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Advance Beneficiary Notice of Noncoverage (ABN) and Notice of Medicare Noncoverage (NON) Advance Beneficiary Notice of Noncoverage (ABN) The Centers for Medicare and Medicaid (CMS) require a provider
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The ABN, or Advance Beneficiary Notice of Noncoverage, is a notice provided to Medicare beneficiaries that informs them that Medicare may not pay for certain services, procedures, or items they are about to receive.
Healthcare providers who offer services that may not be covered by Medicare are required to issue an ABN to patients before providing those services.
To fill out an ABN, healthcare providers must include the patient's information, the specific service being requested, a description of why the service may not be covered, and obtain the patient's signature acknowledging the notice.
The purpose of the ABN is to inform beneficiaries about potential non-coverage by Medicare for specific services, allowing them to make informed decisions about their care and potential costs.
The ABN must report the beneficiary's name, Medicare number, date of service, description of the service, the reason Medicare may deny coverage, and the patient's acknowledgment of responsibility for payment.
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