2011 Version of Advance Beneficiary Notice of Noncoverage Must Be Used 
Beginning Sun Jan 1, 2012

In May 2011, CMS released an updated version of the Advance Beneficiary Notice 
of Noncoverage (ABN) (form CMS-R-131), which will replace the 2008 version of 
this form.  The 2011 version contains no substantive changes from the 2008 
version of the notice and was approved by the Office of Management and Budget.  
The 2008 and 2011 ABN notices are identical except that the release date of 
"3/11" is printed in the lower left hand corner of the new version.  The ABN is 
used by all providers, practitioners, and suppliers paid under Medicare Part B, 
as well as hospice providers and religious non-medical healthcare institutions 
(RNHCIs) paid exclusively under Part A.

When the 2011 ABN was posted to the CMS website on Mon May 16, CMS announced a 
mandatory use date of Thu Sep 1 and permitted providers and suppliers to begin 
using the new form immediately.  Subsequently, we received requests from the 
industry to extend this deadline in order to permit providers and suppliers 
with pre-printed stockpiles of ABNs time to exhaust their supplies.

Providers and suppliers are allowed to use either the 2008 or 2011 version of 
the ABN through the end of this year; beginning Sun Jan 1, 2012, they must 
begin using the 2011 version.  ABNs issued after Sun Jan 1 that are prepared 
using the 2008 version of the notice will be considered invalid by Medicare 
contractors.  2008 versions of the ABN that were issued prior to Sun Jan 1 as 
long-term notification for repetitive services delivered for up to one year 
will remain effective for the length of time specified on the notice.

Information and a copy of the 2011 version of the ABN (form CMS-R-131) can be 
found online at http://www.CMS.gov/BNI<http://www.cms.gov/BNI>, under the "FFS 
Revised ABN" link.


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Vaccination is the Best Protection Against the Flu

The Centers for Disease Control and Prevention is encouraging everyone 6 months 
of age and older to get vaccinated against the seasonal flu.  The risks for 
complications, hospitalizations, and deaths from the flu are higher among 
individuals aged 65 years and older.  Medicare pays for the seasonal flu 
vaccine and its administration for seniors and others with Medicare with no 
co-pay or deductible.  And remember, vaccination is particularly important for 
healthcare workers, who may spread the flu to high-risk patients; don't forget 
to immunize yourself and your staff.  Protect your patients. Protect your 
family. Protect yourself. Get the Flu Vaccination - Not the Flu.

Remember - The flu vaccine plus its administration are covered Part B benefits. 
 CMS has posted the 2011-2012 seasonal flu vaccine payment limits at 
http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp.  Note that 
the flu vaccine is NOT a Part D-covered drug.

For more information on coverage and billing of the flu vaccine and its 
administration, as well as related educational provider resources, visit 
http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and 
http://www.cms.gov/immunizations.



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