When it is likely that Medicare will not pay for a service or procedure that Medicare ordinarily covers but is likely to be denied on this particular occasion,the patient should be asked to sign a/an:
A) ABN.
B) CMS-1500.
C) release of information.
D) assignment of benefits.

Question

Quizplus · Accepted Answer

An ABN (Advanced Beneficiary Notice) should be presented to the patient if Medicare is likely to deny coverage for a service or procedure that they typically cover, but are unlikely to approve in this particular case. The ABN informs the patient of the potential denial and their financial responsibility for the service or procedure, and allows the patient to make an informed decision about whether to proceed with the care or not. The other options (B) CMS-1500, (C) Release of Information, and (D) Assignment of Benefits are not relevant in this scenario.

When It Is Likely That Medicare Will Not Pay for a Service