Medical Necessity Concepts and the ABN for Outpatient Offices

It is very important to establish a relationship with all your patients and communicate when they may be responsible for paying for healthcare services. The Centers for Medicare and Medicaid (CMS) requires physicians, practitioners, hospitals, independent laboratories, and suppliers to use the Advance Beneficiary Notice of Noncoverage (ABN) to communicate to Medicare beneficiaries if a service may be non-covered. By learning about medical necessity and following the conditions under this form, you are assured your Medicare patients are receiving complete information regarding their financial responsibilities. This course teaches you when those appropriate instances are and why it’s important to complete the ABN accurately and in a timely manner.