Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 50.1

ABN Scope

Last amended: 2021Year: 2021Length: 146 wordsOfficial source
50.1 - ABN Scope (Rev. 10862; Issued: 07-14-21; Effective: 10-14-21; Implementation: 10-14-21) The ABN is an Office of Management and Budget (OMB)-approved written notice issued by healthcare providers and suppliers for items and services provided under Medicare Part B. With the exception of DME suppliers, only healthcare providers and suppliers who are enrolled in Medicare can issue the ABN to beneficiaries. The ABN is given to beneficiaries enrolled in the Medicare FFS program. It is not used for items or services provided under the Medicare Advantage (MA) Program or for prescription drugs provided under the Medicare Prescription Drug Program (Part D). Skilled Nursing Facilities (SNFs) issue the ABN for Part B services only. The Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN), CMS Form 10055, is issued for Part A SNF items and services. Section 70 of this chapter contains information on SNFABN issuance.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 50.1: ABN Scope | Justis AI