tci Medicare Compliance & Reimbursement - 2008 Issue 12

Part B Revenue Booster: Get To Know These Common Reasons For ABN Use

5 examples show you when the new ABN suits your needs The new advance beneficiary notice (ABN) form has more uses than prior forms, because it incorporates ABNs for physicians and labs, as well as the notice of exclusion from Medicare benefits (NEMB). To get your brain around how to use this new form, check out these five examples of proper use: Example 1: Because of personal concerns, a patient asks that a urologist perform a second screening prostate-specific antigen (PSA) determination, although he had one within the last year. By statute, Medicare will only reimburse one screening PSA...

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