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. The ABN form informs the patient that Medicare might not cover the service or procedure, and the patient will be responsible for the costs if Medicare denies payment.

This form is important because it allows the patient to make an informed decision about whether to proceed with the service or procedure knowing that they may have to pay for it out of pocket if Medicare does not cover it.