DecisionHealth, DecisionHealth - 2026 Issue 5 (May)

Mandatory ABN use shows low denial rate among most top specialties

Specialties with high utilization of a mandatory advance beneficiary notice of noncoverage (ABN) usually received payment for claims with ABN modifier GA (Waiver of liability statement issued as required by payer policy, individual case). In addition, many, but not all, of those providers frequently forgot to get mandatory ABNs to patients in a timely fashion.

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