US · guidance
CMS Pub. 100-04, ch. 30, § 110.5.3
Other Reasons for Contractor Request for Copies of ABNs
Other good reasons for contractors to request submission of copies of ABNs include, but
are not limited to, the following:
A - Any need that arises from the appeals processes for documentation.
B - Any practical need to identify the particular items and/or services, dates of
service, reasons for predicting Medicare denial of payment, or other pertinent
facts about the beneficiary notification.
C - Any plausible allegation or dispute as to the form, content, or delivery of a
particular ABN or a particular group of ABNs, e.g., all ABNs furnished by a
particular notifier, all ABNs for a particular item, etc.
D - For the purposes of a data analysis, utilization study, or other investigation or
study.
History
(Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
7a2c99f08f3fff05d918c2719440eab15745a7ea13ac5e1375d45fe4b30cc0a3
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