Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 110.5.3

Other Reasons for Contractor Request for Copies of ABNs

Last amended: 2007Year: 2007Length: 136 wordsOfficial source
110.5.3 - Other Reasons for Contractor Request for Copies of ABNs (Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07) Other good reasons for contractors to request submission of copies of ABNs include, but are not limited to, the following: A - Any need that arises from the appeals processes for documentation. B - Any practical need to identify the particular items and/or services, dates of service, reasons for predicting Medicare denial of payment, or other pertinent facts about the beneficiary notification. C - Any plausible allegation or dispute as to the form, content, or delivery of a particular ABN or a particular group of ABNs, e.g., all ABNs furnished by a particular notifier, all ABNs for a particular item, etc. D - For the purposes of a data analysis, utilization study, or other investigation or study.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 110.5.3: Other Reasons for Contractor Request for Copies of ABNs | Justis AI