Billing Beat

CMS releases Sample Lab ABN

March 1, 2014

An example of an approved customization of the ABN which can be used by providers of laboratory services can be found at https://www.cms.gov/Medicare/Medicare-General-Information/BNI/ABN.html.

Providers must exercise caution before adding any customizations beyond these guidelines, since changing ABNs too much could result in an invalid notice and provider liability for non-covered charges. Validity judgments are generally made by Medicare contractors, usually when reviewing ABN-related claims; however, any complaints received may be investigated by contractors and/or CMS central or regional offices.

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