Is an ABN required for statutorily excluded items or services?
No. An ABN is not required for statutorily excluded items or services, although providers may voluntarily provide a notice. This notice, called a “Notice of Exclusion of Medicare Benefits” (NEMB). Beginning March 1, 2009, all providers, must begin using the revised Advance Beneficiary Notice of Noncoverage (ABN). The revised version of the ABN may also be used to provide voluntary notification of financial liability. The revised ABN may be found on the CMS website. Date Posted: 02/24/2004, Date Reviewed/Revised: 06/15/2009 Go to Top • A physician orders a lab test; the specimen collection is done in the physician office, and is sent to the lab for processing. Is the lab or physician responsible for executing the Advance Beneficiary Notice (ABN)? When multiple entities are involved in rendering care, it is not necessary to give separate ABNs. Either party involved in the delivery of care can be the notifier when: There are separate ‘ordering’ and ‘rendering’ providers (e.g. a physician
No. An ABN is not required for statutorily excluded items or services, although providers may voluntarily provide a notice. Beginning March 1, 2009, all providers must begin using the revised Advance Beneficiary Notice of Noncoverage (ABN) for this purpose. The revised ABN may be found on the CMS website. Date Posted: 02/24/2004, Date Reviewed/Revised: 03/05/2010 Go to Top • A physician orders a lab test; the specimen collection is done in the physician office, and is sent to the lab for processing. Is the lab or physician responsible for executing the Advance Beneficiary Notice (ABN)? When multiple entities are involved in rendering care, it is not necessary to give separate ABNs. Either party involved in the delivery of care can be the notifier when: There are separate ‘ordering’ and ‘rendering’ providers (e.g. a physician orders a lab test and an independent laboratory delivers the ordered tests); One provider delivers the ‘technical’ and the other the ‘professional’ component of th
