decisionhealth Newsletters, Part B News - 2020 Issue 6 (June)
Telehealth a great boon for advance care planning — but don’t get sloppy with consent
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Article Overview
This article discusses telehealth use for advance care planning in the context of Medicare and temporary pandemic-era policy changes. It focuses on the practical and compliance-related considerations that matter to clinicians, coders, and compliance staff, including consent, documentation, secure transmission of forms, and differences in how states handle advance directive paperwork.
Why This Topic Matters
Providers offering advance care planning by telehealth need to understand both the temporary telehealth flexibilities and the continuing administrative requirements that still apply. The article is relevant for avoiding consent and documentation problems while supporting compliant remote discussions with patients and families.
Article Sections
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Telehealth
Overview of telehealth flexibility during the pandemic and why advance care planning became a notable use case. The section also introduces the Medicare and HIPAA context for remote services.
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ACP lends itself to tech talks
Discussion of why advance care planning can work well in a remote setting and how technology may support participation and documentation. The section also notes considerations related to recording and communication.
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Consent is crucial
Explanation of the importance of patient consent and documentation when advance care planning is furnished remotely. The section addresses workflow, forms, and related administrative safeguards.
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Secure the forms, get a witness
Guidance on handling completed advance directive paperwork after the discussion and on finalizing documents appropriately. The section also notes that state requirements may differ.
What You Will Learn
- How telehealth has been applied to advance care planning during the pandemic
- Why consent and documentation are central to remote advance care planning encounters
- What operational issues arise when transmitting and storing advance directive forms
- How state-level requirements can affect signed advance care planning documents
Who Should Read This
- Physicians and other clinicians providing advance care planning
- Medical coders and billing staff
- Compliance and practice management teams
- Health care attorneys and consultants
Codes Discussed
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