What should a provider do if a beneficiary refuses to sign a properly presented ABN?

When a beneficiary refuses to sign a properly presented Advanced Beneficiary Notice of Noncoverage (ABN), the appropriate action for a provider is to document the patient's refusal and sign the form, along with a witness. This practice ensures that there is clear evidence of the patient's decision regarding their care and the notification of potential noncoverage. Proper documentation protects the provider in case of future disputes and demonstrates adherence to Medicare guidelines, which require providers to inform beneficiaries about their financial responsibilities for services that may not be covered.

By documenting the refusal and having a witness sign the form, the provider maintains a transparent record of the situation and helps prevent misunderstandings regarding payment responsibilities. This step is vital to ensure compliance with Medicare's policies, as it clarifies the patient's awareness and acknowledgment of their financial obligations concerning noncovered services. Such documentation can also be beneficial during audits or inquiries about the provision of services without an ABN signature.