Course Overview
The CMS has released an updated version of the Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, with mandatory implementation requirements for providers and suppliers by May 2026. This webinar will discuss in detail how to complete the ABN correctly, clarifies situation (Mandatory or Voluntary) using the ABN to get reimbursed faster. Our expert will explain old vs new ABN form, how to correctly complete and deliver the new ABN, avoid common documentation mistakes that can lead to claim denials or lost reimbursement, and strengthen patient financial responsibility workflows. This session will walk through the latest CMS requirements and share best practices for improving front-end compliance while protecting revenue.
Learning Objectives:
- Understand the changes in the updated CMS-R-131 ABN form
- Identify when an ABN is required and when it should not be used
- Modifier GA, GX, GY, and GZ breakdown
- Avoid common completion and signature errors that can invalidate an ABN
- Improve patient communication regarding potential Medicare noncoverage
- Reduce denials and accelerate reimbursement through compliant ABN practices
- Implement workflow strategies to ensure organization-wide compliance and revenue protection
Areas Covered in the Session:
- CMS Definition of ABN
– Noncovered
– Not Medically Necessary - What is ABN CMS-R-131?
- Modifier GA
- Modifier GX
- Modifier GY
- Modifier GZ
- Occurrence Code 32
- Locating Information on CMS’ Website
- Old vs. New ABN Form
- Elements of ABN Form
- Bundle Costs
- Refusal to Sign
- Mandatory Use and Optional Use
- Dual Eligible
- No AOB – Additional Information
- Key Point to Consider
- Medicare Summary Notice (MSN)
- CMS Latest Rules and Requirements
- Questions and Answers
Who Should Attend:
- Physicians
- Non-Physicians Providers
- Suppliers
- Medical Billers
- Medical Coders
- Medical Practice Administrators
- Revenue Cycle Professionals
- Practice Managers
- Compliance Officer
- Office Managers
- Qualified Healthcare Practitioners
- Healthcare Executives, Directors and Supervisors
- Anyone responsible for Billing, Reimbursement and Compliance
Don’t miss this opportunity to master CMS new ABN form to identify high-risk ABN practices that can invalidate the notice and shift liability back to the provider.
