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tci Medicare Compliance & Reimbursement - 2015 Issue 18

Reimbursement: Get Paid for 'The Talk' With Seriously Ill Patients -- Here's How

But does no national coverage determination mean no reliable payments? Conversations with a patient about his mortality aren’t the happiest chats, but they’re even worse if you cannot bill for the extra time and effort that they take. But soon you’ll likely get deserved reimbursement for advance care planning (ACP), thanks to the reimbursement proposal of the two CPT® codes 99497 and 99498, which were introduced this year. On July 8, the Centers for Medicare & Medicaid Services (CMS) released the 2016 Medicare Physician Fee Schedule proposed rule, which is the first update to the physician...

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