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The provider should present the Advance Beneficiary Notice (ABN) to the patient far enough in advance for informed choice because the purpose of the ABN is to inform patients about the possibility that Medicare may not cover a certain service or procedure. By providing this notice ahead of time, patients have the opportunity to consider their options, make informed decisions about their care, and potentially seek alternative financing if they choose to proceed with the service despite the risk of non-coverage.

Presenting the ABN immediately before the procedure does not allow the patient adequate time to understand the implications of the notice and to make an informed decision. Providing it after services are rendered is not appropriate, as patients would then face unexpected costs without having had a chance to prepare financially. Similarly, only giving the notice if a payment dispute arises undermines the proactive approach intended by the ABN, which is to inform patients beforehand about potential costs associated with their care.