decisionhealth Newsletters, Part B News - 2002 Issue 4 (April)
Referring doctor may obtain ABN, CMS says
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Article Overview
This article covers CMS guidance on advance beneficiary notices (ABNs) in the context of laboratory and radiology services. It explains the administrative setting in which the guidance was discussed, the roles of referring physicians and testing facilities, and CMS’s rationale for clarifying Medicare manual instructions. It is relevant to providers, billing staff, compliance teams, and others who handle Medicare patient notices and documentation.
Why This Topic Matters
ABN handling affects Medicare compliance, patient notification processes, and documentation workflows for diagnostic and laboratory services. Understanding CMS’s position helps organizations align internal procedures with federal guidance.
What You Will Learn
- The CMS context for advance beneficiary notices in laboratory and radiology settings
- Which parties may complete and obtain patient signatures on ABNs
- Why CMS issued or defended draft Medicare manual instructions on this topic
- The organizational and compliance setting in which the guidance was discussed
Who Should Read This
- Physicians
- Referring providers
- Laboratory billing staff
- Radiology billing staff
- Compliance professionals
- Medicare administrative staff
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