Claim Upload Coding Tip: Advance Beneficiary Notice of Noncoverage Form

Posted by Janelle Pauli on Fri, Jun 01, 2012 @ 09:06 AM

claims processingCheck out our newest coding tip to help out with your electonic claim uploading and processing! Are you familiar with when and how to use the Advance Beneficiary Notice of Noncoverage (ABN) form? 

The ABN form is provided to Medicare beneficiaries as a way to advise them that a specific service or item may not be covered by Medicare. It also makes them aware that if it is not covered, that it will be the patient's responsibility.  Common instances where an ABN is used include noncovered diagnosis codes, testing that exceeds frequency edits, and with some patients that request add-ons
for glasses (after cataract surgery).

More recent forms and instructions can be found here.

 

 

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Tags: Tips & Tools, Electronic Claim Filing

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