Advance Beneficiary Notice of Noncoverage update effective 6/21/17

In March, the Advance Beneficiary Notice of Noncoverage form and instructions were approved for renewal with the inclusion of language informing beneficiaries of their rights to CMS nondiscrimination practices and how to request the ABN in an alternative format if required. Skilled nursing facilities are required to use the ABN for items and/or services that are expected to be denied under Part B only. Other providers, including home health agencies, must issue these notices when Medicare payment is expected to be denied, as per the guidelines of the Medicare Claims Processing Manual (Chapter 30, Section 50).

The updated form and instructions effective June 21, 2017 are available on the CMS website. The new LTC survey process includes a Task on Advance Beneficiary Notices, so providers need to be on top of these notices.


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