ABN Updated for Medicare: Effective as of June 21, 2017
The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. The effective date is June 21, 2017.
March 2017: The ABN, Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. While there are no changes to the form itself, providers should take note of the newly incorporated expiration date on the form. With the 2016 PRA submission, a non-substantive change has been made to the ABN. In accordance with Section 504 of the Rehabilitation Act of 1973 (Section 504), the form has been revised to include language informing beneficiaries of their rights to CMS nondiscrimination practices and how to request the ABN in an alternative format if needed. The effective date for use of this ABN form is 6/21/2017. Read more to download the form.
With Medicare’s Merit-based Incentive Payment System (MIPS) beginning in 2017, many are asking about PQRS in 2017. Although it seems clear that PQRS ends on 12/31/2016, the G-code quality reporting will continue under MIPS.
In addition to the September 12th change in billing First Coast, there are at least 3 other changes that are time sensitive in nature. October 1 begins the need for more specificity in coding ICD-10. November 30th is the last day to appeal your PQRS status for 2015. Failure to respond to re-validation requests may require re-enrolling in Medicare with no grace period for billing. For more information, read on.