Question

Medicare requires an ABN to be signed if it is suspected that they will not cover a patient's services.

Select one:
a) True
b) False

Answer 1

The correct answer is true. Medicare does require an ABN to be signed by a patient when a service is suspected not to be covered. This ensures both parties are aware of potential financial liability for the service.

Step-by-step explanation:

The question Medicare requires an ABN to be signed if it is suspected that they will not cover a patient's services concerns the billing practices associated with Medicare, specifically the use of an Advanced Beneficiary Notice (ABN). The correct answer is true. An ABN is indeed required by Medicare when a provider believes Medicare may not pay for a particular service that is normally covered because it is not deemed medically necessary for the specific instance.

For example, if a doctor wants to order a test that they know is not covered for the patient's condition under Medicare's rules, they must provide an ABN to the patient. The ABN informs the patient that they will be responsible for the payment should Medicare deny the claim. This process helps both the provider and the patient by making the potential financial liability clear before the service is provided.