Once a Medicare beneficiary signs the ________, he or she is legally responsible for the charges if Medicare denies payment for the service as "not medically necessary."
A) ABN
B) GA
C) HIPAA release
D) CMS-1500

Question

Quizplus · Accepted Answer

The ABN (Advance Beneficiary Notice) is a form that providers must use to inform a Medicare beneficiary that a service is likely to be denied by Medicare as "not medically necessary." By signing the ABN, the beneficiary acknowledges that they may be responsible for the charges if Medicare does deny payment. This is why it is important for the provider to obtain the signature before providing the service, to ensure that the beneficiary is aware of the potential costs. The other options listed (GA, HIPAA release, CMS-1500) do not pertain to this specific issue.

Once a Medicare Beneficiary Signs the ________, He or She