Marshall recently bought new billing computer software that automatically prints out a form called an Advance Beneficiary Notice (ABN) whenever a doctor orders a test that has a limit on how often it might be done or has often been not reimbursed to Marshall.
This form tells you that:
- Your doctor feels you need this test.
- If your insurance, for some reason, refuses to pay Marshall for doing the test, Marshall may bill you for it.
You won't get a bill for:
- annual screening tests done at least a year after the last one
- diabetic glycohemoglobin tests (HbA1c) at any frequency at all for out of control diabetes
- tests often ordered for screening but ordered for non-screening purposes, such as a mammogram for an abnormal screening mammogram, or a PSA test for an enlarged prostate.
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