Primary Care Coding Alert

ABNs:

Yes, You Can Still Use an ABN-Style Waiver for Non-Covered, Non-Medicare Services

Steer clear of angry patients and lost reimbursement by covering your bases up front.When your payer won't cover a procedure or service yourfamily physician plans to perform for a Medicare patient, you know to ask the patient to sign an advance beneficiary notice (ABN) explaining coverage expectations. But have you tried using a similar strategy with non-Medicare patients? Follow this expert advice to ensure your physician gets paid for every service without surprising patients with unexpected bills.Implement a Specific ABN for Private PayersIf you know a non-Medicare patient's insurance won't cover a service or procedure, turn to some form of waiver or ABNinspired document. Doing so not only increases your chances of collecting from the patient but is also a good patient relations move."I've done this on occasion," says Elizabeth Hollingshead, CPC, CMC, a corporate billing/coding manager in Marysville, Ohio. "It's more of a way to notify the patient ahead [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Primary Care Coding Alert

View All