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HIT-001 · Question #272

Health plans and government programs may not always agree to pay for certain services. Medicare will not pay for services unless it believes them to be "reasonable and necessary". Medicare…

The correct answer is A. Waiver of liability B. Advanced Beneficiary Notice. See the full explanation below for the reasoning.

Question

Health plans and government programs may not always agree to pay for certain services. Medicare will not pay for services unless it believes them to be "reasonable and necessary". Medicare guidelines state that a patient must be notified in writing that Medicare may deny payment for a particular service, as well as the reason for the likely denial, before service is performed. What is the name of this document?Each correct answer represents a complete solution. Choose all that apply.

Options

  • AWaiver of liability
  • BAdvanced Beneficiary Notice
  • CIntent to Inform
  • DPayment Responsibility

How the community answered

(37 responses)
  • A
    78% (29)
  • C
    8% (3)
  • D
    14% (5)

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