Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
An Advance Beneficiary Notice (ABN) should only be issued if the provider believes that Medicare may not cover a service because it is not medically reasonable and necessary.
An ABN cannot be issued for services that are being billed with the HCPCS modifier AT. The AT HCPCS modifier serves as an indication that the chiropractor is providing active/corrective treatment to address an acute or chronic subluxation; the modifier may not be submitted when services meet the definition of maintenance therapy.
Additionally, an ABN cannot be issued solely because documentation may not meet Medicare’s guidelines. Without all required documentation, our clinical reviewers cannot establish whether the service rendered was medically necessary. If the service is not documented properly, the claim will deny as contractual obligation, and the beneficiary cannot be billed.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 09/01/2020