A physician or supplier often has a lot of doubts when it comes to ambulance transports and ABNs. Most suppliers consider ABNs a way to avoid Medicare’s medical necessity denials. So let’s dive deeper into a detailed understanding of ABNs, and their appropriate use. ABNs are only rarely appropriate for ambulance services. A physician or […]
Need for Active Treatment (AT) Modifier The Centers for Medicare & Medicaid Services (CMS) developed the Active Treatment (AT) modifier to define the difference between active treatment and maintenance treatment. Medicare only pays for active/corrective treatment to correct acute or chronic subluxation. Medicare never pays for maintenance therapy. In 2018, the Medicare Fee-for-Service program reported 41 […]
Many times, a service is not medically necessary, hence denied coverage by Medicare. This leaves physicians feeling the pinch of lower reimbursements thereby a loss of revenue. Therefore, CMS worked out a solution, revised rules, and has given ABN top precedence. In situations where Medicare could deny reimbursements, the patient is sent an ABN to […]
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