Is a Medicare Advance Beneficiary Notice (ABN) Important?

Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid is what we do best!

Is a Medicare Advance Beneficiary Notice (ABN) important?

YES! An ABN is important for reimbursement.

An ABN is used when service(s) provided may not be reimbursed by Medicare.

The patient is personally responsible for full payment if Medicare denies payment for a specific procedure or treatment.

It is important the ABN be given to the patient prior to any provided service or procedure.

If there is no signed ABN you cannot bill the patient and it must be written off if denied by Medicare.

ABNs only apply to patients who are enrolled directly with Medicare.

ABNs do not apply to patients who have coverage through a Medicare product from a private insurance company.

Billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H.J. Ross Company is your solution.

H.J. Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.