US · guidance
CMS Pub. 100-04, ch. 30, § 150.5.2.9
Presumption About Beneficiary Knowledge
Presume that a Medicare beneficiary does not know, and cannot reasonably be expected
to know, that Medicare will deny, or has denied, payment in advance under §1834(a)(15)
of the Act unless and until the beneficiary has received a proper advance beneficiary
notice (ABN) to that effect from the supplier before the item is furnished to them.
History
(Rev. 1587, Issued: 09-05-08, Effective: 03-03-08, Implementation: 03-01-09)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d1cc6cda9c932fa8dceb4d9b7cddaba27677d1587ff755be9c3e3835c56bb39e
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.