Medicare Advance Beneficiary Notice (ABN): 2023 Updated Rules and Guidelines

Format: On-Demand Webinar

Presenter: David Vaughn, JD, CPC, ESQ

Duration: 60 minutes

Course Description:

Starting from June 30th, you must use the new Medicare Advance Beneficiary Notice (ABN) form. This form is a written notice that you give to patients when you expect that Medicare will not pay for certain items or services. This webinar will explain the details and rules of Medicare ABNs. It can be confusing to know when you need to issue an ABN and whether it is mandatory or voluntary. If you submit the incorrect forms or make mistakes, you may face Medicare audits and penalties. In this live webinar, Expert David J. Vaughn, ESQ. will show you how and when to use the mandatory and voluntary ABN forms correctly and compliantly.

Many other payers also have similar forms and rules, so the compliance strategies you will learn in this session can apply to them as well. To protect you from unexpected charges and help you make informed decisions about your health care, Medicare requires providers, suppliers, and facilities to give you a written notice called an Advance Beneficiary Notice (ABN) before they provide items or services that Medicare may not cover. Medicare ABN is a liability waiver form and helps you avoid unpaid claims and protect your practice from serious financial and compliance risk.

Learning Objectives:

When an ABN must be used
When an ABN may be used as a courtesy
When an ABN should not be used
How to apply ABN modifiers
What rights the patient has when filling out the ABN
What if I don't receive an ABN?
Know the patient / provider financial rights and responsibilities
Know how to properly use ABN Modifiers (GA, GX, GY, and GZ)
What are Non-Medicare ABNs and when to use them

Areas Covered in the Session:

New Changes to Medicare ABN
Types of ABNs
When to issue an ABN
Required vs. Courtesy ABNs
Timing of the ABN
Routine ABNs
How MUEs affect ABNs
ABNs use in the Emergency Room
Use of ABNs to Unbundle Charges
How LCDs affect ABNs
Use of ABNs to shift liability to patients who have exceeded Medicare frequency limits
How long does an ABN last
How far in advance must the ABN be issued
Patient options on the ABN form
How long must you keep copies of the ABN
Whether you have to issue the ABN in person
Can patient change their mind after signing the ABN
What happens if the patient refuses to sign the ABN
When can you collect money from the patient
What are the refund rules if Medicare pays even though you have a signed ABN
What happens if the ABN is filled out incorrectly
ABN Modifiers GA, GX, GY, and GZ
Do Medicare Advantage programs use ABNs
Can you use ABNs with Medicare prescription drug plans, and what ABN form must be used.

Suggested Attendees:

Physician practices
Medical providers, who are involved in the payment process of their practice
C-level executives
Office staff and Billing Managers
Medical Billing Companies
Hospital Revenue Cycle Staff
Physicians and Nurses
Physician Assistants
Nurse Practitioners
Medical Assistants
Practice Manager
Office Managers
Medical Biller, Coders and Auditors
CDI Specialists
Collection Staff
Compliance Officers
Patient Accounts Personnel
Medical record supervisors
Health Information Management Administrators and Technicians
Other Personnel Interested in Medicare Program and Payment System

About the Presenter:

David Vaughn, JD, CPC is one of the top healthcare attorneys in the United States who is the founding member of Vaughn & Associates, LLC. He graduated from Mississippi College with Special Distinction (Magna Cum Laude) in 1974, graduated from LSU Law School in 1977, and has been a certified coder since 1999. David has served on the Legal Advisory Board of the AAPC and has written several coding and compliance books and manuals. He is also a national speaker on the legal implications of billing and coding. He also has a national healthcare law practice, and has represented over 2,000 physicians in approximately 40 states in over 10 physician disciplines. His practice consists of representing providers in federal and state prosecutions, qui tam cases, and Medicare and third-party payer audits. He also conducts audits and provides education to providers.

Reach Us:

Email: care@skillacquire.com

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