Beginning Monday, March 1, 2009, providers (including independent laboratories), physicians, practitioners, and suppliers will use the revised ABN (Form CMS-R-131) 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). (Note: Skilled nursing facilities (SNFs) must use the revised ABN for items/services expected to be denied under Medicare Part B only.)

See the revised ABN manual instructions below for detailed instructions on mandatory and voluntary use of the revised ABN. 

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: 02/05/2009 8:54:15 AM
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