2027 Update) Questions and Detailed
Answers 100% Verified Correct (Grade A+)
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Which one of the following statements regarding advanced beneficiary notices (ABN) is
TRUE?
A. ABN must specify only the CPT® code that Medicare is expected to deny.
B. Generic ABN which states that a Medicare denial of payment is possible, or the
internist is unaware whether Medicare will deny payment or not is acceptable.
C. An ABN must be completed before delivery of items or services are provided.
D. An ABN must be obtained from a patient even in a medical emergency when the
services to be provided are not covered. - correct answer C. An ABN must be
completed before delivery of items or services are provided.
, An ABN must include the service that may be denied, an estimated cost of the patient's
responsibility if Medicare denies the service and the response for the potential denial.
Generic ABNs are not allowed. Signing of the ABN cannot be obtained during a medical
emergency. The patient must be stable. The ABN must be signed prior to providing the
service.
In order to use the critical care codes, which statement is TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but less than 30 minutes
should be billed with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the critically ill patient's
care with other medical staff in the unit or at the nursing station on the floor cannot be
included in the determination of critical care time.