The Advance Beneficiary Notice (ABN) serves to inform patients about potential non-coverage and their financial responsibility.

• A. True
• B. False
• C. Not Applicable
• D. Only for Medicaid

Answer: (A)

The Advance Beneficiary Notice is a Medicare tool used to warn the patient in advance that a service may not be covered and that the patient could be financially responsible if Medicare denies the claim. It must be given before the service is performed when there’s a reasonable possibility of non-coverage, so the patient can decide whether to proceed. If Medicare denies the service, the patient is responsible for the charge; if Medicare approves the service, the patient would not owe the non-covered amount. This form applies to Medicare and is not used for Medicaid.