Use Revised ABN by Jan. 1

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

The original implementation date was Sept. 1 but the Centers for Medicare & Medicaid Services (CMS) extended the mandatory use date to Nov. 1, and then Jan. 1, 2012, to give providers and suppliers more time to transition to using the new form, and to use up stockpiles they may have 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 payment 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, available now for immediate use.


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2 Responses to “Use Revised ABN by Jan. 1”

  1. Carol says:

    Do you know if we are using this new form

  2. Debbie says:

    Per the CMS website, the mandatory use date is Jan. 1, 2012, not November 2011.

    “The mandatory use date has been changed from September of 2011 to January of 2012 to accommodate those providers and suppliers with pre-printed stockpiles of ABNs so that they have additional time to exhaust their supplies of the outgoing ABN.”

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