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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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ABN Form and Instructions 

These are the instructions for filling out the ABN.  If the form is not filled out correctly by the healthcare provider then it will be invalid and the patient will not be held liable for payment for services rendered. 

The ABN, Form CMS-R-131, is the Office of Management and Budget (OMB) approved standard notice. 

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Spanish Form

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