A Medicare Advance Beneficiary Notice of Noncoverage, or ABN, can be added as needed to Medicare Patient Agreements (PAs). Follow the steps outlined below to complete and add an ABN to a PA.
After a Patient Agreement has been created, add a product and the Payment Method ‘Medicare,’ click the ‘Add ABN’ button at the bottom of the product section.
NOTE: The Add ABN button will only appear if a Medicare Payment Method is selected. Additionally, if there is more than one product on the PA, the ‘Add ABN’ button will be present on each product, allowing the user to complete ABNs on individual products as needed. To assist users a Warning is associated with a product that may require an ABN for Medicare patients.
Once the ‘Add ABN’ button is clicked, the ABN page will open. Clinical users should only complete the ‘Reason(s) Medicare May Not Pay’ section, selecting the applicable checkboxes.
Note: Certain information like, patient name, product details and the billed charge will auto-populate
From this point on the Patient needs to complete the remainder of the ABN. Present the ABN page to the Patient and instruct them to start reading the ‘What You Need to do Now’ instructions and through the Options available section. Instruct the patient to click on their desired Option once they’ve decided.
After the Patient has selected their preferred Option have them Sign in the Signature capture box and then select Apply Today's Date. Click the Create ABN button to save the ABN and go back to the PA.
Note: The Create ABN button cannot be clicked until the signature has been applied to the form. If the patient is not satisfied or makes a mistake while signing, click the Clear Signature button to clear the signature box so the patient can retry.
After returning to the PA, an Early Warning Notification will appear on the page alerting users that the ABN must be printed and provided to the patient. CMS prohibits the electronic delivery of a completed ABN to a Medicare Beneficiary. Click the Print ABN button within the product section and provide the completed hard copy to the patient.
Patient Agreements with completed and attached ABNs can be found by filtering the PA or BS tab by Has ABN, found in the Additional Filters section. Products with ABNs show an ABN pill when the PA is in the expanded view.
Note: The Patient Agreement Billing Doc will include a copy of the completed ABN.
**Printable PDF Available**