Q&A Medicare Billing of Non Covered Items

[Gigi]

Is the Provider required to bill Medicare for Non Covered Items, or does the ABN suffice?

 

[joannesheehan]

Medicare does not require ABNs for statutorily excluded care or for services Medicare never covers. However, in these situations, you may issue an ABN voluntarily to let the patient know their service is non-covered. Typically, providers who do not get paid for specific services collect money up front, but it is always recommended that the patient sign some form indicating they know the service is not covered.
A couple of examples of non-covered services would be:

• Routine foot care
• Chiropractic exam and chiropractic X-Rays
• Cosmetic surgery