ADVANCE BENEFICIARY NOTICE (ABN)
Advance Beneficiary Notice / Medicare Waiver of Liability
What is an Advance Beneficiary Notice, or ABN? It is a notice of Non-Coverage, also known as a "Medicare Waiver of Liability." It is given to Medicare Beneficiaries by physicians, providers, or suppliers, when they believe Medicare will deny services due to necessity or frequency.
Since Medicare does not pay for all health care costs, it is extremely important for providers to be up-front with patients and educate them about the ABN - or Medicare Waiver of Liability. It should be used if Medicare covers the service for some diagnoses, but the provider believes it won't be covered for another situation. Despite belief to the contrary, it is not designed for use when Medicare never covers a service.
Medicare only pays for covered items and services when Medicare rules are met. The fact that Medicare may not pay for a particular item or service does not mean that a patient should not receive it.
The ABN (also known as Advance Beneficiary Notice or Medicare Waiver of Liability) gives the patient the opportunity to accept or refuse recommended items and services and protects all parties from unexpected financial liabilities.
- A hospital or healthcare provider?
Passport Health can help you improve your overall efficiency and effectiveness by providing our Software as a Service products. We can truly help you serve your patients better. Contact us to find out how.
- A patient or prospective patient that is confused about the medicare process or about ABN/Medicare Waiver of Liability? There are plenty of solid resources out there on the web to help you, but if you are confused and would like to talk to someone, we can definitely help point you in the right direction.
The ABN process can be confusing. Passport Health will help debunk common ABN myths and - most importantly - help you and your patients understand what is covered and what is not covered.
Contact us for more details on ABN!
Medicare Blog Post of the Month
Use New Medicare Advance Beneficiary Notice ABN CMS-R-131…
March 1, 2012
By M. Oliverez
I received an email from the CMS listserv today reminding me about the new Advance Beneficiary Notice (ABN) we all have to start using…