Study up on appropriate forms to secure $86 payment for advance care planning 

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains Medicare’s 2016 payment policy for advance care planning and the broader operational issues surrounding the service. It is aimed at physicians, billing staff, compliance teams, and palliative care professionals who need to understand reimbursement, documentation support, and general policy context for advance care planning discussions and related forms.

Why This Topic Matters

Advance care planning affects how practices document, schedule, and report patient conversations that may occur alongside other Medicare services. The article also addresses how providers should prepare operationally for these services and why policy details matter for reimbursement and compliance.

Article Sections

  1. Advance care planning payment and billing overview

    Summarizes the Medicare policy update, the service category involved, and the general reimbursement context for advance care planning discussions.

  2. Preparing to provide advance care planning services

    Discusses practice readiness, communication skills, and the role of forms and supporting materials in patient conversations.

  3. Other advance care planning rules

    Covers additional Medicare policy context related to same-day reporting, coverage determinations, and contractor-level implementation considerations.

What You Will Learn

  • How Medicare policy changes affected advance care planning services
  • What kinds of operational preparation practices may need before offering the service
  • What general policy and coverage issues are associated with advance care planning reporting
  • How advance care planning interacts with wellness visits and other services in broad terms

Who Should Read This

  • Physicians
  • Billing and coding staff
  • Compliance professionals
  • Hospice and palliative care organizations
  • Practice administrators

Codes Discussed

Modifiers Discussed


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