The ABCs of the ABN: Protect Your Practice and Patients from Unexpected Costs - On-Demand

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The ABCs of the ABN: Protect Your Practice and Patients from Unexpected Costs - On-Demand

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The ABCs of the ABN: Protect Your Practice and Patients from Unexpected Costs

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Available ON-DEMAND

Rebroadcast Presented on:
Thursday, January 31, 2019  

Presented by:
Maxine Lewis, CMM, CPC, CCS-P
President, Medical Coding Management Services

Level of Program:

There are many steps in the advance beneficiary notice of noncoverage (ABN) process, and missing just one can cost the practice money. Worse, regular mistakes in issuing ABNs can trigger audits and investigations. It’s therefore critical to give ABNs to patients timely and efficiently, both for regulatory purposes as well as to keep patients informed.  When a practice believes Medicare may deny a service that is normally covered for a specific patient, the practice must prepare an ABN form, which must include the reason Medicare may deny the claim and how much the patient would have to pay.

Someone must discuss this form with the patient, answer the patient’s questions, and ask the patient to decide whether to receive the service (and potentially pay for it out of pocket). This conversation must take place before the service is rendered. In addition, the practice must select and append the appropriate modifier to the claim for the service.

When a practice fails to obtain a properly executed ABN, it cannot go back to the patient for payment. At the same time, a practice cannot issue blanket ABNs. Expert speaker Maxine Lewis, CMM, CPC, CCS-P, will go over everything practices need to know about ABNs in this 60-minute webinar.

At the conclusion of this on-demand program, participants will be able to:

  • Understand the uses of the ABN form and the risks of improper usage
  • Know when the practice must give a patient an ABN versus when an ABN is optional
  • Create a streamlined, compliant ABN process for their office
  • Have strategies for handling special circumstances, such as a patient who refuses to sign an ABN
  • Select the appropriate modifier for claims


  • The purpose of the ABN form
  • ABN uses—mandatory and optional
  • Revenue and compliance risks for the practice
  • Unexpected patient costs
  • The nine elements of the ABN
  • The four ABN modifiers
  • The ABN process, from preparing the form to submitting the claim

Continuing Education

1 CEU Approved

(Live + On-Demand) This program has the prior approval of AAPC for 1 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. (Ability to claim credits for this webcast expires on: 1/30/2020)

American Health Information Management Association (AHIMA)

(Live + On Demand) - This program has been approved for 1.0 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (Ability to claim CEU’s for this webinar expires on: 01/30/20)

Your Expert Presenter:

Maxine LewisMaxine Lewis, CMM, CPC, CCS-P, is a nationally recognized lecturer and consultant in the healthcare industry with more than 40 years of practical experience in the medical office. She specializes in instruction for proper coding and its relationship to payment. Lewis is an author of Medicare Rules and Regulations as well as Working with Insurance and Managed Care Plans, published by PMIC of Los Angeles. She has written workbooks and led seminars in addition to having an audio reference library for physician practices.