tci General Surgery Coding Alert - 2007 Issue 9

Reader Question ~ Capture Self-Pays With NEMB

Question: I keep hearing the term -NEMB,- but I-m not exactly sure what it is. I know that it's similar to an advance beneficiary notice (ABN) but that it isn't the same thing. Can you tell me what an NEMB is and when I would need an ABN versus when I would need an NEMB?California Subscriber Answer: A notice of exclusions from Medicare benefits (NEMB) differs from an advance beneficiary notice (ABN) in that the ABN is for services Medicare might cover but will most likely deny on the grounds that the patient does not fit the...

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