Wiki ABN for non-licensed provider

[Plarmstron]

If a practice is working without sufficient supervising physicians leaving residents to provide mental health care without the required supervision, would it be appropriate to use an ABN so that charges could be passed on to the Medicare beneficiary instead of being written off?

 

[thomas7331]

Absolutely not, that is not an appropriate use of the ABN. It's already likely noncompliant to be providing improperly supervised care in the first place, and I suspect it could even be illegal to try to collect payment from Medicare beneficiaries in this situation.

 

[csperoni]

Can I like the above answer 10 times??
You cannot charge the patient for services that were insufficiently supervised. I suggest you immediately reach out to your compliance department. This seems less like a coding issue and much more like a legal one.

 

[OpenClaims]

Agree, you cannot charge a patient for a service which is noncompliant. This is a service that would need to be written off and absolutely not passed on to the patient or their insurance.