Attach an Advanced Beneficiary Notice (ABN)

An Advance Beneficiary Notice (ABN), also known as a "waiver of liability," is a notice that suppliers and other medical providers are required to give a patient when they offer services or items that they know or have reason to believe Medicare will determine to be medically unnecessary for the patient, and therefore, will not pay for.

Providers are not required to give a patient an ABN for services or items explicitly excluded from Medicare coverage (items that are never covered by Medicare even if medically necessary, such as hearing aids). In addition, ABNs only apply if the patient is in Original Medicare, not if the patient is in a Medicare private health plan (HMO, PPO or PFFS).

1. (If you have not done so already) Add a new incident, or open an existing incident, as described in Add or edit an incident.

   By default, the Response tab and Incident Information sub-tab are selected.

2. Click the Patient tab, and then click the Insurance sub-tab.

   Fields appear for specifying the information about any insurance the patient has.

3. In the lower right corner of the interface, under Forms, click ABN Form.

   

   The Advanced Beneficiary Notice of Noncoverage dialog box appears.

   

4. Fill out the fields in the form as appropriate.

5. Under Signature of patient or person acting on patient's behalf, have the patient or acting on the patient's behalf use the stylus, their finger, or the mouse pointer to "write" their signature in the box.

   Tip: If the signature is not satisfactory, click Clear Signature and have the individual sign the ABN form again.

6. Click View Form.

   The form, as it would appear if you print or fax it, appears in FH Medic.

   

   Tip: You can fax an ABN to a destination or print the ABN by clicking Fax or Print at the top center and top right of the interface, respectively, and then following the prompts that appear.

7. In the upper left corner of the interface, click Go Back.