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Fragmin/ABN question
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Re: Fragmin/ABN question
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Steve Verno
Re: Fragmin/ABN question
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Jul 31 07 1:01 PM
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The purpose of an ABN is to inform the patient that the "service" may not be covered by Medicare and if the claim is denied, then the patient will have to pay out of pocket themselves.
When your provider agreed to become a Medicare provider, he/she also agreed to be paid what Medicare allows.
As Leah stated, you can accept the loss, you can terminate with Medicare, but you cannot bill the patient for covered services, even though Medicare does not reimburse your costs for the item.
There is nothing stopping you from giving the patient a prescription for the drug and have them buy it themselves. If enough patients lose money on the drug deal, maybe they will see what a hoax Medicare Part D really is.
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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Fragmin/ABN question
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