Medicare is going after incorrectly paid claims more aggressively than ever. That means audits are on the rise, and your chances of being targeted just shot through the roof. So, if you’re not complying with Advanced Beneficiary Notice of Noncoverage (ABN) form regulations, you risk getting hit with significant financial liability and sanctions.
Medicare’s ABN form is tricky. Get it right, and you can collect denied funds directly from your patients. Get it wrong, and you’re left writing off tens of thousands in “not medically necessary” denials.
The problem is there are only certain circumstances when you’re required to have a patient sign an ABN. And having patients sign the form when they don’t have to can land you in just as much trouble as not getting it signed at all. You can find out how to more accurately utilize this critical and confusing form by taking advantage of this online training session by coding expert Leonta (Lee) Williams, RHIT, CCS, CCDS, CPC, CPCO, CEMC, CHONC, CRC, AAPC Fellow.
The only way for you to collect every penny you’re entitled to is to master the use of Medicare’s ABN form. Here are just some of the questions you’ll be able to answer after taking advantage of this how-to, step-by-step 60-minute online training session:
- Who should be responsible in our practice for getting an ABN signed?
- What if our patient signs and then changes their mind?
- What if our patient refuses to sign the ABN?
- How long do we have to keep a copy of a signed ABN?
- How often do patients need to sign ABNs? Do they expire?
- Do we have to provide an ABN via paper, or are fax and email acceptable?
- Can we deliver an ABN by mail or does it have to be given to our patient in person?
- When am I required to refund money patients have paid?
- If I must refund money to a patient, how much time do I have?
- If I have a signed ABN for a non-covered service, do I still need to submit a claim to Medicare?
- Are emergency services exempt from having to get an ABN?
- Should we use ABNs for Medicaid patients, too?
- How much of the standard ABN form can I customize?
- Do ABNs need to be different based on medical specialty?
- Are there any additional ABN requirements for continuous noncovered services?
- Am I required to have Non-Medicare patients sign an ABN too?
- How do I correctly report modifiers GA, GX, GY and GZ?
- Who is responsible to get the ABN signed if multiple doctors are providing care?
- When I estimate the cost of services on the form, how close do I need to be?
- Can an ABN be issued to bill a patient for services denied due to a Medically Unlikely Edit (MUE)?
- What is a voluntary ABN?
- Can an ABN be issued on services not covered by Medicare Parts A, B, C or D?
- When an authorized representative signs an ABN instead of the patient, who is responsible for the charges?
- Do I have to use an ABN form if I’m Non-Par with Medicare?
- Can we use ABNs for noncovered portions of bundled services?
- And so much more…
Who is this for? If you’re receiving denials or writing off charges for services deemed ‘not medically necessary, or if you don’t have proper front-end processes in place based on coverage benefit policies, you should take advantage of this session. For maximum benefit, attendees should possess a basic knowledge of Medicare’s billing policies and should be familiar with reporting modifiers.
Medicare reimbursement is specific to services deemed “reasonable and medically necessary.” Without the accurate use of the ABN form, you are risking serious financial and legal headaches. By taking advantage of this online training session, you’ll get the who, what, when, why and how of an ABN. You’ll get everything you need to utilize this form correctly, ensure your compliance, and collect all the reimbursement you’re ethically entitled to. Don’t wait, sign up today.
CEUs: This program meets AAPC guidelines for 1.5 CEU. On Demand product requires successful completion of a Post-Test for Core A and all specialties except CIRCC and CPMS for continuing education units.
Meet Your Expert: Leonta (Lee) Williams, RHIT, CCS, CCDS, CPC, CPCO, CEMC, CHONC, CRC, AAPC Fellow
Lee Williams has over 15 years’ experience as a coding director, auditor, educator, trainer, practice manager and mentor. She is presently the Director of Coding Operations at a large physician practice. In this role, some of her responsibilities include physician and staff education, risk mitigation, outpatient CDI and managing remote coding personnel. Lee is founder and the current president of the local Covington, GA AAPC chapter, and currently serves on AAPC’s National Advisory Board representing Region 4. Lee is a national speaker and highly credentialed through the American Health Information Management Association (AHIMA), the Association of Clinical Documentation Improvement Specialists (ACDIS) and the American Academy of Professional Coders (AAPC). She holds a degree in Health Information Technology and is a certified coder, compliance officer and clinical documentation specialist.