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Have ABNs become 'gray area'?

April 5, 2013Elizabeth Deprey

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...

advance beneficiary notice, Allegient Billing & Consulting, CMS, Medicare, MiraVista, PDAC


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