Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 70.4

SNF ABN Specific Delivery Issues

Length: 137 wordsOfficial source
70.4 - SNF ABN Specific Delivery Issues (Rev.: 12758; Issued: 08-01-24; Effective: 10-02-24; Implementation: 10-02-24) When completing and delivering the SNF ABN, SNFs must meet the written notice standards in §50.6, 50.7 and 50.8 of this chapter, unless otherwise specified. Failure to provide a proper SNF ABN in situations where a physician has ordered the extended care item or service may result in the SNF being held financially liable under the LOL provisions, where such provisions apply. SNFs may also be sanctioned for violating the conditions of participation (42 CFR 483.10) regarding resident (beneficiary) rights. NOTE: The SNF ABN is not a replacement for, but is in addition to, the required UR entity notices. The SNF ABN protects the SNF from liability in the event the beneficiary, for some reason, does not receive the UR entity notice.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 70.4: SNF ABN Specific Delivery Issues | Justis AI