Friday, June 9, 2017

Updated Advance Beneficiary Notice

Dianne De La Mare

In March 2017, the Office of Management and Budget (OMB) approved the Advance Beneficiary Notice (ABN) (Form CMS-R-131) for another 3 years. The only change to the current form is the new March 2020 expiration date. Starting June 21, 2017, providers are required to use the new form, but they also can begin using it immediately.

As background, the ABN - Form CMS-R-131 - is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to original Medicare (fee for service) beneficiaries in situations where Medicare payment is expected to be denied. Skilled Nursing Facilities must use the ABN for items/services expected to be denied only under Medicare Part B.

To obtain more information, including the new form, go to the FFS ABN webpage.

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