Medical Necessity Concepts and the ABN
It is important to let patients know when they are responsible for paying for health care services. The Centers for Medicare and Medicaid (CMS) require health care providers to use the Advance Beneficiary Notice of Noncoverage, commonly referred to as an ABN, to help Medicare Fee-For-Service (FFS) beneficiaries understand medical necessity, and how it impacts payment for the services they receive.
Covered in this course:
- How medical necessity affects health care coverage and payment decisions
- The purpose of an ABN
- The ramifications of an inaccurate ABN
