decisionhealth Newsletters, Part B News - 2021 Issue 8 (August)
CMS lifts annual advance beneficiary notice renewal requirement
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Article Overview
This article discusses a CMS update to the Advance Beneficiary Notice of Non-coverage (ABN) guidance in Medicare’s Internet-only Manual and a related Change Request. It focuses on how repeat or continuous treatment situations are handled, what circumstances still require a new ABN, and the importance of using the correct form and current manual requirements. The piece is relevant to providers, billing staff, compliance teams, and anyone managing Medicare liability notices.
Why This Topic Matters
ABN handling affects patient financial liability, Medicare compliance, and practice risk management. Understanding the updated renewal guidance helps organizations reduce avoidable administrative burden while avoiding errors that can lead to complaints, audits, or payment issues.
Article Sections
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Updated ABN renewal guidance
Introduces the CMS update affecting annual renewal expectations for certain Medicare liability notices and frames the change in the context of repetitive or continuous care.
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When a new ABN is still needed
Summarizes the circumstances discussed in the article that continue to trigger a replacement notice when the underlying situation changes.
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What has not changed
Reviews the continuing ABN documentation and workflow points that practices are advised to keep in mind for extended treatment scenarios.
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Check your form
Addresses the need to confirm that the practice is using the current approved ABN form and that form formatting follows Medicare requirements.
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Resources
Lists the CMS manual and Change Request sources cited in the article for further reference.
What You Will Learn
- How the CMS update affects ABN renewal timing for repetitive or continuous services
- Which broad circumstances still call for a new ABN
- What parts of ABN workflow and documentation practices remain unchanged
- Why correct form version and formatting matter for ABN compliance
- Where the article points readers for CMS source guidance
Who Should Read This
- Medical coders
- Billers and billing staff
- Practice managers
- Compliance staff
- Physician office staff
- Medicare providers
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