Renewed Advanced Beneficiary Notice of Noncoverage (ABN) Form

Posted Wednesday, May 17, 2023

Home health and hospice providers are reminded that the Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget for renewal.

The use of the renewed form with the expiration date of 01/31/2026 will be mandatory on 6/30/23. Providers may continue to use the ABN form with the expiration date of 6/30/23 until the renewed form becomes mandatory on 6/30/23. The ABN form and instructions may be found here in the downloads section.

The ABN, Form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service – FFS) beneficiaries in situations where Medicare payment is expected to be denied. The ABN is issued in order to transfer potential financial liability to the Medicare beneficiary in certain instances.

Guidelines for issuing the ABN can be found beginning in Section 50 in the Medicare Claims Processing Manual, 100-4, Chapter 30 (PDF).

Source: NAHC Report

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Founded in 1989, The Corridor Group Holdings, LLC (Corridor) is a leading provider of technology-enabled outsourced coding, revenue cycle and education solutions to the post-acute healthcare industry. Leveraging deep and broad post-acute expertise, Corridor delivers documentation quality improvement and reimbursement success to clients ranging from large health systems and national chains to smaller, independently operated agencies. For more information visit www.corridorgroup.com.

 

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