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What is a Medicare Waiver/Advance Beneficiary Notice (ABN)?

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What is a Medicare Waiver/Advance Beneficiary Notice (ABN)?

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An ABN is a written notice from Medicare (standard government form CMS-R-131), given to you before receiving certain items or services, notifying you: • Medicare may deny payment for that specific procedure or treatment. • You will be personally responsible for full payment if Medicare denies payment. An ABN gives you the opportunity to accept or refuse the items or services and protects you from unexpected financial liability in cases where Medicare denies payment. It also offers you the right to appeal Medicare’s decision.

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