August 6, 2020

The Office of Management and Budget renewedthe Centers for Medicare and Medicaid Services’ (CMS) instructions and Advance Notice of Noncoverage (ABN), Form CMS-R-131, which is distributed by providers, physicians, practitioners, and suppliers to Medicare beneficiaries under circumstances when Medicare payment is expected to be denied. The ABN is issued in order to transfer potential financial liability to the Medicare beneficiary.

Due to COVID-19 concerns, CMS has expanded the deadline for use of the renewed ABN, Form CMS-R-131 (exp. 6/30/2023). At this time, the renewed ABN will be mandatory for use on 1/1/2021. The renewed form may be implemented prior to the mandatory deadline. The renewed ABN form and instructions may be found here.

If you have any questions or concerns regarding the implementation of ABN, Form CMS-R-131 or its instructions, please contact a member of Hancock Daniel’s Compliance team.

Click here for a full PDF of this advisory.

The information contained in this advisory is for general educational purposes only. It is presented with the understanding that neither the author nor Hancock, Daniel & Johnson, P.C., is offering any legal or other professional services. Since the law in many areas is complex and can change rapidly, this information may not apply to a given factual situation and can become outdated. Individuals desiring legal advice should consult legal counsel for up-to-date and fact-specific advice. Under no circumstances will the author or Hancock, Daniel  & Johnson, P.C. be liable for any direct, indirect, or consequential damages resulting from the use of this material.

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