QMBs & ABN FAQ’s Q: What is a QMB? Why do I need to know if a Medicare beneficiary is a QMB before billing? A: The QMB (Qualified Medicare Beneficiary) program is a State Medicaid benefit that guides low-income Medicare beneficiaries through Medicare Part A and Part B premiums and cost-sharing (this includes deductibles, coinsurance,…
Medicare ABN Templates This module provides specific direction on proper Mandatory ABN usage. In order to ensure that your ABN forms are exactly as they should be, we’ve provided a number of master templates for various situations that you may encounter, so that you can customize your ABN forms for your practice. Review each carefully,…
Managing Medicare Modifiers Certain modifiers are required for reporting when a mandatory ABN has been signed. Be sure to review this image called KMC University’s Guide to Medicare Modifiers for an at-a-glance review of the most important modifiers used in chiropractic billing. This valuable resource explains the various modifiers used to help describe Medicare billing…
Do I Need a Signed ABN? Who doesn’t love a flow chart? Because the ABN process can be difficult to digest, this flowchart walks users through the key questions and touchpoints when an ABN form may be required. Follow along to determine whether mandatory usage is required to be sure you don’t miss an important…
Meeting the Criteria When using the official Advance Beneficiary Notice (ABN) forms, you must meet acceptable CMS criteria, or the form will be deemed invalid. The form must be customized specifically as recommended. Review this important information and put your completed ABN forms to the test of scrutiny. Start at the Top: One of the…
One of the most confusing and frustrating elements of the Medicare process is the Advance Beneficiary Notice (ABN). There is significant confusion about what, why, and how of proper ABN usage. The ABN is not a form to be trifled with. The term “mandatory” means exactly that…mandatory when an otherwise covered service may not be covered…