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Doctors Must Switch to New 'Advance Beneficiary Notice of Noncoverage (ABN)' Form by June 21
Posted on: 4/10/2017

The Centers for Medicare and Medicaid Services has revised the "Advance Beneficiary Notice of Noncoverage (ABN)" form and physicians must begin using it by June 21.

If the old form is used past this deadline, the notification to the patient will be considered invalid.

Doctors use this form to provide the required written notification to the patient in instances in which the physician suspects Medicare will deny payment for a particular service.

While there are no changes to the form itself, CMS has changed the form’s expiration date — non-substantive change. Nonetheless, physicians must switch to the new form by June 21, 2017.

Click here to access the new ABN form; select "open" and choose either English or Spanish forms. The updated form displays "Form CMS-R-131 (Exp. 03/2020)" at the bottom left-hand corner.

Remember, the written notification must be given to the patient before services are delivered. 

This requirement only applies to fee-for-service Medicare.

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