tci Part B Insider - 2014 Issue 37

Advance Beneficiary Notices: Get the Four ABCs of ABNs

Learn how to use the ‘courtesy’ modifier.  You may often face this hurdle: what to do when a clinician orders a test that Medicare may not cover. If you think the answer is, “get a signed Advance Beneficiary Notice (ABN),” you’re only partially right. When to use an ABN and how to let your payer know that you have one can be a source of much confusion. Get on the right payment track with the following four myths and reality checks. Refer to Table 1 on page 292 to see the ABN modifier definitions...

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