When I am liable for payment because I signed an ABN, how much can I be charged?

September 20, 2009 by admin

When you sign an ABN and become liable for payment, there are no Medicare charge limits which apply to the supplier's, physician's, or provider's charges. Medicare fee schedule amounts and balance billing limits do not apply. Although the amount of the bill in such cases is a matter between you and the supplier, physician, or provider, the provider must specify the amount you can be charged in the Cost Estimate Section on the ABN if Medicare ultimately does not pay. Be sure the Cost Estimate Section is completed before signing an ABN.