Revised SNFABN mandatory for use beginning May 7, 2018

CMS is releasing a newly revised skilled nursing facility advanced beneficiary notice (SNFABN) along with newly developed, concise and separate instructions for form completion.  The revised SNFABN has the requirements from the denial letters and looks very similar to the ABN with 3 different options.

CMS will be discontinuing the 5 SNF Denial Letters and the Notice of Exclusion from Medicare Benefits – Skilled Nursing Facility (NEMB-SNF). Since the NEMB-SNF was used as a voluntary notice for care that is never covered by Medicare, the agency will continue to encourage SNFs to issue the revised SNFABN in this voluntary capacity.  Chapter 30, Section 70 of the Medicare Claims Processing Manual revisions will be forthcoming.  The revised SNFABN will be mandatory for use on May 7, 2018.  During the interim, SNFs may continue to use the old version of the SNFABN, the Denial Letters or the NEMB-SNF, however, it is recommended that the revised SNFABN be used as soon as possible.  The revised SNFABN and the form instructions may be located at:

http://www.cms.gov/Medicare/Medicare-General-Information/BNI/index.html

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