Use of Advance Care Planning Billing Codes in a Tertiary Care Center Setting

[摘要] Introduction: The Centers for Medicare and Medicaid Services released the final payment rules for reimbursement of advance care planning (ACP) effective January 2016. In its first year, 23,000 providers nationwide submitted 624,000 claims using the Current Procedural Terminology codes 99497 and 99498. The objectives of our study were to 1) assess the frequency of ACP codes used at a single academic tertiary care center in Iowa, 2) determine when and by whom the codes were used, and 3) summarize ACP clinical notes.

[学科分类] 过敏症与临床免疫学

[关键词] Advance Care Planning;Current Procedural Terminology;Data Warehousing;Electronic Health Records;Health Policy;Incentive Reimbursement;Iowa;Medicaid;Medicare;Palliative Care;Teaching Hospitals;Tertiary Care Centers