ED Coding & Reimbursement Alert - 2015 Issue 4
CPT® 2015: Adopt New Advance Care Codes for End of Life Discussions
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Article Overview
This premium article covers the introduction of new CPT advance care planning services for 2015 and the early guidance available for understanding their use. It focuses on the general documentation themes expected for support, the status of Medicare recognition at the time, and why payer policy differences matter for coders, physicians, and compliance staff.
Why This Topic Matters
Advance care planning documentation and payer treatment can affect whether these services are reported and reimbursed correctly. The article helps readers understand the scope of the new CPT additions and the broader billing environment surrounding them.
Article Sections
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Meet the New Codes on the Block
Introduces the new advance care planning CPT services and summarizes the broad circumstances discussed in the article. It also notes the general patient-encounter context covered by the guidance.
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Learn What You Need to Look for in the Documentation
Reviews the types of documentation themes and physician note elements associated with these services. The section emphasizes what reviewers should expect to see in support of the encounter.
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Recognize Current Billing Status
Summarizes the article’s discussion of Medicare recognition and payer-policy considerations. It also addresses the broader billing status environment for the services during the referenced year.
What You Will Learn
- The purpose and scope of the new 2015 advance care planning CPT services
- What broad documentation themes are associated with these services
- How current payer recognition and billing status affect reporting considerations
- Why commercial payer policies may differ from Medicare treatment of the services
Who Should Read This
- Medical coders
- Coding compliance staff
- Physicians and other qualified health care professionals
- Billing staff
- Revenue cycle professionals
Codes Discussed
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