tci Part B Insider - 2008 Issue 10

PART B REVENUE BOOSTER: 5 Examples Show You When the New ABN Suits Your Needs

Get to know these common reasons for ABN useThe 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: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 (G0103) annually. Medicare most likely won't...

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