An Advance Beneficiary Notice (ABN) is a standardized notice issued to a Medicare beneficiary before providing certain procedures or treatments. The ABN form must be provided to the patient when it is believed Medicare may not pay for the item/service or when Medicare may not consider it medically reasonable and necessary for the patient. The Epic ABN functionality offers the provider an opportunity to associate a covered diagnosis with the item/service or access the ABN Waiver form to discuss with the patient.

Resources

The following resources provide information on ABN functionality.

  • Advance Beneficiary Notice - (Handout) Steps to address the ABN warning are provided.

  • ABN Frequently Asked Questions - (Handout) A list of common ABN questions and answers.

  • ABN Report - (Handout) The ABN Report is used to view all ABN waivers associated with a specific patient. From the report, the user can view, print, and change the status of the ABN.

  • Advance Beneficiary Notice of Noncoverage - (External Document) A booklet from the Centers for Medicare & Medicaid Services that offers additional details on the ABN process.

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