tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Industry Notes: CMS Updates Dual Eligible Guidance On ABNs

Plus: Feds Charge 35 with genetic testing scheme. Don’t miss the feds latest ABN change up. While Medicare isn’t revamping its Advance Beneficiary Notice itself, it is proposing a change to the ABN instructions, notes the National Association for Home Care & Hospice. “Guidelines for Dual Eligible beneficiaries have been added to the ABN form instructions,” Centers for Medicare & Medicaid Services (CMS) says in its Paperwork Reduction Act (PRA) documents supporting the change. “Dually Eligible beneficiaries must be instructed to check Option Box 1 on the ABN in order for a claim to...

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