Advanced Beneficiary Notice CMS R-131 Update
The Advanced Beneficiary Notice (ABN) is a notice given to beneficiaries in traditional Medicare to communicate that Medicare isn’t likely to provide coverage in specific cases. Those required to provide the notice include physicians, providers, practitioners, and suppliers paid under Medicare Part B. They must complete the ABN according to specific instructions and deliver the notice to affected beneficiaries or their representative before providing the items or services that are the subject of the notice. For skilled nursing facilities (SNF), this notice is only used for Medicare Part B services.
The 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 June 30, 2023, will be mandatory on August 31, 2021. The ABN form and instructions may be found on CMS’ website.
It’s important that providers update their current form with the updated version, which contains the correct expiration date prior to August 31, 2021. If you have questions regarding Medicare denial notices, please reach out to your BKD Trusted Advisor™ or use the Contact Us form below.