Compliance · Definition
ABN: Definition
The Medicare form notifying a beneficiary that a service may not be covered, shifting financial responsibility to them.
This is a short definition only. The full explanation lives on ABN modifiers GA, GX, GY and GZ, which is the page to read if you are dealing with this on live claims.
Definition
Also known as: Advance beneficiary notice of noncoverage
It must be specific about the service and the reason coverage is expected to be denied, and be signed before the service is performed.
A blanket ABN signed at registration is not valid.
For worked examples, payer rules and documentation requirements, read ABN modifiers GA, GX, GY and GZ. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.