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Advance Beneficiary Notice of Noncoverage (ABN)

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

An ABN may be issued to the beneficiary for every service rendered.

a)

True

b)

False

2.

By obtaining a beneficiary signature on the ABN, the provider becomes financially liable for the service.

a)

True

b)

False

3.

An ABN may be issued for services not considered reasonable and necessary?

a)

True

b)

False

4.

In what instance must you issue an ABN? Select the best answer.

a)

Experimental and investigational or considered “research only”

b)

Not indicated for diagnosis and/or treatment in this case

c)

More than the number of services Medicare allows in a specific period for the corresponding diagnosis

d)

All of these

5.

A modifier must be appended to your CPT/HCPCS procedure code when an ABN is issued and signed.

a)

True

b)

False

6.

When an item or service is not considered reasonable and necessary under Medicare program standards which modifier needs to be appended?

a)

GX

b)

GA

c)

GY

d)

GZ

7.

Which modifier is used for statutorily excluded items from Medicare coverage?

a)

GZ

b)

GX

c)

GA

d)

GY

8.

If the provider does not deliver a valid ABN to the beneficiary when required, the beneficiary cannot be billed for the service and the provider may be held financially liable.

a)

True

b)

False

9.

When a statutorily excluded service is rendered an ABN needs to issued and signed by the beneficiary?

a)

True

b)

False

10.

A beneficiary cannot refuse to choose an option or sign the ABN?

a)

True

b)

False