I recieved the question of if (when) providers should give a patient an Advance Beneficiary Notice (ABN).  Medicare providers are required to determine if a patient should have coverage under the Medicare program and if not, they are required to give the ABN to the patient.  The patient then needs to select if they want to receive services and pay for them or not receive services.  On the new ABN required as of March 2009, the patient also selects if they want Medicare billed for the service.   To get examples of chiropractic policies and the new ABN, go to www.BillingBuddies.com and click on Medicare Guidelines in the left column.  If you would like support in reviewing these guidelines, go to the Services page and click on the Support Options.