Medicare ABN and audits- the truth now...

[Guest guest]

My office manager and I were wondering if it’s really necessary to have patients sign an ABN at EACH visit or if it just needs to occur annually, or when a condition changes.

Also, are chiropractors really getting audited at an increasing rate or is it like the HIPAA compliance scare where 5 years later, almost no small practices were audited and fined.

, er

In Arizona, I mean Florida

(NOT wanting the authorities to be alerted)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

[Guest guest]

Hi , er of Arizona,, I mean Florida (Colombia, I presume),

Attached is Noridian's instructions regarding the ABN. The ABN advises the beneficiary a COVERED SERVICE may not be paid. Obtain the beneficiary's signature for services not reimbursable due to not "reasonable and necessary". Don't forget to attach the -GA modifier to tell Medicare a signed ABN is in the patient's file. I know it can still be confusing as to when the ABN is most appropriate so I would advise its use anytime there is the slightest doubt.

J. Holzapfel, DCAlbany, Oregon541-928-4060

----- Medicare ABN and audits- the truth now...Date: Tue, 02 Mar 2010 16:12:38 -0800

My office manager and I were wondering if it’s really necessary to have patients sign an ABN at EACH visit or if it just needs to occur annually, or when a condition changes.Also, are chiropractors really getting audited at an increasing rate or is it like the HIPAA compliance scare where 5 years later, almost no small practices were audited and fined. , er In Arizona, I mean Florida(NOT wanting the authorities to be alerted) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com

1 of 1 File(s)

Medicare ABN Revised 2008 Instr.pdf

[Guest guest]

Hi , er of Arizona,, I mean Florida (Colombia, I presume),

Attached is Noridian's instructions regarding the ABN. The ABN advises the beneficiary a COVERED SERVICE may not be paid. Obtain the beneficiary's signature for services not reimbursable due to not "reasonable and necessary". Don't forget to attach the -GA modifier to tell Medicare a signed ABN is in the patient's file. I know it can still be confusing as to when the ABN is most appropriate so I would advise its use anytime there is the slightest doubt.

J. Holzapfel, DCAlbany, Oregon541-928-4060

----- Medicare ABN and audits- the truth now...Date: Tue, 02 Mar 2010 16:12:38 -0800

My office manager and I were wondering if it’s really necessary to have patients sign an ABN at EACH visit or if it just needs to occur annually, or when a condition changes.Also, are chiropractors really getting audited at an increasing rate or is it like the HIPAA compliance scare where 5 years later, almost no small practices were audited and fined. , er In Arizona, I mean Florida(NOT wanting the authorities to be alerted) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com

1 of 1 File(s)

Medicare ABN Revised 2008 Instr.pdf