medicare clampdown on therapy payments, CMS says when your therapy gets denied as a result of hitting the annual payment cap ($3,700), you can’t bill the patient for the denied amount unless you have had the patient sign an advance beneficiary notice of non-coverage (ABN).

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