Medicare Denials of AB Modifier
Kim Cavitt, Au.D.
The Centers for Medicare and Medicaid Services (CMS) have updated the Advanced Beneficiary Notice, whose most recent update to the Advanced Beneficiary Notice (ABN) goes into effect on June 30, 2023.
All audiology practices, who bill items and services to traditional Medicare, need to replace their ABNs, dated with an expiration date of 06/30/23, with a new, updated (with updated language) ABN, dated with an expiration date of 01/31/2026. The form is not valid if it is not in its most updated version.
You can learn more about the ABN, its intent, and how it is to be used, as well as find sample templates, at https://www.cms.gov/medicare/medicare-general-information/bni/abn.
The Academy of Doctors of Audiology offers partially pre-filled (with common reason for denial options) ABN forms, for no charge to members, at https://www.audiologist.org/audiologists/practice/forms-library.
Please contact Kim Cavitt at
Dr. Kim Cavitt was a clinical audiologist and preceptor at The Ohio State University and Northwestern University for the first ten years of her career. Since 2001, Dr. Cavitt has operated her own Audiology consulting firm, Audiology Resources, Inc. She currently serves on the State of Illinois Speech Pathology and Audiology Licensure Board. She also serves on committees through AAA and ASHA and is an Adjunct Lecturer at Northwestern University.