Which part of the ABN form allows the patient to indicate their decision regarding the service provided?

The Options Box on the ABN (Advance Beneficiary Notice) form is specifically designed for patients to indicate their decision regarding the service they are about to receive. This section clearly presents the patient with choices about whether they agree to pay for the service if Medicare denies coverage. The patient can select whether they want to proceed with the service, understanding the potential financial responsibility.

This interactive element is essential for ensuring that the patient is informed and consenting to proceed under the acknowledgment that they may be liable for costs not covered by Medicare. The clarity of the Options Box facilitates effective communication between the healthcare provider and the patient, ensuring both parties understand the implications of the patient's choice.