tci E/M Coding Alert - 2016 Issue 1

Advance Care Planning: Your Chances of Getting Paid for End-of-Life Services Just Got Better

But you may see a small reimbursement dip due to conversion factor changes. Since January, you’ve had CPT® codes to bill your providers’ advance care planning services, but CMS didn’t assign relative value units (RVUs) to the codes, meaning you wouldn’t collect from Medicare — and many other payers. Good news: Effective Jan. 1, 2016, you will be able to collect for your practitioners’ services in talking about end-of-life decisions with Medicare beneficiaries. CMS released its Final Rule on Oct. 30, outlining how it will pay for services under the Medicare Physician Fee Schedule in 2016...

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