ABN: Update Beneficiary Notification to Protect Your Surgeon’s Bottom Line

Article Overview

This article covers a CMS update to the Advance Beneficiary Notice of Noncoverage (ABN) form and the related instructions for beneficiaries who may have Medicare and Medicaid coverage. It is aimed at physicians, surgeons, coders, billers, and practice staff who handle beneficiary notifications and need to keep documentation current, especially when coverage uncertainty, medical necessity concerns, or frequency limits are involved. The article also reviews general ABN use, form completion, patient communication, and recordkeeping expectations.