What does ABN stand for in Medicare practice?

• A. Advanced Beneficiary Notice
• B. Advanced Benefit Notification
• C. Authorized Beneficiary Number
• D. Advanced Billing Notice

Answer: (A)

ABN stands for Advanced Beneficiary Notice of Noncoverage, commonly shortened to Advanced Beneficiary Notice. In Medicare practice, this pre-service document is given when Medicare is likely not to cover a service or item, or will pay less than billed. It informs the patient that they may be financially responsible if Medicare denies or reduces coverage and gives them the choice to proceed and pay or to decline. This notice helps the patient make an informed decision and protects the provider from potential balance billing in uncertain coverage situations. The other options do not reflect Medicare terminology for notifying patients about possible noncoverage or liability.