decisionhealth Newsletters, Part B News - 2018 Issue 10 (October)
As advance care planning booms, use 5 tips to expand your offerings
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Article Overview
This article explains the rising use of advance care planning services and discusses general practice strategies for expanding those offerings. It is aimed at clinicians, coders, and practice staff who need a high-level understanding of Medicare-related guidance, documentation considerations, annual wellness visit integration, and the role of non-physician practitioners.
Why This Topic Matters
Advance care planning is a growing reimbursable service area, and understanding the broad Medicare and CPT framework can help practices evaluate whether they are capturing eligible services and structuring conversations appropriately.
Article Sections
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Current growth in advance care planning
This section reviews the broader rise in advance care planning use and the Medicare context surrounding it. It also introduces the general scope of the service and its place in practice revenue.
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Why usage may still be limited
This section discusses broad barriers that may affect adoption, including provider reluctance, time concerns, and other common obstacles. It frames why the service may not yet be fully utilized.
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5 steps to boost ACP services
This section outlines practice-level approaches for increasing advance care planning activity. It covers general workflow, patient communication, tools, visit integration, and staffing considerations.
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Plant the seeds in your patients' minds
This subsection focuses on making advance care planning a routine part of patient care over time. It emphasizes early and consistent conversation patterns.
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Reframe your conversations
This subsection discusses broad ways to present advance care planning as a planning process rather than a single end-of-life discussion. It highlights patient-centered conversation framing.
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Integrate a form to guide the way
This subsection covers the use of supportive tools and resources to help guide advance care planning discussions. It mentions outside training and starter resources.
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Wrap ACP into the annual wellness visit (AWV)
This subsection addresses how advance care planning may be incorporated into preventive visit workflows. It also notes a preventive-services modifier in the Medicare billing context.
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Don't be afraid of incident to
This subsection discusses non-physician practitioner participation and related billing workflow considerations. It focuses on general Medicare allowance and payer processing issues.
What You Will Learn
- How the article characterizes current Medicare interest in advance care planning
- What broad barriers can affect adoption of advance care planning services
- Which practice workflow areas are discussed as ways to expand advance care planning offerings
- How advance care planning is positioned within annual wellness visit workflows
- What general staffing and billing topics are associated with non-physician practitioner involvement
Who Should Read This
- Physicians
- Advanced practice providers
- Medical coders
- Billing staff
- Practice administrators
- Compliance staff
Codes Discussed
Modifiers Discussed
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