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Form Omb No 0938 0566

Form Omb No 0938 0566

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Instructions and help about printable 09380566

designer audiology is a participating provider with medicare part b or traditional medicare as a medicare part b beneficiary you will be asked to sign an advance beneficiary notice or abn form prior to receiving certain services at designer audiology i want to walk through this abn form with you to help answer any questions so you can make the best decision for you prior to completing the form at the top of the abn you will see some information with your name and the clinic's name this is just identification information that you will see each and every time you fill out an abn underneath that you will see the letter d followed by the service that will be provided by designer audiology this service is repeated multiple times throughout the form and will often read something like hearing testing comprehensive hearing evaluation tinnitus evaluation or balance testing in the middle box letter e you will see the reason why medicare is making you fill out an abn form audiologists in

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