tci Medicare Compliance & Reimbursement - 2016 Issue 3

Advance Care Planning: Here's the Lowdown on How to Bill ACP Properly

CMS has some clarifications for you. If you have been wondering how to bill the two codes for advance care planning (ACP) that the Centersfor Medicare & Medicaid Services (CMS) accepts, look for help from a new MLN Matters article that clarifies how and when to use these codes. 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 completion of such forms, when performed], by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family...

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