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News & Press: Trauma-Watch Industry News

Panel recommends hospital payment for advance care planning at summer meeting

Monday, August 31, 2015  
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Many healthcare industry stakeholders, including providers, technology vendors, and payers, are working overtime right now to ensure their systems are ready for the imminent ICD-10 implementation. But the rest of CMS’ regulatory slate, such as the annual update to the OPPS, continues and stakeholders met at CMS headquarters in Baltimore this week to provide feedback to the agency.  The Advisory Panel on Hospital Outpatient Payment (HOP), which consists of full-time employees of hospitals, hospital systems, and other Medicare providers, meets at least twice a year, and invites stakeholders to publicly submit comments regarding OPPS regulations. The panel can subsequently vote on whether to make recommendations to CMS based on those comments.  Last summer’s meeting resulted in very little action, with only one vote that ended in a tie. But this week’s meeting included more interaction between commenters and the panel, with several recommendations that could impact future policy sent to CMS. One topic that received a lot of attention was hospital payment for advance care planning. In the 2016 Medicare Physician Fee Schedule proposed rule, CMS proposed payment for two advanced care planning CPT® codes. One is an initial code for 30 minutes of discussion on advance care planning with the second being an add-on code for each additional 30 minutes. For outpatient hospitals, the codes have been assigned status indicator N (no additional payment, payment included in line items with APCs for incidental service).  Click here to read more.....

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