Advanced Beneficiary Notice of Noncoverage
(ABN) An agreement given to the patient to read and sign before rendering a service when the participating physician thinks that it may be denied for payment because of medical necessity or limitation of liability by Medicare. The patient agrees to pay for the service.
Centers for Medicare and Medicaid Services
(CMS) Divides responsibility among three divisions: Center for Medicare Management, Center for Beneficiary Choices, and Center for Medicaid and State Operations.
Correct Coding Initiative
(CCI) Federal legislation that attempts to eliminate unbundling (fraud) and inappropriate reporting of procedural codes for professional medical services rendered to patients.
