The Advanced Beneficiary Notice (ABN) is a report given to Medicare beneficiaries to let the patient know that Medicare is not likely to pay for certain services. The notice must be given to the patient before services are performed.

CMS has modified its form and given explicit instructions how the locater form should be completed. According to regulations, providers include physicians, institutions such as outpatient hospitals, practitioners and suppliers paid under Part B, and hospice providers and religious non-medical health care institutions (RNHCIs) paid exclusively under Part A.

The ABN form must be verbally reviewed with the beneficiary or their representative before they sign it. Once completed and the form is signed, a copy is given to the beneficiary or representative. In all cases, the notifier must retain the original notice on file. These forms are not required in emergency or urgent care situations.

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