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Advance Care Planning

  • 80 percent of people say that, if seriously ill, they would want to talk to their doctor about end-of-life (EOL) care
  • 7 percent of people report having had an EOL conversation with their doctor
Effective January 1, 2016, the Centers for Medicare & Medicaid Services (CMS) pays clinicians for Advance Care Planning (ACP), or the face-to-face time a clinician spends with a patient, family member or surrogate to explain and discuss advance directives. ACP enables Medicare beneficiaries to make important decisions that give them control over the type of care they receive and when they receive it.

All traditional Medicare beneficiaries qualify for ACP services. You may determine that it is important to have conversations about end-of-life decisions with your patients and/or their caregivers annually, or when a patient has a medical change in status. The patient has no out-of-pocket responsibility for ACP that takes place during his or her Medicare Annual Wellness Visit. However, if ACP services are provided under any other circumstances, Medicare coinsurance and deductibles apply.

ACP Implementation Guide

Advance Care Planning (ACP) helps to ensure patient treatment preferences are documented, regularly updated and respected. This helps make the case that patients are getting what they want at end of life and it can start with a conversation and documentation of their preferences with their provider during a Medicare Annual Wellness Visit. This implementation guide breaks down ACP and will help your practice create and refine your processes to support it.