ABN Announcement
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ABN Announcement

On Monday, March 3, 2008, CMS implemented use of the revised Advance Beneficiary Notice of Noncoverage (ABN) (CMS-R-131).  This form replaces the General Use ABN (CMS-R-131-G), and the Lab ABN (CMS-R-131-L) for physician-ordered laboratory tests.  The form (English and Spanish versions) and notice instructions are now posted on the Beneficiary Notice Initiative web page (http://www.cms.hhs.gov/bni).  Detailed manual instructions, including the official implementation date will be posted on the BNI webpage in the near future.

Some key features of the new form are that it:

  • Has a new official title, the "Advance Beneficiary Notice of Noncoverage (ABN)", in order to more clearly convey the purpose of the notice;
  • Replaces the ABN-G and ABN-L;
  • May also be used for voluntary notifications, in place of the Notice of Exclusion from Medicare Benefits (NEMB);
  • Has a mandatory field for cost estimates of the items/services at issue; and
  • Includes 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.

The ABN-G and ABN-L will no longer be valid beginning March 1, 2009.

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