ABN Triggering Events

50.4 - ABN Triggering Events (Rev. 10862; Issued: 07-14-21; Effective: 10-14-21; Implementation: 10-14-21) Initiations Reductions Terminations The beginning of a new patient encounter, start of a plan of care, or beginning of treatment. A reduction occurs when there is a decrease in a component of care (i.e. frequency, duration, etc.). The ABN is not issued every time an item or service is reduced. But, if a reduction occurs and the beneficiary wants to receive care that is no longer considered medically reasonable and necessary, the ABN must be issued A termination is the discontinuation of certain items or services. The ABN is only issued at termination if the beneficiary wants to continue receiving care that is no longer medically reasonable and necessary. prior to delivery of this non-covered care.