New Medicare ABN

A new Advanced Beneficiary Notice (ABN) has been made available.

Due to COVID-19 concerns, CMS has extended 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 ABN is a written notice given to the Medicare patient to inform him that Medicare may not pay for an adjustment which is usually covered but may not pay because it is not medically necessary.

A patient who has been given a properly written and delivered ABN and agrees to pay may be held liable. If the patient does not receive proper notice when required, he is relieved from liability and you cannot bill the patient.

IMPORTANT: There are special instructions for non-participating providers that are not accepting assignment. Failure to follow these instructions will render your ABNs invalid.

You may want to consider our Medicare ABN course.

Our Chiropractic Medicare Course has just been updated with detailed instructions for the new ABN.