Who signs the Advance Beneficiary Notice (ABN) indicating their decision about Medicare services?

The Advance Beneficiary Notice (ABN) is a crucial document used in the Medicare system that informs patients of their financial responsibility for services that may not be covered by Medicare. The correct answer, indicating that the patient signs the ABN, is based on the fundamental role of the patient in expressing their understanding and acceptance of the potential costs of the services they are about to receive.

By signing the ABN, the patient acknowledges that they have been informed about the possibility that their Medicare claim may not be paid, whether due to the nature of the service or their specific circumstances. This signature is a key element in ensuring that patients are not surprised by unexpected medical bills and it indicates their consent to proceed with the service despite the coverage uncertainty.

Other individuals, such as a utilization review coordinator, physician advisor, or provider, play important roles within the healthcare system, but they do not have the authority or the responsibility to sign the ABN on behalf of the patient. The patient's signature is essential as it directly relates to their rights and responsibilities under Medicare guidelines.