decisionhealth Newsletters, Part B News - 2015 Issue 12 (December)
CMS: Use CPT rules for counting time for advance care planning
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Article Overview
This brief CMS-focused article explains a clarification from an open door forum about time counting for advance care planning and notes the Medicare physician fee schedule context in which the guidance appeared. It is relevant to coders, billers, and practices that report CPT services tied to end-of-life discussions and need to stay current on CMS interpretations and effective-date updates.
Why This Topic Matters
Accurate time counting affects whether these services are reported correctly under CPT and Medicare policy. The article helps readers understand the timing clarification, the service context, and the associated fee schedule update.
What You Will Learn
- The CMS clarification discussed during the open door forum
- How advance care planning timing is addressed in the Medicare physician fee schedule context
- Which CPT service categories are involved in the discussion
- The effective-date context for the reporting guidance
Who Should Read This
- Medical coders
- Medical billers
- Physician practice managers
- Compliance staff
- E/M and preventive services coders
Codes Discussed
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