If you bill Medicare for products or services provided to a patient, and that claim is denied, Medicare will not consider this to be the patients’ responsibility. As a result, the patient will not be charged and you will not be reimbursed—unless you have an Advance Beneficiary Notice (ABN).
An ABN, also known as a waiver of liability, is a notice a provider should give Medicare patients before they receive a service if, based on Medicare coverage rules, the provider has reason to believe Medicare will not pay for the service.
Benefits of ABN Checker Software and Services
An ABN notifies Medicare that your patient was aware that certain procedures were provided. After the ABN has been obtained, you can hold the patient liable for any charges not covered by Medicare. This basically lets patients know that they will financially responsible.
While you can have your own ABN forms, you still need to be sure the forms contain the required language and is up-to-date with any Medicare requirements. The ABN has to be easy to read; use a large font size; and identify the provider, the patient, the service or item in question, and the reason that payment is expected to be denied. Most importantly, the patient must sign the ABN each time the service or item is provided.
Is your staff equipped to ensure you have the most current ABN forms and that the forms are automatically generated once you register a Medicare patient in your system?
An ABN Checker Software and Services vendor makes this process simple and easy for you. This saves your staff time and can save you money in the long run.
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