Tip: ABN primer: the right way to complete the form
Compliance Monitor, June 2, 2004
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Do you have a policy in place that outlines the correct way to fill out an Advance Beneficiary Notice (ABN)? Here's the proper protocol:
1. Complete ABN forms with the patient's name and Medicare health-insurance number
2. Include the service that Medicare will likely deny in the appropriate box
3. Include the reason you anticipate the denial in the appropriate box
4. The provider may estimate the cost for the service. If a patient requests an estimate, providers should complete the form to the best of their ability. However, not including a price does not automatically invalidate an ABN.
5. Beneficiaries must select on of the following options on the form:
6. Date the form and have the beneficiaries (or their representatives) sign it
This tip was excerpted from ABN Training Handbook for Hospital Staff and Physicians, Copyright 2004 by HCPro Inc. For more information, click here.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- HIPAA Q&A: Level of encryption needed for email
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Cohesive History and Physical Requirements
- Searched