Urology Coding Alert

Find out if you're set to use the new ABN form by checking your answers to the five quiz questions on page 35 against this answer key. Answer 1: D. All of the above. Answer 2: False. Without a valid ABN, you can collect for statutorily excluded services, but you cannot hold the patient responsible for charges Medicare denies as not medically necessary. Answer 3: True. Now CMS accepts the new ABN for either purpose, noting that "the revised version of the ABN may also be used to provide voluntary notification of financial liability." This means you can use the new ABN form when you would have used an NEMB in the past. Answer 4: C. Choose modifier GZ (Item or service expected to be denied as not reasonable and necessary) if you believe the carrier will deny an item or service as not reasonable and necessary and the beneficiary [...]