Advance care planning among Medicare fee-for-service beneficiaries and practitioners: final report
- Collection:
- Health Policy and Services Research
- Author(s):
- He, Fang, author Gasdaska, Angela, author Friedman, Hannah, author Wedehas, Brendan, author Kirk, Alexis, author Broyles, Ila, author Karon, Sarita L., author
- Contributor(s):
- United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation, issuing body.
- Publication:
- [Washington, D.C.] : United States Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, September 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Advance Care Planning Medicare Fee-for-Service Plans United States
- Genre(s):
- Technical Report
- Abstract:
- People who have a serious illness or are nearing the end of life may be unable to make decisions regarding their medical treatment and care. In these circumstances, an individual's preferences regarding medical treatment and care are often not met. Advance care planning (ACP) is a process that may better align treatment and care with personal preferences, values, and goals. In the context of Medicare payment, the Centers for Medicare & Medicaid Services (CMS) describes ACP as a voluntary "face-to-face service between a Medicare physician (or other qualified health care professional) and a patient to discuss the patient's health care wishes if they become unable to make decisions about their care" (CMS, 2019c). As part of this discussion, the practitioner may talk about advance directives (ADs) with or without completing relevant legal forms. An AD is a document that appoints an agent and/or records the person's wishes about their medical treatment based on personal values and preferences, to be used at a future time if the individual is unable to speak for themselves. Although ACP services can help patients and practitioners better align patients' care with their values and goals, many older adults in the United States have not participated in ACP (Yadav et al., 2017; Institute of Medicine, 2014). In 2016, CMS adopted two billing codes (Current Procedural Terminology [CPT] codes 99497 and 99498) for paying practitioners for engaging in ACP with Medicare fee-for-service (FFS) beneficiaries. In 2017, CMS started to pay certain clinicians for providing care planning and cognitive assessment services to Medicare FFS beneficiaries, first using Healthcare Common Procedure Coding System code G0505 and then CPT code 99483. The Office of the Assistant Secretary for Planning and Evaluation engaged RTI International to study the use of these billing codes among Medicare FFS beneficiaries and practitioners.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (vii, 32, A-27 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101775111 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101775111