ARTICLE
7 November 2015

Advance Care Planning to be Reimbursed by Medicare in 2016

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Day Pitney LLP

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On October 30, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule on or after January 1, 2016, which includes ..
United States Food, Drugs, Healthcare, Life Sciences

On October 30, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule on or after January 1, 2016, which includes establishing separate payment and a payment rate for two advance care planning services provided to Medicare beneficiaries by physicians and other practitioners. CMS released a fact sheet on the rule.

As previously discussed here, this new payment policy will provide payment for the time spent with Medicare beneficiaries helping them better understand available care options and make important decisions that give them control over the type of care they receive and when they receive it.

The new Fee Schedule is the first one to be released since the repeal of the Sustainable Growth Rate (SGR) formula, as previously discussed here.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

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