tci E/M Coding Alert - 2016 Issue 10

Reader Question: Get ABN If Medicare Might Not Pay

Question: I am new to coding and I heard a fellow coder recently mention “getting an ABN” for a patient. I was too embarrassed to ask my colleagues what an ABN was, but could you explain it to me? Nebraska Subscriber Answer: An ABN, or advance beneficiary notice, is a form that you should get a patient to sign when your practice provides a service that Medicare might not cover completely, or at all. You can bill the patient for the service if you have a signed ABN. Without the ABN, you have no billing recourse if Medicare...

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