tci Part B Insider - 2015 Issue 41

Part B Payment: CMS Sets Payment Rates for Advance Care Planning

However, conversion factor goes down. The codes have been in your CPT® book since January, but with CMS establishing no payment for advance care planning, your practice was left empty-handed—until now. Effective Jan. 1, 2016, you will be able to collect for your practitioners’ services in talking about end-of-life decisions with Medicare beneficiaries. CMS released its Final Rule on Oct. 30, outlining how it will pay for services under the Medicare Physician Fee Schedule in 2016, which included comments and explanations of how CMS set payments for both old and new services. “CMS is establishing separate payment...

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