Monday, October 24, 2011

Use Revised ABN by Jan.1 2012

Providers (including independent laboratories), physicians, practitioners, and suppliers now have until Jan. 1 2012 to begin using revised Advanced Beneficiary Notice of Noncoverage (ABN) Form CMS-R-131.

The orginal implementation date was Sept 1 2011 but the Centers for Medicare & Medicaid Services (CMS) extended the manditory use date to Nov. 1 2011 and then Jan. 1 2012 to give providers and suppliers more time to transistion to using the new form, and to use up stockpiles of old forms.

The revised form replaces the ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L), and NEMB(Form CMS-20007). The latest version of the ABN has a release date of March 2011 printed in the lower- left corner. All ABNs with a release date of March 2008 that are used on or after Jan.1 2012 will be considered invalid.

The ABN should be used in situations where Medicare payments is expected to be denied. Skilled nursing facilities (SNFs) should use the revised ABN form when services are expected to be denied under Medicare Part B only.

Download the revised ABN at www.cms.gov/BNI/02_ABN.asp, available now for immediate use.

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