tci Medicare Compliance & Reimbursement - 2019 Issue 11

Compliance: Master ABNs with These 4 Tips

Hint: Don’t forget to append the appropriate modifiers. Now and again, your practice may perform a service or furnish items that Medicare doesn’t cover for beneficiaries because it deems the care medically unnecessary or unreasonable. That’s when you must implement an advance beneficiary notice (ABN), both to alert your patients of the issue and to protect yourself from liability. Read on to make sure you know how to properly use an ABN, so you can submit clean claims every time. Tip 1: Define and Explain ABNs for Clarity Providers issue an ABN — form CMS-R-131 &mdash...

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