Skip Navigation LinksHome | Editors' Blog
Physicians overwhelmingly support the critical nature of advance care planning (ACP), yet many providers believe they lack the necessary infrastructure or resources to perform these end-of-life discussions with their patients.

CMS said in an April 13 provider call that to bill advance care planning (ACP) without a preventive service, you need to show the service is “relevant to the patient’s disease state,” which would seem to mean it requires a diagnosis code.

A report live from this year's AAPC HealthCon shows some payers are accepting X modifiers in place of modifier 59 and more.

The Comprehensive Primary Care Plus (CPC+) model announced April 11 by CMS will work with private insurers to pay participating primary care providers a per beneficiary per month (PBPM) fee, allowing them to design their own care choices for patients, including services not currently paid under the Medicare fee-for-service model.

As physician practices grapple with Medicare's onerous quality-reporting programs, worry about ICD-10 implementation and, you know, perform that small task known as caring for their patients, a significant question looms on the horizon: Will they step into the value-based world of alternative payment models (APM)?

Login

User Name:
Password:
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Blog Archive
Back to top