On March 30,
2018, the Centers for Medicare & Medicaid Services (CMS) issued Transmittal 4011, with CMS Medicare Claims Processing Manual
changes revising the Skilled Nursing Facility Advance Beneficiary Notice of
Non-Coverage (SNF ABN), Form CMS-10055.
With this revision, CMS is
discontinuing the 5 SNF Denial Letters and the Notice of Exclusion from
Medicare Benefits (NEMB-SNF), Form CMS-20014; the revised SNF ABN replaces the
formerly used SNF ABN, the 5 SNF Denial Letters, and the NEMB.
SNFs must use the revised SNF ABN to inform beneficiaries of
their potential liability for Part A items or services that may be denied
effective April 30, 2018. However, SNFs can implement use of the new form prior
to that date.
Instructions on the use of Form CMS-10055 can be accessed here.
SNFs will
continue to use the ABN, Form CMS-R-131, for items or services that may be
denied by Medicare paid under Medicare Part B to inform beneficiaries of their
potential liability.
These changes are
effective April 30, 2018.
Note that use of the revised SNF ABN is addressed in the
requirements and interpretive guidance under F-582, Medicare/Medicaid
Coverage/Liability Notice, which can be found here.
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