ABN Explanation

abn advance beneficiary notice of non coverage script explaining non covered services to medicare patients “ms jones, i want to go over this abn form with you so everything is clear medicare does cover your adjustment today, but the therapies the doctor recommeded today —like the electrical stimulation—are not covered the reason we recommend these therapies is because they help address the actual cause of your problem, not just give temporary relief without them, most patients don’t progress as quickly or as fully you have three options option 1 no one chooses beacuse this means you wish to file the therapies to your health insurance in which we already know they will never cover because insurance considers the therapies as not medically necessary you will be responsible for any of the therapies if patients choose this option, they'll be responsible to pay adj copay + amount for therapy they received always encourage to chose option 2 option 2 everyone chooses because this means you wish to not file therapies to your health insurance, and we can offer you all therapies for only $20! if patients chose this option, they can receive all therapies and pay $20 for thf option 3 dr mays does not recommend because this means you wish to not receive the therapies in which they help speed up your recovery if patients choose this option they would be responsible for adjustment only and nothing else they cannot receive therapies this form is just letting you know those services would be your responsibility if you choose to move forward—so there are no surprises most of our patients do choose to include the therapies because they want the best results and faster healing, but of course, it’s completely up to you tips always point to where patient needs to sign write patient's name on top of form questions if patient is concerned about the therapies “i completely understand—that’s a very common concern what most patients find is that when they only do the adjustment, they get some relief—but it doesn’t last as long because we’re not addressing the underlying issue the therapies are what help reduce inflammation, relax the muscles, and actually support the correction—so you heal faster and hold your adjustments longer a lot of our patients who try to skip them end up taking longer to feel better or needing more visits overall our goal is to help you get the best results in the shortest amount of time—not keep you coming in longer than necessary that’s why the doctor recommended this combination for you specifically we can always adjust things as we go, but to start, this is what’s going to give you the best outcome ” if patient says “it’s too expensive” “i completely understand—finances are important at the same time, we want to make sure you’re actually getting better, not just temporary relief most patients find that investing in the full care plan upfront actually saves them time, money, and frustration in the long run because they heal faster and don’t have the issue keep coming back what we can do is start with what the doctor recommended and then adjust as needed based on how you’re progressing ” if patient says “i want to think about it” “i understand the only thing i’ll mention is that the sooner we start addressing the root of the problem, the sooner you start feeling better waiting usually just prolongs the issue—and sometimes it can get worse over time we can go ahead and get you started today so you’re not delaying your progress ” if patient says “i’ll just do the adjustment” “you absolutely can, and we’ll still take great care of you i just want to be upfront—without the therapies, most patients don’t see the same level of improvement or it takes longer to get there the therapies are what help support and stabilize the adjustment so your body actually holds the correction if your goal is to get better as quickly and effectively as possible, i would recommend following the full plan the doctor suggested ”