ABN Assistant™ PC/Server
Medical necessity denials cost hospitals hundreds of thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. Even physician practices often lose thousands to tens of thousands of dollars annually for physician, lab and imaging services.
Why Do Healthcare Providers Prefer ABN Assistant?

ABN Assistant™ can stop over 90% of these denials, within 45 days of implementation. ABN Assistant™ is easy to use and can be implemented quickly. Comprehensive coding tools make coding easier, even for non-coders. In seconds, staff can validate an order for medical necessity. When necessary, a fully completed Medicare-compliant ABN form can be printed with an estimated cost, ready for patient's signature. Electronic signature capture is also available.
Comprehensive Service
ABN Assistant™ subscriptions provide everything you need, plus an impressive set of utilities and all-inclusive support (see the table below for more information about some of the features our users have come to rely upon). All code and edit updates are included, with data updated within 2 business days of the change being published. And every subscription includes unlimited, toll-free policy and technical support. We even answer the telephone when you call during business hours - no automated answering system, no outsourced call desk. Your calls are answered by our staff, and answers are provided promptly. Our exceptional service and commitment to our clients is one of the reasons we have a client retention rate of over 96%.
Pay Only for What You Need
We know that not every provider needs the full scope of medical necessity management software. That's why we provide standard packages in several sizes, so that you can find one that is just what you need. All of our packages are designed for both server/networked installations and standalone PC needs.
- Physician Suite - MAC/Carrier (Part B) edits only
- Laboratory Version - MAC/FI (Part A) and/or MAC/Carrier (Part B) for clinical lab services
- Radiology Version - MAC/FI(Part A) and/or MAC/Carrier (Part B) for radiology facilities
- Basic Hospital Version - MAC/FI(Part A) and/or MAC/Carrier (Part B) for all available NCDs and LCDs
- Enterprise Edition - Basic Hospital Version, plus 2-day on-site installation and training, configuration utility to streamline setting up multiple departments or sites, discounts on licenses, and exclusive extended 24-hour technical support
- Data Files - get vendor-approved files for CPSI, Epic Systems, Fletcher-Flora (FFlex eSuite, LabPak), MediTech, and other systems at no additional cost!
- ABN eSignature Module - use electronic signature keypads to collect, store, and reprint patient ABN forms.
Not Just Medicare - Commercial Payers Too!
ABN Assistant™ provides some of the most comprehensive tools to manage Medicare medical necessity requirements. But did you know that you can use this same familiar tool to manage most commercial payer requirements as well? One completely integrated interface, can handle all of your medical necessity checking (contact us to check on availability of other payers not listed below).
Aetna |
CareFirst |
Highmark |
Regence |
Anthem |
CIGNA |
Horizon |
United Healthcare |
Blue Cross |
Empire |
Medicaid |
Wellmark |
Blue Shield |
Excellus |
Premera |
Wellpoint |
What Our Users Say
No matter how good a system looks, what's important is how well it works for the users in the midst of their daily job responsibilities. And in healthcare, that means constant interruptions, patient questions, and constantly changing rules. How does ABN Assistant hold up? Listen to what our users say!

"Because I'm able to print, it allows me to educate the patient if the procedure is not covered. The patient is happy to know if a procedure is not covered so they can make a decision to cover the cost or not." - B.H., Ohio
"We absolutely love the Yost system. It has saved us so much money." - P.D., Massachusetts
"Your support is the best we've ever had. I can't say enough about how fast you respond and how helpful you are." - J.S., New Jersey
"You have a great program and excellent service." - K.B., Texas
"I really like the screen where you can get a list of covered diagnoses." - D.L., California
"Typing in CPT and ICD9 codes is really fast." - J.H, Michigan
Profile of Our Typical Admissions-Level User:
Education and Experience Level of Average User:
- 75% of users report an education level less than a bachelor's degree
- 62% of users report that they have received no coding training
- 71% of users report less than 2 years' coding experience
Satisfaction of our Average User:
- 73% of users can enter procedure and diagnosis information and determine ABN necessity in under 30 seconds
- 88% of users can print a completed ABN with patient information in under 45 seconds
- 92% of users rate ABN Assistant "very easy" to learn
- 93% of users rate ABN Assistant "very easy" to use
Summary of Most Popular Features
ABN Assistant™ provides many tools and utilities to assist providers in managing medical necessity, coding, and reimbursement issues. Although you may not need all of these features initially, isn't it nice to have them available when you do?
The Databases You Need
- All of your data is provided specifically for your MAC/FI (Part A Intermediary) or MAC/Carrier (Part B), in addition to all National policies. Need both Part A and Part B? No problem -- and no extra cost, either! Need databases for private/commercial payers? These are also available for many insurers. For all of our subscriptions, we provide CPT/ICD-9 coding requirements, as well as frequency edits and other important coverage restrictions.

CodeSearch Pro™ Encoder
- Locate any valid procedure or diagnosis by description or code in seconds. Also view CCI rules and CodeTips, a selection of coding guidelines and corrective action recommendations.
Aliases (Mnemonics)
- Define your own abbreviations and quick names for common procedures and diagnoses. Shortens coding time dramatically, and allows for flexible order entry terminology, including existing chargemaster codes.
Quick-pick list (Favorites)
- Create user, department, or facility-wide favorites list. Another way to make coding simple and fast.
Assisted Search and SmartSearch
- More easily find results for common abbreviations and synonyms. You can even make your own search terms or customize the search parameters to allow for local abbreviations and physician terminology preferences.
Full Report Utilities
- Complete reporting for both auditing and educational efforts, with print preview and clipboard options. Reports by date, procedure, diagnosis, dollar value, provider, patient, most common rejections, top 10 reports, and more.
Training and Support
- All manuals, user guides, training materials and web-based training are provided at no charge; on-site training also available. 98% of help requests resolved on the same business day. File conversions for your chargemaster, physician files, and other support files? We convert them quickly (same-day service if requested), as many times as you need them -- at no extra cost.
Inpatient-only Monitor
- Receive immediate feedback about procedures approved only for inpatient settings. Avoid place of service denials and lost revenue.
ESRD Warning Manager
- Identify laboratory tests which may be covered under ESRD Composite Rate reimbursement method and subject to alternate billing requirements.
Competitive Price
- Receive unparalleled service, at a highly competitive price. Whatever your request or need, we will work with you to resolve or answer it. And with our all-support-and-upgrades included policy, never worry about surprise bills or fees.
Fee Schedule Calculator
- Allows providers to view Medicare reimbursements for any procedure for any location. Also allows customized RVU-based fee calculations for private payors, Medicaid, and setting provider fees.
Reference Tables
- Immediate access to tables of valid modifiers, physical status codes, place of service codes, and coding guidelines. A convenient source of information for researching claim and coding-related issues.
Accuracy
- We provide the most accurate data in the industry. But when we do make a mistake, rest assured that we will fix it immediately. No hassles, no delays.
Flexible Licensing
- Low-cost workstation licenses that include unlimited support, including referring/affiliated physician offices. Why not work together with your medical staff?
View Product Literature
Download the ABN Assistant brochure.
Download this resource guide which provides a brief overview of the regulatory environment, the process challenges, and key factors in implementation success, as well as a checklist to help you determine your needs.
Compare ABN Assistant subscription options.
Request Information Packet and Demo
Request that an information packet be sent to you, schedule a demonstration, or request quote and purchase forms.
