• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Can you use an ABN for a Commercial Payor?


Best answers
We are doing a HCV test to screen for Hepatitis. This is in accordance to a guideline by U.S. Preventive Service Task Force. Currently no insurer, including Medicare covers this test when coded with a V70.0.

A decision was made to have all patients getting the test to sign an ABN. Are we allowed to get an ABN for commercial payors? Our ABN mentions Medicare. Can we still use this form or can we make a form that doesn't mention Medicare?


Best answers
yes, most commercial carriers require that you inform your patient of non-covered services in writing just like Medicare does. In fact - it should be written in your contract. The do not require a specific form so you can you use/modify Medicare's ABN to satisfy this requirement.

Tricare, however, has a specific form that they want you to use for this very purpose so check out their website to get it.

Good Luck!!

Caprice Walder, CPC