How to Use the ABN for Outpatient Therapy Services

Video Runtime: 53 Minutes; Learning Assessment Time: 46 Minutes

Often, therapists and assistants do not know when to and when not to issue an Advance Beneficiary Notice of Noncoverage (ABN) to a Medicare beneficiary. In addition, they do not understand how to properly complete an ABN and append the applicable modifier on the CPT code(s) on the claim form.

This course will teach participants when to and when not to issue an ABN to a Medicare beneficiary, how to correctly complete and issue an ABN, when they can collect funds from a Medicare beneficiary, and limitations of the ABN for Medicare beneficiaries who are enrolled in the Qualified Medicare Beneficiary Program.

Learning Objectives

• Identify three examples of when an ABN would be appropriate to issue to a Medicare beneficiary
• List how an ABN can be delivered to a Medicare beneficiary
• State how to complete the ABN form
• List three examples of when an ABN would not be appropriate to issue to a Medicare beneficiary
• Recall how long you must maintain the ABN
• Identify how long an ABN can be valid
• Conclude when you can collect funds from a Medicare beneficiary who has signed an ABN
• Recall the modifiers associated with the ABN