SNF Beneficiary Notices

SNF Beneficiary Notices 

Current regulations mandate that residents of a skilled nursing facility must be notified when items or services may not be paid for by the Medicare program. Residents are also to be notified in advance of the discontinuation of Medicare Part A and Medicare Part B covered services. To meet this regulatory requirement, CMS has developed “beneficiary notices” that SNF providers are required issue to Medicare beneficiaries. Compliance with the issuance of these notices has been a focus of nursing facility surveys in the past and is now a mandated task for all standard surveys. Many facilities have received survey citations due to confusion and uncertainty related to these regulatory requirements. This module is designed to introduce you to the various beneficiary notices and identify when they are required to be issued.


Hours: 1.25


Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-PAC-0-SNFBN
Hours: 1.25
Type: Online Course
Content Expiration Date: 12/31/2022
Learning Objectives:
Identify the regulatory requirements related to issuance of Beneficiary Notices.
Differentiate between the various beneficiary notices provided to Medicare Part A, Medicare Part B, and Medicare Advantage beneficiaries.
List the steps involved in the Expedited Determination Process.



Section 1: Introduction

About This Course

Learning Objectives

Section 2: Introduction to Beneficiary Notices


Regulatory Overview

Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN)

ABN (CMS R-131)

Beneficiary Notices and the Survey Process



Section 3: Providing Beneficiary Notices

Medicare Part A SNF Residents

Completing the SNF ABN

Resident Options

Voluntary Issuance of a SNF ABN

Medicare Part B SNF Residents

Delivery of Beneficiary Notices

Review Questions


Section 4: Expedited Determination Process


Notice of Medicare Non-Coverage (NOMNC)

Detailed Explanation of Non-Coverage (DENC)

Expedited Review Process: Step by Step

Providing Both a SNF ABN and a NOMNC



Section 5: Review Scenarios

Scenario 1

Scenario 2

Scenario 3

Scenario 4

Scenario 5

Section 6: Conclusion


Course Contributors




Instructor: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Kim Matthews, RN
Kimberly Matthews, RN obtained a nursing degree from Western Kentucky University in 1998.  Ms. Matthews possesses over 20 years of nursing experience with over 17 of those in the Skilled Nursing industry.  Ms. Matthews has extensive experience in MDS, restorative nursing programs, and nursing management.  Ms. Matthews is currently a Post Acute Care Content writer and subject matter expert for MDS. Disclosure: Kim Matthews, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Post-Acute Care.
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Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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