AAMA CMA Practice Question

The correct answer is 'Advance Beneficiary Notice (ABN)'. ABNs are used to inform Medicare patients about services and items that Medicare is not expected to pay for. By signing an ABN, the patient acknowledges their understanding that they may be responsible for the payment. This document is essential to ensure that the practice complies with Medicare rules and to prevent unexpected charges for the patient. An Explanation of Benefits (EOB) is incorrect because it is a document sent to patients after a claim has been processed by insurance, detailing what was covered and what the patient owes. A Remittance Advice is provided to a healthcare provider by the payer, showing the payment and adjustments made to a claim. Pre-certification refers to obtaining prior authorization for certain services but does not involve informing the patient of potential non-coverage.