Here are four things to know, according to the report:
1. CPT codes 99497 and 99498 have been introduced in its physician fee schedule for this year, but are not payable. The first code covers a discussion of advance directives up to 30 minutes, and the second code covers an extra 30 minutes.
2. The draft regulation to activate the two codes does not necessarily mean Medicare has made a national decision regarding “advance-care planning.”
3. The decision on reimbursement for an active billing code will fall on the MACs, often private health insurers who process the claims, and Medscape is reporting that if the proposal becomes final, MACs would pay for the new codes unless they contest them, even if end-of-life treatments do not become a national policy.
4. CMS is accepting public comments on this proposal, as part of the CY 2016 PFS proposed rule, until September 8, 2015.
More articles on ASC issues:
Does price transparency affect patients’ decision to elect ambulatory care? 5 insights
Northeast Missouri ASC celebrates 15 years: 4 things to know
7 things for ASC leaders to know for Thursday — July 9, 2015
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.