Question

An ABN form, or Advanced Beneficiary Notice, needs to be signed by patients who have what kind of insurance, and when must staff have signed?

1) Medicare, after the claim has denied and appealed at the highest level
2) State Medicaid; after the claim has been denied payment
3) Medicare; before any service or procedure is performed
4) Commercial/managed care; after the services have been rendered but before the claim has been sent out to insurance

Answer 1

An ABN form needs to be signed by patients who have Medicare insurance before any service or procedure is performed.

Step-by-step explanation:

The correct answer is option 3) Medicare; before any service or procedure is performed. An ABN form, or Advanced Beneficiary Notice, needs to be signed by patients who have Medicare insurance before any service or procedure is performed. This form serves as a notification to the patient that the service or procedure may not be covered by Medicare, and that the patient will be responsible for the cost if Medicare denies payment.