CMS published a new Advance Beneficiary Notice of Noncoverage (ABN) effective June 21, 2017. The basic components of the form and the way it is completed have not changed. The only change to the form is the addition of language informing patients that CMS does not discriminate and patients may request the ABN in an alternate format (e.g., large print). The new language below the signature box reads:
CMS does not discriminate in its programs and activities. To request this publication in an alternative format, please call: 1-800-MEDICARE or email: AltFormatRequest@cms.hhs.gov.
As of June 21, all ABNs provided to patients should list the form expiration date as 03/2020. The footer should read:
Form CMS-R-131 (Exp. 03/2020) Form Approved OMB No. 0938-0566
Additional information about the new form can be found at:
Corcoran Consulting Group will also update ABN forms found on our website as well as our ABN FAQ. Contact us at 1-800-399-6565 with additional questions or concerns about this change.
We invite you to link to our new App, Corcoran 24/7, via one of the links below.