Wiki ABN

[sdunaway1]

Does anyone know if you can create your own format of ABN to qualify for the Medicare Modifiers as long as you make it clear to the patient that they are responsible for any service that Medicare does not cover?

 

[jkyles]

Does anyone know if you can create your own format of ABN to qualify for the Medicare Modifiers as long as you make it clear to the patient that they are responsible for any service that Medicare does not cover?

Hi there, I'm not sure what you mean by creating your own format. Medicare does allow some customizations of the ABN, but you have to be very careful. The ABN is an official form and if you make too many changes it will be deemed invalid.

The ABN may not be modified except as specifically allowed by these instructions. Notifiers must exercise caution before adding any customizations beyond these guidelines, since changing ABNs too much could result in invalid notice and healthcare provider or supplier liability for non-covered charges. Validity judgments are generally made by Medicare contractors, usually when reviewing ABN-related claims; however, any complaints received may be investigated by contractors and/or CMS central or regional offices.

A helpful overview of how to prepare the ABN, including required font size and the sort of customizations you can make, starts on p. 39 www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c30.pdf

 

[sdunaway1]

Thank you so much !!