What is the common name for Form CMS-R-131?

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The common name for Form CMS-R-131 is indeed the Advanced Beneficiary Notice of Non-Coverage (ABN). This form is utilized in situations where a healthcare provider believes that a service may not be covered by Medicare. The purpose of the ABN is to inform the patient about the potential costs they might incur if Medicare refuses to pay for the service. By providing this form, the healthcare provider ensures that patients are aware before receiving the service that they may be responsible for payment if Medicare deems it unnecessary or not covered under current regulations.

Understanding the ABN is critical for compliance in healthcare settings, as it helps protect both the provider and the patient from unexpected bills and maintains transparency regarding Medicare coverage requirements. This enhances the provider's ability to communicate effectively with patients about their options and possible financial responsibility, which is crucial in patient care and compliance practices.

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