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FREQUENTLY ASKED QUESTIONS FOR FY 2004, 4TH QUARTER Q. What should the provider place in the blank space on the Advance Beneficiary Notice (ABN) for a possible denial by Medicare?

April 26, 2017Beneficiary blank FY Provider quarter

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FREQUENTLY ASKED QUESTIONS FOR FY 2004, 4TH QUARTER Q. What should the provider place in the blank space on the Advance Beneficiary Notice (ABN) for a possible denial by Medicare?

1 Answer

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A. The clinical reason the provider thinks the service will be denied (i.e. “Medicare does not pay for services which it considers to be experimental or for research use”). Do NOT put “because Medicare will possibly not pay”. This is not the correct answer.