Cirius Group, Inc.
CIRIUS GROUP, INC.
COMPLIANCE
MEDICARE ABN 
Greetings!
 
March 1, 2009 all providers (including independent laboratories), physicians, practitioners,and suppliers will use the revised ABN form CMS-R-131 for all situations where Medicare payment is expected to be denied. In general, the ABN form must be kept 5 years from discharge/completion delivery of care, where there are no other state law requirements.
CMS-R-131 Form here

Medicare ABN Compliance
 
The revised ABN form combined both the General Use ABN (CMS-R-131-G), and the Lab ABN (CMS-R-131-L) for the physician ordered laboratory tests. Important-The revised ABN eliminates any widespread need for the Notice of Exclusion from Medicare Benefits (NEMB) used in voluntary notification situations.
An ABN is to be provided to Medicare patients PRIOR to clinical care. Medicare services performed in an outpatient setting require validation of medical necessity. In the case of emergency care or urgent care services an ABN should not be provided. It is the obligation of every provider to inform Medicare patients of services that do not meet medical necessity.    
In This Issue
Medicare ABN Compliance
Cirius Medicare ABN Solution
Quick Links
Join our Mailing List!
Cirius Medicare ABN Solution
 
Ensure compliance using the CURRENT CMS ABN form; while validating local and national policies PRIOR to patient services. Cirius ABN quickly produces at the point of service an interpretation of all CDM, HCPC and diagnosis codes.
  •          Verify 100% of Medicare patient care PRIOR to service
  •          ACCURATE, Reliable and Timely of policy updates
  •          Eliminate Denials from Medicare 
  •          Eliminate Medicare write off's   
  •          Generate an approved and revised CMS ABN form
  •          Reports of countless variety standardized to meet your needs
  •          Increase cash collections
Cirius provides not only the leading 'best healthcare solutions' to hospitals and large professional groups nationwide but we are known for our EXCELLENT customer service and experienced healthcare IT staff.
 
Cirius ABN webinar to learn more.
 
 
Respectfully,
 
Jayne Kroner 
Business Development
Cirius Group, Inc.
(925)685-9300