Registered Health Information Administrator (RHIA) — Question 138
Joanie Howell presents to Dr. Franklin requesting rhinoplasty. Because Howell is covered by, Medicare, Dr. Franklin must provide Howell with
Answer options
- A. a Notice of Exclusion, because rhinoplasty is not a Medicare covered service.
- B. an Advance Beneficiary Notice, because rhinoplasty is not a Medicare covered service.
- C. a Notice of Exclusion, because Howell's rhinoplasty may not be medically necessary.
- D. an Advance Beneficiary Notice, because Howell's rhinoplasty may not be medically necessary. D
Correct answer:
Explanation
The correct answer is B, because an Advance Beneficiary Notice (ABN) is provided to beneficiaries when a service may not be covered by Medicare, allowing them to make an informed decision. Options A and C refer to a Notice of Exclusion, which is not appropriate in this context, as rhinoplasty can be covered under certain conditions. D is incorrect because while it mentions an ABN, it incorrectly states the reason regarding medical necessity when the correct reason is that the service is not covered.