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Carlos Olvera
on Oct 07, 2024

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Required by Medicare when a service is provided to a beneficiary who is either not covered or the provider is unsure of coverage

A) advance beneficiary notice (ABN)
B) carrier
C) coordination of benefits (COB)
D) fee disclosure
E) fee schedule
F) loss-of-income benefits
G) participating provider
H) patient status
I) relative value units
J) third-party payer

Advance Beneficiary Notice (ABN)

Document used to notify a Medicare beneficiary that it is either unlikely that Medicare will pay or certain that Medicare will not pay for the service they are going to be provided. Beneficiaries are required to sign this document if they wish to have the service with the understanding that they will be responsible for payment.

Medicare

A federal health insurance program in the United States for people aged 65 and over, as well as for some younger individuals with disabilities.

  • Grasp the essence and functions of different health insurance terminologies and policies.
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CS
Claire SwingOct 13, 2024
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