What is the name of a waiver needed for any service that does not meet the coverage criteria established in an NCD or LCD?

Question

Quizplus · Accepted Answer

The correct answer is D) advance beneficiary notice. An Advance Beneficiary Notice (ABN), also known as a waiver of liability, is a notice a provider should give a Medicare beneficiary to sign if the provider believes that Medicare will not pay for an item or service because it is not considered medically necessary or does not meet Medicare's coverage criteria. This notice allows the beneficiary to make an informed decision about whether to receive the service and accept financial responsibility if Medicare does not pay.

What Is the Name of a Waiver Needed for Any