@JazzyTXMom. You just beat me to it. Yes. But this is part of the Medicare game. Once patient sign it that they know they “could” be billed for whatever. It’s very frustrating for both providers and patients since there are actually 3 options on the form.
Problem with abn’s are its not always clear what should and should not be on the form. Yes, we have been screwed before since something we assumed would be included then was not. We make every Medicare patient basically sign one to avoid this happening. Rules change quickly. It’s really unfair when a patients needs x treatment you give it to them, then you don’t get paid for the service. There is no other occupation that this happens to… OK, I am done venting and feel better now…lol…
But if a procedure is not considered or covered by Medicare then it’s on the patient to pay for whatever it is It’s non covered service. . Doctors don’t always know but should know if common procedures are covered to some extent. 