decisionhealth Newsletters, Part B News - 2018 Issue 10 (October)
Large pay gains tied to greater advance care planning activity in 2017
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Article Overview
This article examines Medicare claims data for advance care planning activity and how billing volume, payments, and denials changed from 2016 to 2017. It is relevant to coders, billers, compliance staff, and clinicians who track Medicare reimbursement trends and specialty-level reporting patterns. The discussion focuses on general claims performance, payer impact, and provider-type differences rather than detailed coding guidance.
Why This Topic Matters
Understanding claim volume and payment trends for advance care planning services helps practices monitor utilization, reimbursement, and denial patterns across specialties. The article provides a concise benchmark for organizations comparing their own performance against Medicare activity in 2017.
What You Will Learn
- How Medicare claims for advance care planning services changed from 2016 to 2017
- Which provider specialties reported the highest claim volume and payments
- How denial rates shifted for the reported advance care planning service
- What the Medicare benchmark data suggests about specialty-level billing patterns
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Physicians and advanced practice providers
- Practice administrators
Codes Discussed
Code Ranges Discussed
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