Top 10 Tips for Using Advance Care Planning Codes in Palliative Medicine and Beyond.

Journal Article (Journal Article)

Although recommended for all persons with serious illness, advance care planning (ACP) has historically been a charitable clinical service. Inadequate or unreliable provisions for reimbursement, among other barriers, have spurred a gap between the evidence demonstrating the importance of timely ACP and recognition by payers for its delivery.1 For the first time, healthcare is experiencing a dramatic shift in billing codes that support increased care management and care coordination. ACP, chronic care management, and transitional care management codes are examples of this newer recognition of the value of these types of services. ACP discussions are an integral component of comprehensive, high-quality palliative care delivery. The advent of reimbursement mechanisms to recognize these services has an enormous potential to impact palliative care program sustainability and growth. In this article, we highlight 10 tips to effectively using the new ACP codes reimbursable under Medicare. The importance of documentation, proper billing, and nuances regarding coding is addressed.

Full Text

Duke Authors

Cited Authors

  • Jones, CA; Acevedo, J; Bull, J; Kamal, AH

Published Date

  • December 2016

Published In

Volume / Issue

  • 19 / 12

Start / End Page

  • 1249 - 1253

PubMed ID

  • 27682147

Pubmed Central ID

  • PMC5144846

Electronic International Standard Serial Number (EISSN)

  • 1557-7740

Digital Object Identifier (DOI)

  • 10.1089/jpm.2016.0202


  • eng

Conference Location

  • United States