What form is given to Medicare beneficiaries to inform them of potential non-coverage of outpatient services?

The correct answer is the Advance Beneficiary Notice (ABN). This form is specifically designed to inform Medicare beneficiaries that a service they are about to receive may not be covered by Medicare. The ABN details the service in question, explains the reasons why it may not be covered, and informs the beneficiary that they may be responsible for payment if they decide to proceed with the service.

This is an important communication tool in healthcare because it ensures that beneficiaries are aware of their rights and responsibilities regarding potential out-of-pocket costs before they receive outpatient services. By providing this notice, healthcare providers are ensuring transparency and giving beneficiaries the opportunity to make informed decisions about their care.

Other forms mentioned, such as the CMS-1500, are used for submitting medical billing claims to Medicare but do not serve the purpose of notifying beneficiaries about potential non-coverage. The Technical Medical Form (TMF) and Primary Care Provider Notice (PCP) are not standard forms related to Medicare coverage notifications; rather, they serve different administrative purposes that do not directly address the coverage specifics for outpatient services.