advance beneficiary notice

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Advance Beneficiary Notice

A document signed by a patient accepting responsibility for paying for a test or diagnostic service which the patient’s primary care provider thinks is appropriate, but which Medicare may not think is appropriate under its “reasonable and necessary” standard.

ad·vance ben·e·fic·i·ary no·tice

(ABN) (ăd-vans' ben'ĕ-fish'ē-ar-ē nō'tis)
A document signed by or on behalf of a patient that authorizes a care provider to bill the patient for services that Medicare may consider not medically necessary and may thereby decline to cover.
Synonym(s): notice of noncoverage.
References in periodicals archive ?
Advance Beneficiary Notices (ABNs) state that Medicare may decide not to pay for a service they are about to receive.
The federal government is in the process of trying to make improvements in Medicare's advance beneficiary notices (ABNs), a written notice that obtains a patient's consent to pay for tests when Medicare denies coverage.
The Webcast will cover how to incorporate the changes required to meet the Centers for Medicare and Medicaid Services' (CMS) new guidelines for issuing advance beneficiary notices (ABNs) and billing for non-covered services.
If the laboratory is incurring additional costs because the SNF is not providing accurate billing information or is not having Advance Beneficiary Notices signed--both of which cause bad debt and write-off to occur--it will be hard for the laboratory to justify any discounts at all and most likely will result in some form of monetary penalty.
Auto-generates Medicare advance beneficiary notices (ABNs) for Medicare patients.
Various risk areas including items such as gifts/gratuities, conflicts of interest, use of Advance Beneficiary Notices, teaching physicians guidelines and incident to services