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Advance Care Planning Codes—Getting Paid for Quality Care

Advance Care Planning Codes—Getting Paid for Quality Care Letters RESEARCH LETTER dence, and the presence of certain chronic conditions. Find- ings were considered significant at P < .05 (2-sided). Assessment of First-Year Use of Medicare’s Advance Care Planning Billing Codes Results | In 2016, 26 522 ACP claims were billed by 1996 health Advance care planning (ACP) conversations occur infrequently care professionals in New England. These claims occurred among patients and their health care professionals, and when among 24 536 unique beneficiaries (Table 1), representing fewer 1,2 they do occur, the context is often a stressful clinical situation. than 1% of the total beneficiaries in New England. Most ACP Advance care planning conversations that occur too late (or not claims were billed in the office setting (16 755 [63.2%]), fol- at all) can result in care that is lowed by nursing home (4671 [17.6%]) and inpatient settings invasive, expensive, and not (2671 [10.1%]). A total of 10 622 ACP services (40.0%) oc- Invited Commentary page 830 aligned with patients’ wishes. curred during an annual wellness visit. To encourage health care professionals to initiate ACP discus- Among all 2016 ACP claims, 5014 (18.9%) were billed by sions, Medicare began reimbursing for ACP services on January advanced practice clinicians http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Advance Care Planning Codes—Getting Paid for Quality Care

JAMA Internal Medicine , Volume 179 (6) – Jun 11, 2019

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2018.8105
Publisher site
See Article on Publisher Site

Abstract

Letters RESEARCH LETTER dence, and the presence of certain chronic conditions. Find- ings were considered significant at P < .05 (2-sided). Assessment of First-Year Use of Medicare’s Advance Care Planning Billing Codes Results | In 2016, 26 522 ACP claims were billed by 1996 health Advance care planning (ACP) conversations occur infrequently care professionals in New England. These claims occurred among patients and their health care professionals, and when among 24 536 unique beneficiaries (Table 1), representing fewer 1,2 they do occur, the context is often a stressful clinical situation. than 1% of the total beneficiaries in New England. Most ACP Advance care planning conversations that occur too late (or not claims were billed in the office setting (16 755 [63.2%]), fol- at all) can result in care that is lowed by nursing home (4671 [17.6%]) and inpatient settings invasive, expensive, and not (2671 [10.1%]). A total of 10 622 ACP services (40.0%) oc- Invited Commentary page 830 aligned with patients’ wishes. curred during an annual wellness visit. To encourage health care professionals to initiate ACP discus- Among all 2016 ACP claims, 5014 (18.9%) were billed by sions, Medicare began reimbursing for ACP services on January advanced practice clinicians

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 11, 2019

References