tci General Surgery Coding Alert - 2004 Issue 6

You Be The Expert: ABNs and Uncovered Medicare Services

Question: Our office obtains advance beneficiary notices each time there is some doubt about whether Medicare will pay for a particular service. Do we also have to get a signed ABN if we know for certain that Medicare will not pay for a service?Rhode Island SubscriberAnswer: Not if you're sure Medicare won't pay. If you have found some official documentation from Medicare stating that it never reimburses for a service, an ABN is not necessary."ABNs are designed for potentially noncovered Medicare services; it's only for those questionable reimbursement areas where Medicare may not pay," says Kathryn...

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