What is the purpose of the written beneficiary notification known as the ABN?

The written beneficiary notification, commonly known as an Advance Beneficiary Notice (ABN), serves primarily to inform patients about potential financial responsibilities they might face when receiving services that may not be covered by Medicare. The ABN is a crucial communication tool that alerts the patient before they receive a service whether it is likely to be denied coverage. By providing this notification, healthcare providers ensure that patients are aware of any out-of-pocket expenses that might arise, allowing them to make informed decisions regarding their care.

Receiving an ABN empowers patients to weigh their options, understanding both the medical necessity of the service and the possible costs involved should Medicare refuse payment. This clarity can help patients avoid unexpected financial burdens and enables them to consider whether to proceed with the treatment or seek alternatives. Overall, the notification promotes transparency between providers and patients regarding coverage and financial responsibility.