July 28, 2021
Advance Beneficiary Notice of Non-coverage (ABN) – Revised Guidelines from CMS
CMS has published MLN Matters Number: MM12242 titled “Section 50 in Chapter 30 of Publication (Pub.) 100-04 Manual Updates” to alert suppliers about changes made to the Advance Beneficiary Notice of Non-coverage (ABN) section in the Medicare Claims Processing Manual, Chapter 30, Section 50. The revised chapter is part of CR 12242.
Some of the key revisions of Chapter 30, Section 50 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)
These changes are effective with dates of service on or after October 14, 2021. Refer to MLN Matters Number: MM12242 for more information.