SKILLED NURSING FACILITY ADVANCE BENEFICIARY NOTICE OF NON-COVERAGE

SKILLED NURSING FACILITY ADVANCE BENEFICIARYNOTICE OF NON-COVERAGE 
To our valued customers:

The ABN, Form CMS-R-131 notice is subject to comment and re-approval every 3 years. The ABN, Form CMS-R-131 has been approved by the Office of Management and Budget (OMB) for renewal. The new renewal form has an expiration date of 06/30/2023 and will be mandatory on 8/31/2020.

There are no changes in the form itself, or its purpose, however, it now allows for dual eligibility (Medicare and Medicaid) for beneficiaries. This is outlined in the new instructions. The ABN form and instructions may be found at:https://www.cms.gov/Medicare/Medicare-General-Information/BNI/ABN

Please make sure you have systems in place to transition to its use.

As a reminder:
Key elements of the proposed rule include:

Continue to use the ABN FORM CMS-R-131 for items and services that may be denied by Medicare under Medicare Part B to inform beneficiaries of their potential liability.

Events triggering issuance of an ABN remain the same: 
initiation of services a SNF believes Medicare will not reimburse,
reduction of services that a SNF believes Medicare will no longer reimburse, and
termination of services a SNF believes Medicare will nor reimburse.

SNFs should follow the new instructions when completing the SNF ABN Form CMS-R-131

Further information regarding the ABN can be found beginning in Section 50 in the Medicare Claims Processing Manual, 100-4, Chapter 30 (PDF)
Preferred Therapy Solutions continues to provide its partners with vital information that may impact rehabilitation management, reimbursement policies, and clinical programs, supported with compliance and regulatory requirements that are necessary for a thorough understanding on practices and procedures. If you have any questions, please contact Barb Blatt, Appeals Management Coordinator at: bblatt@preftherapy.com.

Black Lives Matter

Black lives matter. My heart breaks for the families of Breonna Taylor, Ahmaud Arbery, and George Floyd and so, so many other black American families that have endured unimaginable pain and loss at the hands of a system that does not apply justice equally. This must stop now.  Preferred Therapy Solutions stands with our black community and I ask that we all serve as allies, demanding fair treatment and equal justice.  Make no mistake, PTS stands against all hatred, bigotry, misogyny, and prejudice of any kind but this moment in time is specifically about supporting the black community to finally realize the desperately overdue change. We recognize that systemic racism has been creatively woven through the fabric of our society and that now is the time to take a stand with the ultimate goal of a fair, just, and kind society. We at Preferred have always referred to ourselves as a family and recognize our professional responsibility as caregivers and healers. We must now come together to listen and then take action as professionals, as healthcare providers, as citizens, and as humans. First, we must listen so we can all gain a better understanding of the realities endured by our black friends, neighbors, family members, co-workers, and patients. Then, we join the chorus of voices being heard around the world that Black Lives Matter. It is also the time for PTS to look in the mirror…and we have. We have begun the process of taking action in the form of “Allyship”. This requires expanding awareness, educating ourselves, performing a self-assessment, and then taking action. I have begun conversations with the black community within our professions and in academic circles to expand the diversity of Physical, Occupational, and Speech Therapy professions. I am wholly committed to this goal and ask you all to join me as we take this journey together, recognizing our responsibility to create change. 

Elizabeth (Liz) Almeida-Sanborn, MS PT
President & CEO