Which form must be signed by the patient if providers believe that Medicare will not cover the services?

The form that must be signed by the patient when providers believe that Medicare will not cover the services is the Advance Beneficiary Notice of Noncoverage, commonly referred to as the ABN form. This document serves a crucial role in the Medicare system, informing patients that a particular service may not be covered by their Medicare plan. By signing the ABN, patients acknowledge their understanding of the situation and agree to pay for the services if Medicare ultimately denies coverage.

The ABN is essential for ensuring that patients are aware of their potential financial responsibility ahead of receiving services. This process helps protect both the provider and the patient by establishing transparency regarding potential charges.

Other forms mentioned, such as the consent form, release of information form, and insurance verification form, have different purposes. The consent form generally pertains to patient permission for treatment or services, the release of information form authorizes the sharing of the patient's medical information, while the insurance verification form is used to confirm policy details with insurers. None of these forms provide the specific notification regarding non-coverage that the ABN form provides.