Question: The provider notifies the patient regarding a non covered maintenance service. Are there any conditions that he should take note while asking the patient to sign an ABN?
Delaware Subscriber
Answer: Yes, there are certain situations to consider while asking the patient for an ABN (advance beneficiary notice). As per standards relating to a defective ABN, an ABN becomes an unacceptable document if:
Note: A previously furnished ABN is acceptable evidence of notice for current items or services if the previous ABN cites similar or reasonably comparable items or services for which denial is expected on the same basis in both the earlier and the later cases. Moreover, a previous documented denial of payment from a Medicare contractor for a similar claim received by the beneficiary not more than one year previously is also acceptable evidence of notice for current claim.