Are You Using the Most Recent ABN Form?
Ensure you're using the latest ABN form, CMS-R-131, valid until Jan 31, 2026. Learn about patient responsibilities and maintain compliance in healthcare billing.
OB/GYN Medical Billing & Coding Alert
Question: How can I confirm that I’m using the latest version of the Advanced Beneficiary Notice (ABN) form for patients?
Answer: The appropriate form from April 4, 2023, is CMS-R-131, which remains valid until January 31, 2026. The Centers for Medicare & Medicaid Services (CMS) now provides added guidelines for patients covered by both Medicare and Medicaid, referred to as dual-eligible beneficiaries. These patients cannot be billed for Medicare cost-sharing when receiving services under Medicare Part A or B.
Understanding the Advanced Beneficiary Notice (ABN) Form
An ABN form is a written notification indicating that Medicare may refuse to cover or reimburse for services or items recommended by your doctor, healthcare provider, or supplier. This form informs the patient about their potential financial responsibility for the services or items in question. By signing the ABN form, the patient acknowledges their understanding that they may be responsible for payment if Medicare denies coverage. The ABN also ensures transparency and allows patients to make informed decisions regarding their healthcare and associated costs before treatment.
Important To Note About ABN Form: Remember to provide the patient with a copy of the signed ABN and keep the original ABN on file for your records.
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At BillingFreedom, we pride ourselves on having a dedicated team of experts specializing in OBGYN medical billing services. Our knowledgeable professionals understand the intricacies of OBGYN billing, ensuring accurate coding and prompt claims submission to maximize your revenue cycle. We stay up-to-date with the latest billing guidelines and Medicare regulations, including Advanced Beneficiary Notices (ABNs), so you don’t have to. Our commitment to transparency and efficiency means you can focus on providing quality patient care while we handle the billing complexities. With a track record of reducing denials and accelerating reimbursements, BillingFreedom is your trusted partner for seamless OBGYN medical billing solutions.
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