decisionhealth Newsletters, Part B News - 2016 Issue 4 (April)
Let the situation dictate your advance care planning diagnosis codes
Subscribe or sign in to view the full article.
Article Overview
This article discusses how diagnosis coding is handled for advance care planning services when they are provided during Medicare wellness visits versus outside of preventive care. It is relevant to coders, billers, and compliance staff who need a general understanding of how CMS guidance and Medicare claims processing affect reporting and payment considerations for these services.
Why This Topic Matters
Advance care planning billing can depend on the encounter context, the related diagnosis reported, and Medicare preventive-service rules. Understanding the article helps billing and coding staff recognize when the service is discussed as part of an annual wellness visit versus a separate treatment-oriented encounter.
What You Will Learn
- How Medicare guidance frames advance care planning in different visit settings
- What broad diagnosis-coding considerations are discussed for preventive and nonpreventive encounters
- How CMS and Medicare claims guidance are referenced in relation to advance care planning reporting
- Why the encounter context can affect whether the service is considered preventive or treatment-oriented
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Revenue cycle staff
- Physician practice administrators
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com