Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131: Revised Effective January 1, 2012

The revised Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, should be used by physicians, practitioners, suppliers and independent laboratories in situations where Medicare payment is expected to be denied. The latest version of the ABN (with the release date of 3/2011 printed in the lower left hand corner) is now available for immediate use. In order for providers and suppliers to have time to transition to using the newly posted notice, mandatory use of this version begins on January 2012. The mandatory ’use’ date has been changed from September 2011 to January 2012 to accommodate those providers and suppliers with pre-printed stockpiles of ABNs so that they have more time to exhaust any supplies of the outgoing ABN. All ABNs with the release date of March 2008 that are used after January 1, 2012 will be considered invalid.

Source: https://www.cms.gov/BNI