CMS Revises ABN Guidelines

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The Centers for Medicare & Medicaid Services (CMS) announced changes to the Advance Beneficiary Notice of Non-coverage (ABN) section in the Medicare Claims Processing Manual. The changes are effective with dates of service on or after October 14.

Some of the key revisions include:

·       Some general notice preparation requirements for the ABN

·       Period of effectiveness of the ABN for repetitive or continuous non-covered care

·       How the Financial Liability Protections (FLP) provisions apply to dually eligible individuals (a Qualified Medicare Beneficiary (QMB) Program or Medicaid coverage)

To read the revisions, visit MLN Matters Number MM12242, "Section 50 in Chapter 30 of Publication (Pub.) 100-04 Manual Updates."