Beginning Monday, March 3, 2008, providers (including independent laboratories), physicians, practitioners, and suppliers may use the revised ABN for all situations where Medicare payment is expected to be denied. The revised ABN replaces the existing ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L), and NEMB (Form CMS-20007). Beginning March 1, 2009, the ABN-G and ABN-L will no longer be valid.

Downloads
Revised ABN CMS-R-131 Form and Instructions [zip, 58kb] Revised ABN Manual Instructions [pdf, 316kb] Revised ABN CMS-R-131 Implementation Announcement [pdf, 9kb] ABN-G CMSR131G [pdf, 104kb] ABN-G CMSR131G Spanish [pdf, 120kb] ABN-L CMSR131L [pdf, 111kb] ABN-L CMSR131L Spanish [pdf, 121kb] ABN-G and ABN-L Instructions [pdf, 121kb]
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Page Last Modified: 08/29/2008 11:42:38 AM
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