The Centers for Medicare & Medicaid Services (CMS) has introduced a new Advance Beneficiary Notice of Noncoverage (ABN) effective for use by the Medicare program on March 3, 2008, with a 6-month transition period (September 1, 2008). This form replaces the ABN-G and ABN-L used for physician-ordered laboratory tests and includes a mandatory field for cost estimates of the items or services at issue. The form may also be used for voluntary notifications in place of the Notice of Exclusion from Medicare Benefits (NEMB). As well, Medicare has introduced a new beneficiary option under which an individual may choose to receive an item or service and pay for it out of pocket rather than submit a claim to Medicare.

You may be more familiar with the term waiver. Waiver is synonymous with ABN. In essence, a waiver form is used to obtain acknowledgment by a patient, parent, or guardian...

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