Effective June 21, 2017, providers must use the most recent version of the Advance Beneficiary Notice (ABN) Form CMS-R-131 with the March 2020 expiration date to deliver a valid ABN. If the new form is not used on/after this date, any new ABN executed on the old form will be considered invalid and would result in provider liability if Medicare denies the claim. Providers may begin using the new ABN Form CMS-R-131 immediately.
For more information and to download the new ABN form, visit the CMS' Advance Beneficiary Notice of Noncoverage webpage.