The Quandary of Advance Beneficiary Notice (ABN)

Event Information
Product Format
Prerecorded Event
Conference Date
Tue, Jul 26, 2016
60 minutes
Product Description

Questions You Should Ask Yourself When Completing Your ABNs—and the ANSWERS!

Per guidelines, Medicare contract will hold any provider who either failed to give notice when required or gave defective notice of financial liability to the beneficiary. The ABN must be completed as required by Medicare with all required blanks duly filled up. Failure to use the ABN correctly may lead to provider liability and loss of revenue.

Are your Advance Beneficiary Notices (ABNs) completed as required? You may be unintentionally leaving blanks that could lead to refunds to Medicare or the patient.

Join expert speaker Melody S. Irvine in this audio session to identify when to issue an ABN; what information is required on the ABN; who can sign the ABN; and most importantly what information to complete if there is a language barrier or denial to sign by the beneficiary. You’ll look at a real ABN and specifically learn what correct information is needed per their guidelines.

Session Highlights:

  • Completion of ABNs - Questions to ask yourself in the completion of the ABN.
  • What if the beneficiary changes their mind on signing the ABN?
  • How many years do we keep ABNs?
  • When to issue an ABN?
  • Do you have an ABN signed for a physical?  The answer is Yes and No, find out why
  • What if a beneficiary refuses to choose an option or sign an ABN?
  • What is the notifier’s responsibility of the ABN?
  • Events that prompt ABN – There are several events call Initiations, Reductions and Terminations that will require the patient to sign an ABN
  • Other types of ABNs

Session Snapshots:

  • Introducing Advance Beneficiary Notices (ABNs)
  • Common Acronyms
  • Advanced Beneficiary Notice of Non-coverage  
  • ABN Guidelines
  • Coverage Based on 3 Main Factors
  • Voluntarily Issue an ABN
  • Routine Notice to All Beneficiaries
  • Other Prohibitions
  • Completion of ABN
  • Representative of Beneficiary
  • Triggering Events That Prompt Use of ABNs
  • Multiple Entities
  • Extended Course of Treatment
  • Customization/Modification of ABN
  • Billing of ABNs
  • Medicare Waivers
  • Collections of Funds
  • Refunds
  • Hospice and Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Home Health Advance Beneficiary Notice (HHABN)
  • When to Issue an ABN for DMEPOS Suppliers

Who should attend

Any office that uses ABNs or should be using ABNs. There are some offices that do not understand the loss of income that can affect their physicians by not having them completed by Medicare patients.

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Melody S. Irvine - Medical Billing and Coding Expert

Melody S. Irvine, CPC, CPMA, CEMC, CFPC, CPB, CPC-I, CCS-P, CMRS, AAPC Fellow, has 38 years of experience in the medical profession. She is the founder of Career Coders Online Medical Billing and Coding School with a specialty in physician auditing. Her extensive background includes director of coding, auditing, compliance, urgent care and billing for a forty-eight multi-specialty physician practice as well as a previous...   More Info
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