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CMS releases changes to ABN

Case Management Weekly, March 18, 2008

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In a much anticipated move, CMS released the new Advance Beneficiary Notice of Noncoverage (ABN) March 3. This form, also known as the ABN-R-131, will be used for all Part B provider and supplier services.

The form replaces the existing ABN-G and ABN-L and it may also be used for voluntary notifications, in place of the Notice of Exclusion from Medicare Benefits (NEMB). It will not replace the SNF ABN (SNFABN-G) form, which is currently under development.

According to CMS, key features of the form include:

• A new official title, the "Advance Beneficiary Notice of Noncoverage (ABN)", in order to more clearly convey the purpose of the notice
• A mandatory field for cost estimates of the items/services at issue
• A new beneficiary option, under which an individual may choose to receive an item/service, and pay for it out-of-pocket, rather than have a claim submitted to Medicare.

To obtain the latest information regarding ABNs, follow this link to the CMS site.

Source: Patient Access Weekly Advisor, HCPro, Inc.

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