As I speak around the country, I often have people tell me they have Medicare beneficiaries sign an Advance Beneficiary Notice of Noncoverage (ABN) when they exceed $3700 in a calendar year physical and speech therapy combined or a separate $3700 for occupational therapy even though the therapist feels therapy is still medically necessary and requires their unique skills to provide. Actually what the provider is doing is not correct.
Before addressing today’s question, you may want to check out some of my other articles I have written on the use of the ABN for outpatient therapy services:
The Centers for Medicare and Medicaid Services (CMS) states an “ABN is
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.