Must a non-accredited supplier use an Advance Beneficiary Notice (ABN) before selling DMEPOS items to a beneficiary?
Non-accredited suppliers should use an Advance Beneficiary Notice (ABN) before providing a Medicare beneficiary with an item or service to alert the beneficiary to the fact that the supplier is non-accredited and unable to bill Medicare for the item – so the beneficiary knows they will have to pay the full cost for the item or service. The only exception to this rule is when a non-accredited supplier has posted clearly visible signs (undisputed by the beneficiary) at the supplier’s place of business that informs beneficiaries that it is not accredited by Medicare and cannot bill Medicare, so the beneficiary knows they must pay for the item or service.
Related Questions
- Should I use the NEMB (Notice of Exclusions of Medicare Benefits) or an ABN (Advanced Beneficiary Notice) to advise the patient of financial limits "cap" on physical therapy?
- Must a non-accredited supplier use an Advance Beneficiary Notice (ABN) before selling DMEPOS items to a beneficiary?
- Is an Advance Beneficiary Notice (ABN) required for statutorily excluded items or services?
