tci Part B Insider - 2016 Issue 1

Advance Care Planning: Collect Coinsurance for ACP Visit--Unless You Meet This Exception

Whether or not you provide the service during an annual wellness visit makes all the difference. As most practices are aware, CMS now accepts two codes for advance care planning, but some doctors were in the dark about the rules surrounding how to bill for these services. Fortunately, a new MLN Matters article offers some clarity on what you should do to make sure you’re reporting advance care planning (ACP) properly. Background: Effective Jan. 1, you can collect about $86 for 99497 (Advance care planning including the explanation and discussion of advance directives such as standard forms [with...

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