Tag: Advance Beneficiary Notice

BALTIMORE - Non-contract suppliers in Round 2 competitive bidding areas can provide service to Medicare beneficiaries if the patient agrees to pay cash and signs an advanced beneficiary notice (ABN), AAHomecare advised in a bulletin this week.The ABN must clearly state that Medicare will not pay for specified items because the beneficiary has chosen to obtain them from a non-contracted provider.The beneficiary then must choose whether to file the claim with Medicare or waive their Medicare rights....

WASHINGTON - The proper use of advance beneficiary notices (ABNs) has shifted—and not in the HME provider's favor, industry stakeholders say.CMS has evolved its policy to the point where providers can no longer use ABNs to “upgrade” within the same code, says Andrea Stark, a reimbursement consultant with MiraVista.“We are operating in gray areas,” she said. “It has definitely been an erosion of how we utilize this.”Case in point: In January, the PDAC expanded...

Phantasm III: Lord of the Dead the movie No one will ever accuse Vince DeStigter of not speaking his mind. The 67-year-old owns and operates Western Healthcare and has been a provider for almost 40 years. These days he's plenty fed up with the state of the industry, and he called me recently to let off some steam. Here's what he had to say: One Hour Photo movie download If they keep on cutting our benefits, you know what, let them cut it, but let us all get together and say, 'Let us charge the...