tci Medicare Compliance & Reimbursement - 2015 Issue 18
Reimbursement: Get Paid for 'The Talk' With Seriously Ill Patients -- Here's How
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Article Overview
This article covers a Medicare physician payment proposal that would make advance care planning separately payable, along with the policy and advocacy context behind the change. It is aimed at clinicians, coders, and practice leaders who need to understand what the proposed guidance addresses, how it interacts with routine office and wellness visits, and why local coverage variation could matter. The article also summarizes the timing of the proposal, related CMS and AMA activity, and the general documentation and service-setting issues discussed in the source.
Why This Topic Matters
Advance care planning is a time-intensive service that can affect patient-centered care and practice reimbursement. Understanding the proposal helps readers evaluate whether the article affects billing workflows, Medicare policy monitoring, and coding for discussions performed during or apart from other visits.
What You Will Learn
- The Medicare policy context for separately payable advance care planning services
- How the article frames the relationship between advance care planning and routine evaluation and management visits
- Why local coverage and national policy status are relevant to reimbursement planning
- Which organizations and clinical stakeholders are discussed in connection with the proposal
Who Should Read This
- Physicians
- Qualified health professionals
- Medical coders
- Billing staff
- Practice managers
- Compliance teams
- Geriatrics and primary care clinicians
Codes Discussed
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