decisionhealth Newsletters, Part B News - 2021 Issue 3 (March)
ACP numbers surge, yet add-on code remains problematic for many
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Article Overview
This article examines how advance care planning billing activity changed across Medicare claims data from 2016 through 2019, with attention to utilization growth, denial rates, specialty differences, and where services were billed. It is relevant to physicians, advanced practice clinicians, hospice and geriatrics professionals, and coding or billing staff who follow outpatient and hospital claim patterns for Medicare policy and utilization trends.
Why This Topic Matters
Understanding how use and denials vary by specialty and place of service can help readers assess documentation and billing performance trends for advance care planning services and compare their own claim patterns against national Medicare data.
What You Will Learn
- How advance care planning claim volume changed over time in Medicare data
- How denial rates varied by specialty for these services
- How site of service patterns differed across the codes
- Which provider groups were most associated with each service category
Who Should Read This
- Physicians
- Nurse practitioners
- Physician assistants
- Hospice clinicians
- Geriatric medicine clinicians
- Medical coders
- Billing staff
- Practice administrators
Codes Discussed
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