Form CMS-R-131 Advance Beneficiary Notice of Noncoverage (Abn)

What Is Form CMS-R-131?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CMS-R-131?
A: Form CMS-R-131 is the Advance Beneficiary Notice of Noncoverage (ABN).

Q: What is the purpose of Form CMS-R-131?
A: The purpose of Form CMS-R-131 is to inform Medicare beneficiaries that Medicare is not likely to cover the cost of a particular item or service.

Q: When should Form CMS-R-131 be used?
A: Form CMS-R-131 should be used when a healthcare provider believes that Medicare is not likely to cover a particular item or service.

Q: Who is responsible for completing and providing Form CMS-R-131?
A: The healthcare provider is responsible for completing and providing Form CMS-R-131 to the Medicare beneficiary.

Q: What information should be included in Form CMS-R-131?
A: Form CMS-R-131 should include the reason why Medicare is not likely to cover the particular item or service, as well as the expected cost.

Q: Is the Medicare beneficiary required to sign Form CMS-R-131?
A: Yes, the Medicare beneficiary must sign Form CMS-R-131 to acknowledge that they have received the notice.

Q: What should the Medicare beneficiary do after receiving Form CMS-R-131?
A: After receiving Form CMS-R-131, the Medicare beneficiary should decide whether to receive the item or service and accept financial responsibility if Medicare does not cover it.

Q: Is Form CMS-R-131 valid for a specific time period?
A: Yes, Form CMS-R-131 is valid for 90 days from the date it was signed by the Medicare beneficiary.