Current ABN for Medicare: Effective as of June 21, 2017
The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 and form instructions were last approved by the Office of Management and Budget (OMB) for renewal, effective June 21, 2017.
Are you using the most current version of the ABN form? Are you completing it correctly?
The ABN is null and void if incorrectly or improperly completed and utilized.
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.
Additional websites of interest for regular Medicare information are:
Medicare’s Merit-based Incentive Payment System (MIPS) began in 2017 and PQRS ended on 12/31/2016. Can you participate in MIPS?
First Coast Service Options, the Florida Medicare Contractor, will be updating their LCD for Chiropractic Services in the near future.
If you will not be attesting to or meeting Meaningful Use through the implementation of a certified Electronic Health Record during 2015, you may be eligible for a "Hardship Exemption" that would avoid that reimbursement reduction in 2017. The deadline for applying for this exemption has been moved to July 1,2016.
January 1, 2016 is the first phase of the educational and training programs to be released by CMS. The Provider Compliance Group (PCG) at the centers for Medicare and Medicaid Services (CMS) developed an educational tool in the form of a public video, titled "Improving the Documentation of Chiropractic Services."
Reminder: On October 30, 2015, the calendar year (CY) 2016 Medicare physician fee schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare administrative contractors will hold claims containing 2016 services paid under the MPFS for up to 14 calendar days (i.e., Friday January 1, 2016, through Thursday January 14, 2016). Per CMS, the hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt.
The ACA has posted the 2016 PQRS measures for Chiropractic Physicians. The codes and additional information are available through this link.