Outpatient Facility Coding Alert - 2020 Issue 9
Reader Questions:Watch for Updated ABN
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Article Overview
This reader question and answer covers a CMS update to the advance beneficiary notice (ABN) form, including when the updated form is required, how to recognize the current version, and the general purpose of CMS’s additional guidance for beneficiaries covered by both Medicare and Medicaid. It is relevant for providers, billing staff, and compliance teams that need to confirm they are using the correct CMS form and following the latest notice-related instructions.
Why This Topic Matters
Using the current CMS ABN form is part of Medicare compliance and helps providers avoid administrative errors when obtaining beneficiary notices. The article also points readers to CMS guidance affecting how dual eligible beneficiary situations are handled.
Article Sections
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Question
A reader asks how to verify whether the current CMS notice form is on hand and whether a replacement is needed.
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Answer
The response summarizes the CMS update, the timing of the required form version, and the general reason the notice was revised.
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Here’s what’s new
This section discusses the broader CMS guidance associated with the updated notice and the context for the change.
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Resource
A CMS link is provided for access to the form and accompanying instructions.
What You Will Learn
- How this CMS notice update affects form version checks
- The general context for updated guidance related to dual eligible beneficiaries
- Where to find the official CMS resource for the notice form and instructions
- Why providers should confirm they are using the current Medicare beneficiary notice form
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Revenue cycle teams
- Healthcare providers
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